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HomeMy WebLinkAboutApproved for Introduction Ordinance No. 4339 Prohibiting the pNa NG � St 2000 Main Street, rr+'oF �y Huntington Beach,CA 92648 9 r Q City of Huntington Beach APPROVED FOR ADOPTION 9�c oQ�r� 7-0 �s TV File #: 25-725 MEETING DATE: 9/16/2025 REQUEST FOR CITY COUNCIL ACTION SUBMITTED TO: Honorable Mayor and City Council Members SUBMITTED BY: Travis Hopkins, City Manager VIA: Eric Parra, Chief of Police PREPARED BY: Shannon Levin, Council Policy Analyst and Kevin Johnson, Captain Subject: Adopt Ordinance No. 4339 Prohibiting the Sale, Distribution and Possession of Kratom - Approved for Introduction September 2, 2025, by a vote of 7-0 Statement of Issue: At the request of Council Woman Gracey Van Der Mark, the Huntington Beach City Council, at its August 19, 2025, meeting, directed staff to prepare an ordinance prohibiting the sale and distribution of Kratom within the City. The City Council voted unanimously in support of bringing the ordinance forward for consideration. Financial Impact: Not applicable. Recommended Action: Adopt Ordinance No. 4339, "An Ordinance of the City Council of the City of Huntington Beach Amending the Huntington Beach Municipal Code by Adding New Chapter 9.92 Thereof Prohibiting the Sale, Distribution and Possession of Kratom." Alternative Action(s): Do not approve the recommended action and direct staff accordingly. Analysis: Kratom is a tropical tree native to Southeast Asia. Its leaves contain psychoactive compounds, including mitragynine and 7-hydroxymitragynine, which can produce stimulant effects at low doses and sedative effects at high doses. According to the Drug Enforcement Administration (DEA) and the National Institutes of Health (NIH), Kratom use has been associated with a range of adverse health impacts, including psychotic symptoms, dependence, and numerous side effects such as nausea, vomiting, sweating, constipation, tachycardia, seizures, hallucinations, and hepatotoxicity. City of Huntington Beach Page 1 of 2 Printed on 9/10/2025 powered by LegistarTm 267 File #: 25-725 MEETING DATE: 9/16/2025 Although Kratom is often marketed for relief of pain, anxiety, opioid withdrawal, and fatigue, there are no FDA-approved medical uses for the substance. The FDA continues to monitor reports of adverse events, and current data suggests Kratom's opioid-like properties may expose users to risks of addiction, abuse, and dependence. Several states and local jurisdictions have prohibited the sale or possession of Kratom, including Alabama, Arkansas, Indiana, Rhode Island, Vermont, Wisconsin, the City of San Diego (2016), Newport Beach (2025), and the County of Orange (2025). Kratom is not currently regulated at the federal level, nor is it prohibited statewide in California. The intention of this ordinance is to prohibit the sale, distribution, or possession of kratom and other products within the City of Huntington Beach that contain more than 2% of 7-hydroxymitraginyne in the alkaloid fraction, recognizing significant health risks associated with elevated concentrations of the alkaloid; prohibit the sale of any kratom product that is adulterated with synthesized or semi- synthesized kratom alkaloids or kratom constituents; and prohibit the sale or distribution of kratom product to a person under 21 years of age. Penalties for those who violate HBMC §9.92.030 will be guilty of a misdemeanor and may be fined up to $1000 or be imprisoned in County Jail for not more than six months; and if applicable the Huntington Beach Business License may be revoked pursuant to HBMC §5.08.300. Environmental Status: This action is not subject to the California Environmental Quality Act (CEQA) pursuant to Sections 15060(c)(2) (the activity will not result in a direct or reasonably foreseeable indirect physical change in the environment) and 15060(c)(3) (the activity is not a project as defined in Section 15378) of the CEQA Guidelines, California Code of Regulations, Title 14, Chapter 3, because it has no potential for resulting in physical change to the environment, directly or indirectly. Strategic Plan Goal: Non Applicable -Administrative Item Attachment(s): 1.Ordinance No. 4339 City of Huntington Beach Page 2 of 2 Printed on 9/10/2025 powered by LegistarTM 268 ORDINANCE NO. 4339 AN ORDINANCE OF THE CITY COUNCIL OF THE CITY OF HUNTINGTON BEACH AMENDING THE HUNTINGTON BEACH MUNICIPAL CODE BY ADDING NEW CHAPTER 9.92 THEREOF PROHIBITING THE SALE, DISTRIBUTION AND POSSESSION OF KRATOM The City Council of the City of Huntington Beach does hereby ordain as follows: SECTION 1. WHEREAS, it is the intent of the City Council to prohibit the sale, distribution, or possession of kratom and other products within the City of Huntington Beach that contain more than 2% of 7-hydroxymitragynine in the alkaloid fraction, recognizing the significant health risks associated with elevated concentrations of this