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However the launch of the Greater East Asia War in 1942 and declining revenues from the opium trade pushed the Thai government into action to curb and
suppress competition in the opium market by making kratom illegal. As of October 2 2013 the justice ministry of Thailand suggested removal of kratom from the narcotic drug list kratom legal relating to Category 5 of the Narcotic Drug Law of 1979 though still recommended regulating kratom in other ways due to its effects on the nervous system. This recommendation will be made to the Ministry of Public Health which can move forward with the removal from the list or not. Malaysia under Section 30 (3) Poions Act Kratom On Full Stomach Crowell 1952 and the user may be penalized with a maximum compound of MYR 10000 (USD 3150) or up to 4 years imprisonment.
In some areas of southern Thailand upwards of 70% of the male population uses kratom on a daily basis. Kratom and its derivatives have been used as substitutes for opium as well as for the management of opium different kratom strains and effects withdrawal. Data on the incidence and prevalence of its use are lacking as physicians are generally unfamiliar with it and its use is not detected by typical drug screening tests. Kratom metabolites can be detected by specialized mass spectrometry tests. Incidence of kratom use appears to be increasing among those who have been self-managing chronic pain with opioids purchased without a prescription and are cycling (but not quitting) their
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use. The pharmacological effects of kratom on humans are not well studied.