03/13/2026
Kratom in Your Pre-Op? The Hidden Opioid Risk You're Missing.
Kratom's (an unregulated herbal extract used as a stimilant) mu-opioid receptor agonism can cause cross-tolerance with perioperative opioids and complicate MAC requirements.
30-40% of patients use unregulated botanicals missing from formal records.
Ask patients specifically about energy shots, powders, and 'wellness' supplements during pre-anesthesia assessment.
Kratom's (an unregulated herbal extract used as a stimilant) mu-opioid receptor agonism can cause cross-tolerance with perioperative opioids and complicate MAC requirements. 30-40% of patients use unregulated botanicals missing from formal records. Ask patients specifically about energy shots, powde...