Since 2014, Karisa Rowland has gotten up every morning, removed a bag of kratom powder from her fridge, stirred about a teaspoonful into a mug of water and drunk it.
In the past, Rowland, who lives a half hour south of Fort Worth, Texas, struggled with a serious prescription opioid dependence. After several back surgeries, she was using pills 鈥 hydrocodone, fentanyl and oxycodone 鈥 to deal with her chronic pain. Her morning ritual with kratom has helped her handle her pain without taking opioid drugs, she said.
Kratom, a relative of the coffee plant, is made from the leaves of a tree native to Southeast Asia. According to David Kroll, a pharmacologist and medical writer, farmers and indigenous people have used it for hundreds of years as both a stimulant to increase work output and also at the end of the day as a way to relax.
The leaves are brewed like a tea, crushed and mixed with water or pulverized and put into capsules. In the U.S., kratom has become popular among people like Rowland.
She recalls the night, in jail after being picked up for a DUI, when she hit a low. 鈥淚鈥檓 looking around and I鈥檓 watching raw [sewage] flow through a vent in the floor and I鈥檓 thinking, 鈥榃ow. This has to stop. I鈥檓 going to end up dead,鈥 鈥 she said. She stopped using opioids, went to a 12-step program聽and started taking kratom. 听听
Today, though, she is out of kratom.
In late August, the Drug Enforcement Administration (DEA)聽聽by the end of September,聽classifying it as a Schedule I drug 鈥 in the same category as heroin and LSD. Since then, the place Rowland orders it from online has been sold out. Rowland says she鈥檚 in pain and she is angry. She has plenty of company.
In a YouTube video, a he says contains prescription opioids he has been given for pain. 鈥淭his,鈥 he says, 鈥渋s not Schedule I.鈥
鈥淒o I seem angry?鈥 he continues, 鈥淵es. Because you鈥檙e taking away a right that I fought for. When I did my tour in Iraq, I fought for my right to be in America and be able to help myself, to cure myself. I鈥檓 not talking about snorting cocaine, shooting up heroin, I鈥檓 not even talking about puffing a joint. I鈥檓 talking about brewing some tea leaves, having a sip and feeling better.鈥
In another video, says, 鈥淭his would be like us banning pole vaulting because of concussions.鈥 (Please note, the video contains prolific and inspired cursing.)
People have uploaded hundreds of videos talking about why they drink or swallow kratom pills 鈥 veterans coping with PTSD, recovering alcoholics, people with fibromyalgia. A to keep it legal has more than 118,000 signatures.
Even the DEA has been hammered with calls, says spokesman Melvin Patterson. 鈥淭he response has been unexpected,鈥 he said. 鈥淧eople calling us in opposition of our plan to temporarily schedule kratom as a Schedule I, due to it not having a medicinal use.鈥
Patterson says the move to schedule kratom come out of a concern for public safety. Between January 2010 and December 2015, U.S. related to kratom, he says.
In Texas, there have only been 17 kratom calls so far this year, but Kristina Domanski, with the North Texas Poison Center, says the numbers are creeping up.
鈥淢ost people obtain this online,鈥 Domanski said. 鈥淏ecause this is not necessarily legal or regulated, you don鈥檛 know what you鈥檙e buying, there鈥檚 no quality control, it鈥檚 not a supplement [that鈥檚] regulated. You don鈥檛 know what you鈥檙e buying, so there鈥檚 a risk that it鈥檚 not kratom; it could be mixed with something else.鈥
The DEA attributed 15 deaths to kratom between 2014 and 2016. Critics call it a legal heroin, ripe for abuse and addiction.
The science behind kratom is still evolving.
Pharmacologist Kroll said it is going overboard to classify this plant as a dangerous drug. 鈥淜ratom being lumped in with other opioids is both unfair and unscientific,鈥 he said. 鈥淚t glosses over the subtleties of how the main chemical in kratom actually works.鈥
That chemical is . It binds to some of the same receptors in the brain as opioids, providing some pain relief and feelings of euphoria, but, Kroll said, not the same high. And the chemical doesn鈥檛 cause the same, sometimes deadly, side effects as opioids, such as respiratory depression.
鈥淚t turns out mitragynine has a very low risk of respiratory depression,鈥 Kroll said. 鈥淚t also appears that it鈥檚 very difficult to get mice addicted to 鈥榤itra鈥 鈥 either with the herb or with the pure chemical.鈥
So what about the people who died? Fourteen of the 15 people also had other drugs or illegal substances in their systems. Advocates for keeping kratom legal also point out that tens of thousands of people every year.
Kroll worries an outright kratom ban could push people back to opioids or alcohol. And, he says, it would delay scientists鈥 researching the possible risks and benefits of the herb.
Kratom user Rowland is trying to get her friends and kratom users to speak out along with her. She has already sent letters to Texas Sens. John Cornyn and Ted Cruz seeking support.
鈥淚鈥檓 the one in pain. The people making these laws, they鈥檙e not the ones going through this pain; they鈥檙e not the ones whose families have broken up,鈥 she said. 鈥淚 found life and I have no intention of letting it go.鈥
This story is part of a reporting partnership with NPR, local member stations and Kaiser Health News.