alkaloid; and Kratom (Mitragyna speciosa) is a tropical tree native to Southeast Asia, and its leaves are often consumed in powdered or extract form for their stimulant and sedative effects; and The active compounds in kratom include mitragynine and 7-hydroxymitragynine. While mitragynine is present in higher concentrations, 7-hydroxymitragynine is more potent and is largely responsible for the stronger pain-relieving, sedative, and euphoric effects; and 7-hydroxymitragynine binds to opioid receptors in the brain and has been shown to have euphoric and mood-enhancing effects, particularly at higher doses, which can increase its appeal for recreational use; and 7-hydroxymitragynine is believed to be more potent than morphine in terms of pain relief. Research has shown that it binds to opioid receptors in the brain with greater affinity than morphine, making it significantly more powerful in relieving pain. This greater potency raises significant concerns about its safety profile, especially regarding the potential for addiction, overdose, and adverse physical and psychological effects, including nausea, vomiting, and potential psychosis. These risks are compounded when products contain higher concentrations of 7-hydroxymitragynine; and Scientific research and health advisories have raised concerns over the safety of kratom products, particularly those with higher concentrations of 7-hydroxymitragynine, which may increase the potential for abuse and harm to public health; and Several cities in California have taken steps to regulate or ban kratom products, recognizing the need to protect public safety, especially among vulnerable populations. For example,Newport Beach, San Diego, and Oceanside have all enacted a complete ban on the sale, distribution, and possession of all kratom products - irrespective of the concentration of 7- hydroxymitragynine content; and The U.S. Food and Drug Administration has issued several warning letters to various companies for illegally marketing products containing enhanced levels of 7- hydroxymitragynine, culminating in a formal request to the Drug Enforcement Administration 25-16974/387632 ORDINANCE NO. 4339 (DEA) on July 29, 2025, to place 7-hydroxymitragynine products on the controlled substance list; and The City Council is committed to safeguarding the health and well-being of its residents by ensuring that products available for sale do not pose undue health risks; and The City Council wishes to restrict the sale and distribution of kratom and other products containing more than 2% of 7-hydroxymitragynine in the alkaloid fraction, thereby reducing potential risks to public health and safety. SECTION 2. New Chapter 9.92 is added to the Huntington Beach Municipal Code to read as follows: "Chapter 9.92 SALE, DISTRIBUTION, AND POSSESSION OF KRATOM PROHIBITED § 9.92.010 Purpose and Intent. § 9.92.020 Definitions. § 9.92.030 Sale, distribution and possession of kratom prohibited. § 9.92.040 Violations and Penalties. § 9.92.050 Severability. § 9.92.010 Purpose and Intent. This article is enacted pursuant to the City's plenary police powers to protect public safety, health and welfare. The express purpose of this article is to protect public health and safety by regulating access to kratom and other products containing more than 2% of 7- hydroxymitragynine in the alkaloid fraction. § 9.92.020 Definitions. For purposes of this article, the following definitions apply. (a) "Attractive to children" means any of the following: (1) Use of images that are attractive to children, including, but not limited to, images of any of the following, except as part of required health warnings: (A) Cartoons, toys, or robots. (B) Any real or fictional humans. (C) Fictional animals or creatures. (D) Fruits or vegetables, except when used to accurately describe ingredients or flavors contained in a product. 2 ORDINANCE NO. 4339 (2) Likeness to images, characters, or phrases that are popularly used to advertise to children. (3) Imitation of candy packaging or labeling, or other packaging and labeling of cereals, sweets, chips, or other food products typically marketed to children. (4) The terms "candy" or "candies" or variants in spelling such as "kandy" or "kandee. (5) Brand names or close imitations of brand names of candies, cereals, sweets, chips, or other food products typically marketed to children. (6) Any other image or packaging that is easily confused with commercially available foods that do not contain lcratom and are typically marketed to children. (7) Any other packaging used that is attractive to children considering all relevant facts and circumstances. (b) "Kratom leaf' means the leaf of the kratom plant, also known as mitragyna speciosa, any form. (c) "Kratom leaf extract" means the material obtained by extraction of kratom leaves by any means. (d) "Kratom product" means a product consisting of any part of a leaf of the plant Mitragyna speciosa in