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Use up and down arrows to choose an item from the autocomplete. We are sorry but NCBI web applications do not kratom bali support your browser and may not function properly. Author manuscript; available in PMC Jun 3 2013. Boyer Department of Emergency Medicine University of Massachusetts Medical School 55 Lake Avenue North Worcester MA 01655 USA. A patient who is kratom safe while breastfeeding had abruptly ceased injection hydromorphone abuse self-managed opioid withdrawal and chronic pain using kratom. After co-administering the herb with modafinil he experienced a tonic-clonic seizure but he reported only modest abstinence once kratom administration stopped.