Mitragyna speciosa Korth Leaves Supplementation on Feed Utilization, Rumen Fermentation Efficiency, Microbial Population, and Methane Production In Vitro

The objective of the research was to evaluate the different levels of Mitragyna speciosa Korth leaves powder (MSLP) added to rations with 60:40 or 40:60 roughage to a concentrate (R:C ratio) on in vitro nutrient digestibility, rumen fermentation characteristics, microbial population, and methane (CH4) production. The treatments were arranged according to a 2 × 8 factorial arrangement in a completely randomized design. The two factors contain the R:C ratio (60:40 and 40:60) and the levels of MSLP addition (0, 1, 2, 3, 4, 5, 6, and 7% of the total substrate). There was no interaction between the R:C ratio and MSLP supplementation on gas production kinetics, ammonia nitrogen (NH3-N), and microbial populations. The gas production rate constant for the insoluble fraction (c) was increased by the R:C ratio at (40:60), whilst there was no difference obtained among treatments for cumulative gas production, whilst the gas production rate constant for the insoluble fraction (c) was increased by the R:C ratio at 40:60. The concentration of NH3-N was influenced by the R:C ratio and MSLP addition both at 4 and 8 h after incubation. In vitro dry matter degradability (IVDMD) and organic matter degradability (IVOMD) were significantly improved by the R:C ratio and supplementation of MSLP at 12 h. Increasing the R:C ratio and MSLP concentrations increased total volatile fatty acid (VFA) and propionic acid (C3) concentrations while decreasing acetic acid (C2) and butyric acid (C4) concentrations; thus, the C2:C3 ratio was reduced. MSLP addition reduced protozoa and methanogen populations (p < 0.05). The calculated CH4 production was decreased (p < 0.05) by the R:C ratios at 40:60 and supplementation of MSLP. Finally, the addition of MSLP as a phytonutrient may improve nutrient degradability and rumen fermentation properties while decreasing protozoa, methanogen population, and CH4 production.

A case of a mixed overdose involving kratom (Mitragyna speciosa) leading to serotonin syndrome

Objective: Drug overdose deaths have risen precipitously over the past two years in the United States. Polysubstance overdose with opiates and amphetamines have been of particular concern. Kratom (Mitragyna speciosa) is an unregulated widely available herb with both stimulant and opiate μ-receptor activity. Studies suggest that its use is quickly increasing. Case: We describe a patient who presented to a psychiatric hospital with a mixed toxic syndrome due to chronic kratom and prescribed SSRI use compounded by acute intake of methamphetamine. The patient displayed psychosis, tremulousness, myoclonus, and extreme anxiety. Her clinical picture was consistent with both serotonin syndrome and opiate withdrawal. Conclusion: We call attention to this case because polysubstance overdoses are common, and kratom is widely available. Complex toxic presentations that involve kratom are likely to be increasingly encountered.