fresh, dehydrated, or dried form; or a kratom extract, or any product that contains any kratom alkaloid or metabolite. (e) "Total kratom alkaloids" means the sum of mitragynine, speciociliatine, speciogynine, paynantheine, and 7-hydroxymitragynine in a kratom product. (f) "Synthesized" means an alkaloid or alkaloid derivative that has been created by chemical synthesis or biosynthetic means (including but not limited to; fermentation, recombinant techniques, yeast derived, enzymatic techniques), rather than traditional food preparation techniques such as heating or extracting. It also includes alkaloids that has been further exposed to chemicals or processes that would confer a structural change in the alkaloids contained within the extract. § 9.92.030 Sale, distribution and possession of kratom prohibited. (a) Except as otherwise authorized by law, an individual, business, or other entity shall not sell, attempt to sell, offer, provide, or distribute a kratom product to a person under 21 years of age. 3 ORDINANCE NO. 4339 (b) Except as otherwise authorized by law, an individual, business, or other entity shall not sell, attempt to sell, offer, provide, or distribute any product with a level of 7-hydroxymitragynine that is greater than 2 percent of the total alkaloids in the product. (c) Except as otherwise authorized by law, an individual, business, or other entity shall not sell, attempt to sell, offer, provide, or distribute a kratom product that is attractive to children. (d) Any individual, business, or other entity that sells, attempts to sell, offers, provides, or distributes a kratom product shall conduct age-verification to ensure compliance with subdivision (a). (e)No person or entity shall offer for sale any kratom product that contains or is adulterated with synthesized or semi-synthesized kratom alkaloids or kratom constituents. § 9.92.040 Violations and Penalties. Any person who violates section § 9.92.030 is guilty of a misdemeanor and upon conviction thereof may be punished by a fine of not more than one thousand dollars ($1,000.00) or by imprisonment in the County Jail for a period of not more than six (6) months or by both such fine and imprisonment. This section shall not serve to limit any other legal remedies or actions that the City may have to address violations of§ 9.92.030. A violation of§ 9.92.030 is grounds for a revocation of a business license, if applicable, pursuant to § 5.08.300 of the Huntington Beach Municipal Code. § 9.92.050 Severability. If any section, paragraph, sentence, clause, phrase or portion of this article is held invalid or unconstitutional by any court of competent jurisdiction, such portion shall be deemed severable and such holding shall not affect the validity of the remaining portions hereof. The City Council hereby declares that it would have adopted this article irrespective of the invalidity of any particular portion thereof and intends that the invalid portions should be severed, and the balance of the article be enforced. SECTION 3. This ordinance shall become effective 30 days after its adoption. 4 ORDINANCE NO. 4339 PASSED AND ADOPTED by the City Council of the City of Huntington Beach at a regular meeting thereof held one .eyh}yt- I1Q2025 Mayor REVIEWED AND APPROVED: TTEST. ana er M CityClerk g INIT. • ED a,ND APP" OVED: APPROVED AS TO FORM: • Police Chief City Attorney ®� • 5 Ord. No. 4339 STATE OF CALIFORNIA ) COUNTY OF ORANGE ) ss: CITY OF HUNTINGTON BEACH ) I, LISA LANE BARNES,the duly elected, qualified City Clerk of the City of Huntington Beach, and ex-officio Clerk of the City Council of said City, do hereby certify that the whole number of members of the City Council of the City of Huntington Beach is seven; that the foregoing ordinance was read to said City Council at a Regular meeting thereof held on September 2, 2025, and was again read to said City Council at a Regular meeting thereof held on September 16,2025, and was passed and adopted by the affirmative vote of at least a majority of all the members of said City Council. AYES: Twining, Kennedy, McKeon,Bums,Van Der Mark, Gruel, Williams NOES: None ABSENT: None ABSTAIN: None I,Lisa Lane Barnes,CITY CLERK of the City of Huntington Beach and ex-officio Clerk of the City Council,do hereby certify that a synopsis of this ordinance has been published in the Huntington Beach Wave on September 25,2025. OL' to `�/if//tiar. • In accordance with the City Charter of said City. - Lisa ane Barnes, City Clerk City Clerk and ex-officio Clerk Senior Deputy City Clerk of the City Council of the City of Huntington Beach, California From: Jared Beam To: suoolementalcomm( surfcity-hb.orq Subject: Public Comment on Agenda Item#25-725/Ordinance 4339 Date: Friday,September 12,2025 2:52:48 AM You don't often get email fromjaredbeam3@gmail.com. I earn why this is important Dear City Council, I urge you to oppose the banning of kratom and its alkaloids (Agenda Item#25-725, Ordinance 4339). The current spread of misinformation is being driven by lobbying interests, not genuine public health concerns. I am rebutting the falsehoods stated as fact during the last hearing. There are zero confirmed overdoses from 7-hydroxymitragynine (7-OH) alone despite an estimated over 500 million doses taken worldwide. Claims that children can simply walk into smoke shops and buy these products are false, as minors are not allowed to purchase products there. The assertion that 7- OH can be bought on Amazon is also untrue. Comparing 7-OH to fentanyl is misleading. The real "new fentanyls" are synthetic opioids called"zenes,"which can be up to 20 times stronger than fentanyl. 