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Kapp FG, Maurer HH, Auwärter V, Winkelmann M, Hermanns-Clausen M. 
“Intrahepatic cholestasis following abuse of powdered kratom (Mitragyna speciosa)”. 
J Med Toxicol. 2011 Sep 08;7(3):227-31.
Kratom (Mitragyna speciosa) is a common medical plant in Thailand and is known to contain mitragynine as the main alkaloid. According to an increase in published reports and calls at German poison control centers, it has been used more frequently as a drug of abuse in the western hemisphere during the last couple of years. Despite this increase, reports of severe toxicity are rare within the literature.
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