To commend the DEA's initiative to temporarily schedule certain kratom-related substances due to public safety concerns.
Approach:
DEA Notices of Intent: The DEA issued two Notices of Intent to temporarily schedule 7-OH and three synthetic derivatives (MP, MGM-15, MGM-16) in Schedule I.
Request for Information: The Office of the Assistant Secretary for Health (OASH) requested public comments on the proposed threshold level for 7-OH.
Key Findings:
7-OH and its synthetic derivatives are considered dangerous opioids that contribute to addiction.
The actions do not intend to regulate natural kratom leaf that contains trace amounts of 7-OH.
MP, MGM-15, and MGM-16 are synthetic derivatives that do not occur naturally in the kratom plant.
MP is a chemical rearrangement product of 7-OH, while MGM-15 and MGM-16 are synthetic derivatives of 7-OH.
Interpretation:
The scheduling of these substances aims to address the growing threat they pose to public health and safety.
Limitations:
The temporary scheduling order is subject to public comment and further review by the Attorney General.
Conclusion:
The initiative is part of a broader effort to combat the opioid epidemic and protect public health.
Clinicians screened just one in three older patients for drug use, and discussed cannabis with fewer still—leaving women and minoritized groups out most.