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The Centers for Disease Control said it's investigating early signs of an epidemic of salmonella cases related to an opium substitute, kratom.

Kratom plants are native to Malaysia, whose leaves have traditionally been used in tea for treating pain. Of the 11 patients interviewed regarding the food that they have eaten over the previous months, eight of them consumed kratom in the form of tea, powder, or pills. Unfortunately, that reality is being reflected in shipments of kratom products contaminated with salmonella.

Notwithstanding lightening torment, kratom is expended for its stimulant impacts and used to treat heroin or morphine reliance, as it is said to lessen withdrawal desires.

Kratom has never gained FDA approval and is largely unregulated - meaning that, as with most supplements, it's nearly impossible to verify what's actually in "kratom" pills, powders, or teas.

While the supplements had been meant to be used to help people with weight loss, there have been reports of people using them as an alternative to prescription opioids.

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No normal brands or providers have been revealed by the examination, which is being led by the CDC alongside a few state wellbeing authorities and the US Food and Drug Administration.

Those reports loosely connected kratom to 44 deaths, but in all but one case, the people who died were found to have been taking multiple drugs, including other opioids in many cases.

The Drug Enforcement Administration is looking at a strong restriction on the sales of kratom, which is now traded freely on the internet and in some stores.

"To protect the public health, we'll continue to affirm the risks associated with kratom, warn consumers against its use and take aggressive enforcement action against kratom-containing products", Gottlieb said.

"According to the FDA, scientific data now shows Kratom contains compounds that are ".opioids and are expected to have similar addictive effects as well as risks of abuse, overdose and, in some cases, death". Since then, the FDA has been making efforts to better understand kratom's safety profile. There are safe and effective, FDA-approved medical therapies available for the treatment of opioid addiction.