Virginia Regulatory Town Hall
Agency
Department of Health Professions
 
Board
Board of Pharmacy
 
chapter
Regulations Governing the Practice of Pharmacy [18 VAC 110 ‑ 20]
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6/5/24  3:51 pm
Commenter: Anonymous

Physician Here: Kratom Is Life Saving Treatment
 

Hello,

As a physician that has had several chronic pain patients and those recovering from PTSD and traumatic brain injuries to Kratom, this would be an absolute disaster for those who find it medically necessary. Kratom provides many of the benefits associated with some pharmaceuticals with far fewer of the drawbacks, meaning that it can equalize dopamine levels without overwhelming pathways, leading to overdose or impairment. Because it does not react in a profoundly psychotropic way, it is a great solution for many patients who need support throughout the day and for which traditional pharmaceuticals present significant complications. 

There are issues in the Kratom market, such as ensuring quality of product, consistency of dosage, and access when necessary, but banning it would do the absolute opposite. What would make more sense is to impose state regulations to ensure only quality products are sold in specified amount to people who meet an age threshold, and to encourage the use of Kratom in consultation with a medical professional. The reality is that there are enough studies available to undermine the notion that legal Kratom access presents a public health risk above and beyond the risks available with any other substance used in over the counter medical treatment, and far fewer complications that hospitals see associated with pain relievers like Paracedemol. 

I think you should consider the fact that there are literally thousands of Virginia patients who use Kratom right now for verified medical reasons and of whom complications are radically low in comparison to all commonly prescribed medications. It's important to remember that suddenly taking an important medication away from a patient pool is the most serious health crisis state officials can engage in. 

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