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Tavakoli HR, Buchholz AC, Kabir IK, Deb AD, Gayk JN. 
“Kratom: A New Product in an Expanding Substance Abuse Market”. 
Fed Pract. 2016 Nov;33(11):32-36.
Abstract
According to the United Nations Office on Drugs and Crime, the last decade saw an alarming rise in the use of recreational substances.1 There was an escalation not only in the use of the more well-known street drugs (cannabis, stimulants, opiates, and hallucinogens), but also an exponential increase in the abuse of novel psychoactive substances. Although most health care providers (HCPs) are at least relatively familiar with some of these designer drugs--often synthesized analogues of common street drugs--region-specific herbal products with psychoactive properties are now entering the market worldwide. Certainly, the cause of this increased use is multifactorial: Ease of access to these drugs and ambiguous legality are believed to be among the largest contributors. Infrastructure established through globalization promotes easy drug transportation and distribution across borders, and widespread Internet use makes knowledge of and accessibility to such substances exceedingly simple.
Notes # : Confusingly refers to Erowid as a "dark Internet" and "prodrug" website.
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