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Inert ingredients for the oral suspension formulation are: carboxymethylcellulose sodium; lemon flavor; propylene glycol; sorbic acid; sorbitol solution; water.

Vistaril® (hydroxyzine pamoate) is unrelated chemically to the phenothiazines, reserpine, meprobamate, or the benzodiazepines.

Acute possible negative effects include dry mouth, increased urination, loss of appetite, and constipation.

This is most likely explained by the effect of mitragynine on one’s anxiety levels.

Other effects of mitragynine are a reduction in smooth muscle tone, local anesthesia, and central nervous system depression.

Thai: Thai kratom effects are said to be the longest lasting, and most sedating of all kratom strains.

Nowadays commercial available Thai kratom is grown in countries other than Thailand, as it was banned some years ago. Malaysia: Malaysian kratom is reported to be almost identical to kratom originating from Bali.

The physician should reassess periodically the usefulness of the drug for the individual patient.

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