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DRUG & POISON INFORMATION CENTER

Quarterly Newsletter

Saturday, October 25th is DEA National Take Back Day!

NACCT 2025 Recap



The North American Clinical Congress of Toxicology (NACCT) was held in Chicago, Illinois from September 17-21, 2025. The keynote speaker was Edmund R. Donoghue, MD, who was the Cook County Chief Medical Examiner at the time of the 1982 Tylenol Cyanide Murders. His presentation focused on lessons learned from a case with multiple deaths that carried major public health and criminal justice implications. Although the case remains unsolved, it led to packaging safety requirements on over-the-counter medications that have helped to reduce the risk of tampering with these products.


The Educator’s Track featured a wide variety of practical knowledge to help educate communities on heavy metals, per- and poly-fluoroalkyl substances (PFAS), medication take back days and creating community partnerships. Our Poison Pearls newsletter for healthcare professionals was also highlighted at the Educator’s Swap & Share!


Our poison center showcased multiple presentations and posters, which are featured below:







Poster Authors (left to right, top to bottom): Alysha Currie, RN, MSN, CSPI, OCPC, ICPS; Alexis Mundy, RN, CSPI; Breanna Pancioli, PharmD, CSPI; Bethany Jones, PharmD, CSPI

Kratom



Kratom has been talked about a lot lately. Signs advertising direct kratom sales are sprinkled outside of smoke and vape shops throughout Cincinnati. We were curious what the hype is all about!


What Is Kratom?


Kratom is a tropical evergreen tree native to Southeast Asia. Its leaves have been used for centuries as a traditional remedy. The plant contains two primary psychoactive compounds: mitragynine and 7-hydroxymitragynine (7-OH). These substances occur naturally in the kratom plant in small amounts. However, modern kratom products may contain much higher concentrations of 7-OH.


Currently kratom is being sold in products such as flavored chewable tablets, liquid shots and gummies. These are often sold online and in places like gas stations, convenience stores and vape shops.Kratom products are becoming easier to find for purchase, so they’re becoming more popular. Because of this, a lot of people make the mistake of thinking these products are safe.


How Is Kratom Used?


Kratom may be used as an herbal remedy for anxiety, depression, opioid use disorder, pain and other medical problems. It has also been used as an alternative or natural remedy to help people with opioid use disorder by reducing withdrawal symptoms.


4 Important Things to Know About Kratom


Kratom can be dangerous even in small amounts. Here’s what you should know about kratom to help keep your family safe:


1.      Kratom can act both as a stimulant (low doses) and a sedative (higher doses). At low doses, kratom can cause stimulant effects such as increased alertness and physical energy, much like using products with caffeine or nicotine. At higher doses, kratom can cause sedative effects such as drowsiness or fatigue, like opioid medications.


2.      Kratom is not well studied. Available evidence suggests that people can become dependent on kratom, like an opioid. The psychoactive compounds in kratom may lead to addiction. However, the long-term effects of kratom use are still not well understood.


3.      Kratom is unregulated. These products are not regulated by the FDA, so the ingredients in each product may vary. Kratom may be contaminated with bacteria (salmonella) or heavy metals (lead, nickel, arsenic, or cadmium).


There are no limits on the amount of kratom that products can include. That makes it hard for consumers to know exactly what they’re taking.


4.      Kratom is legal to buy. Kratom products are not classified under the Controlled Substances Act, which means they are currently not under a federal ban. Kratom sales are legal in some states and not in others.


·        Ohio – Currently there are no age restrictions on purchasing kratom.

·        Kentucky – Age restriction in 2024 allows adults over age 21 to buy kratom products. 

·        Indiana – Kratom products were banned completely in 2014.


In addition, kratom products currently on the market are often packaged to look like common snacks. This may increase the risk of accidental ingestion, especially in households with young children.


What Effect Does Kratom Have on Kids?


Kratom may be dangerous for kids. It’s important to keep kratom drinks or supplements out of reach of young children. Even small amounts of concentrated products can cause problems such as:

·        Confusion

·        Drowsiness

·        Vomiting

·        Nausea


Babies who are exposed to kratom before birth may experience withdrawal symptoms including being irritable or jittery, or having stiff muscles.


Talk to your teens about avoiding kratom. They are more likely to experience more serious effects from kratom, including:

·        Agitation

·        Seizures

·        Hallucinations

·        Tremors

·        Rapid heart rate

·        High blood pressure

·        Difficulty breathing


Teens may also be more likely to mix kratom with alcohol or other substances, which can be risky. Using kratom at any age can lead to substance use disorder (SUD), addiction or withdrawal.


What to Do if You Suspect Kratom Use


If you suspect someone was exposed to a kratom product, contact the experts at the Drug and Poison Information Center (DPIC) at 1-800-222-1222. We will provide free, confidential, expert advice - 24/7/365. If someone is not breathing, is unresponsive, or has collapsed, call 911 immediately.

Planning a safety fair, outreach event, or presentation?


We have stickers, magnets, pamphlets, topic-specific handouts, and other materials available! Infographics included in this newsletter may also be used as handouts!


Contact us if you would be interested in a poison prevention specialist speaker, booth, or presentation for your organization's event.


For questions or emergencies, call: 1-800-222-1222


For outreach materials and requests, please visit: www.ohiopoisoncenters.org or email us at: DPICOutreach@cchmc.org

DRUG AND POISON INFORMATION CENTER



The Cincinnati Drug and Poison Information Center (DPIC) at Cincinnati Children’s Hospital Medical Center is a 24-hour emergency and information telephone service for anyone with concerns about poison or drugs.


The center’s specially trained staff of medical toxicologists, pharmacists, nurses and poison information providers answer questions about poisonings, drug abuse, product contents, substance identification, interactions and adverse reactions.


The Drug and Poison Information Center also works to provide you with important prevention information, educational materials, first-aid information, common household hazards and references to national helpline organizations and agencies.


The phone number for the Drug and Poison Information Center is 1-800-222-1222.

© 2025 By the Cincinnati Drug & Poison Information Center (DPIC)


Editors: Alysha Currie RN, MSN, CSPI, OCPC, ICPS; Sheila Goertemoeller, PharmD, DABAT, OCPC, ICPS, FAACT; Julia Conroy, BA, MAEd; Jewel Page, BS; Jonathan Colvin, RN, MS, CSPI; Shan Yin, MD, MPH, FAAP, FACMT


The opinions expressed herein are those of the contributing authors and do not necessarily reflect the views of the editor, publisher or supporting institutions. DPIC is a service of the Cincinnati Children’s Hospital Medical Center and Children’s Hospital Research Foundation. Services are also supported by: the US Department of Health and Human Services (HRSA), the Ohio Department of Health, Hamilton County Mental Health and Recovery Services Board, and the Ohio Department of Alcohol and Drug Addiction Services (ODADAS). Additional support for DPIC services is provided by Cuyahoga Department of Health and Human Services and additional member hospitals.

 
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