7-OH is a natural alkaloid from the kratom plant, used safely for hundreds of years, and it is saving lives, not taking them. I use 7-OH to live a better life and stay safe from dangerous synthetic opioids. It has given me back a normal life I never thought I'd have again. Every day, it helps people avoid fentanyl, xylazine, and the dangerous synthetics driving the overdose crisis, while providing a safe option for chronic pain patients left without effective relief. Hundreds of millions of safe doses and countless life-saving stories confirm 7-OH's safety. False claims from the last hearing are slanderous and dangerous. Acting on them would strip people of safe harm reduction options while leaving far more dangerous drugs on the streets. Thank you for your time and consideration. I hope you will protect access to safe, natural harm reduction tools. Respectfully, Jared Beam SUPPLEMENTAL COMMUNICATION Meeting Date: 09/16/2025 Agenda Item No. 13 (25-725) From: Derek F To: 5uoolementalcomm(@surfcity-hb.org Subject: Agenda item 25-725 and ordinance 4339 Date: Friday,September 12,2025 5:24:31 PM 1 You don't often get email from derekpfaria@gmail.com.1 earn why this is imoortant To whom it may concern, My name is Derek Faria, I live in Weymouth Massachusetts,and have family and friends in Huntington Beach. I'm writing to respectfully urge you not to support a ban on kratom and or it's alkaloids like 7oh. I understand the intent to protect public health,but it's quiet the contrary. I have serious concerns about the consequences this ban could have for responsible adult users like myself. I use 7OH products daily and have no abnormal issues or health concerns whatsoever. Kratom and 7OH make my life better and allow me to get through the day without harsh prescription medicine. I use it for a plethora of reasons, including anxiety management,pain reduction,and overall sense of well-being. I support regulation to ensure safety and product purity(such as age limits,manufacturing standards,tamper proof packaging, etc), but I oppose a ban without fair hearings or scientific discussion. There is so much misinformation on 7-hydroxymitraganine (7OH as it's marketed). In fact, as kratom and 7oh have grown,overdoses nationally have began to decline for the first time in YEARS. This plant-based alkaloid is literally saving lives of people that would otherwise be using harsh and harmful street drugs such as fentnyl.A sudden ban of 7OH,I fear,will cause many to resort back to street drugs and lose their lives. Please consider the voices of everyday citizens who are using 7OH responsibly and benefiting from it. I would urge and appreciate the opportunity for public input before an outright ban. PLEASE gather input and evidence before supporting a ban. I've linked an independent study from the group HART(Holistic Alternative Recovery Trust), showing 7-hydroxymitraganine, and it's parent plant kratom both as being safe. If 7OH was a deadly substance I promise you I would not be alive right now. It's quite the opposite,without it my quality of life would suffer, and I speak for so many of us in the community. https://www.reuters.comLpress-releases/experts-call-for-evidence-based-7oh-regulation-2025- 07-07/ Please see the article above. I urge the you to do your due diligence and reach out to groups like HART to get the facts. Respectfully, Derek Faria From: Pan Phan To: suoolementalcomm(asurfcity-hb.orq Subject: Item#25 and Ordinance 4339 Date: Friday,September 12,2025 8:20:03 PM You don't often get email from danphan323@gmail.com.1 earn why this is important To Whom It May Concern, My name is Daniel Phan and I am writing to you to express my strong opposition to the scheduling or banning of kratom, or any of its alkaloids, including 7oh. These substances saves lives. I myself have used kratom to get off of much harsher, deadly substances like fentanyl. Kratom/7oh do not represent a public health risk(Henningfield et al. 2022), and as partial agonists, do not cause dangerous respiratory depression (Kumar et al. 2018). Where are the bodies that would justify a ban? Please listen to the science and not the fear mongering born of corporate interest: kratom leaf vendors seeking to regain market share lost to 7oh. If you ban kratom or 7oh,people WILL die. They will go back to deadly street opioids, or end their own lives rather than live in debilitating pain. You would be taking away a life saving tool, with devastating consequences; it would be an unacceptable blunder of public health policy. I urge you to look at the facts and listen to what the actual scientists are saying, such as those at HART. Kratom and 7oh are safe. They save lives. Please do your duty to the greater good of the American people. Thank you, Daniel Phan Henningfield et al. (2022) explains why 7-OH doesn't meet ban criteria—and that banning it could even increase overdose deaths by removing a safer option. PMC8860177 Kumar et al. (2018)and Kruegel et al. (2019) both show 7-OH interacts with opioid receptors in a safer, more targeted way—meaning less risk of overdose. Kumar 2018 Kruegel 2019 From: 5ouochair: To: suoolementalcommCalsurfcity-hb.org Subject: Agenda Item#25-725/Ordinance 4339 Date: Saturday,September 13,2025 11:03:38 AM You don't often get email from soupchain@proton.me.I earn why this is important Dear City Council, I am writing to implore you: please do not ban 7Oh and kratom. I am from Long Beach and now live in Huntington Beach, and I take kratom everyday three times a day (for the past 8 years), and use 7Oh for the really bad pain flares. If you make kratom/7oh illegal you will put me in a situation where I will not be able to function. I will lose my job and end up in a really bad situation. I have severe spinal stenosis, including multi-level foraminal stenosis in my lumbar,thoracic, and cervical vertebrae. This is a genetic condition, I was born this way and I have dealt with extreme and chronic pain since I was in my teens. I am 48 years old now. I have a family that loves me and counts on me, and they all know I take kratom/7oh daily. I consider them medications and I am literally scared to death to face life without those two medications. My condition is so severe that I will not be able to work and support my family. Why not traditional medicine and opioid medications? I have been off and on in pain management all my life. I have tried everything from injections (imagine monthly procedures), to neural ablation (nerve burning),to opioid medications. They work for a very short period and then they literally stop working. Or, in the case of opioids, I end up reaching the ceiling dose and am told they cannot prescribe any higher doses. The kratom/7oh doses are consistent and stable. It may be counterintuitive but the kratom and 7oh are actually way more effective than opioid medications and they are safer when you look at the research. Likely what the HB City Council is dealing with is anti-kratom propaganda and lies that have been floated by people who want kratom eliminated for political and financial reasons. This is illegitimate and based off of lies. These substances are safe and effective, yet you will constantly hear, "there is no science to back it up," when actually there are ongoing studies that show kratom is safe- see the Baylor SAD (single ascending dose) studies and the Johnson and Johnson studies. More importantly, no one has ever died from kratom or 7oh -you will hear of isolated cases but they are NOT confirmed and are mainly cases where kratom may have been in the person's system at the time of death, but did not cause their death. Again, you will find people making claims, but there is no science or evidence to back it up. HB Council: ask yourselves -who is the person/persons that have influenced you to bring these ban ordinances? Why now and what is tgere evidence? Kratom has been around HB for over 10 years and yet you're just now hearing about it? The reason is because it's actually NOT a problem. What's actually going on is that you are being influenced and manipulated by an external entity who has a political and/or financial interest in seeing it banned. Do not let this happen! There is a nationwide effort by certain groups and individuals to try their hardest to get kratom/7oh banned. Where's the evidence? Where are the dead bodies? Where is the scientific evidence and proof? Do NOT fall for this and allow HB residents like me to be made a criminal or to have to do without and end up bedridden and suffering. I do not deserve to face those circumstances. I have a really good life and I am a taxpayer and a productive citizen of HB. This is a terrible • situation, and I call upon each of you to do your diligence and see your way to the truth. There are many people like me here in HB, California, and the US. We deserve the freedom to make our own choices and the right to self determination and liberty. Thank you for hearing me out. Please feel free to ask questions. I will gladly appear and speak to the Council. I thank you for your time and consideration. Sincerely, Henry Northam From: Sarah Johnson To: 5uoolementalcommaa surfcity-hb.orq Subject: Agenda#25-725 and ordinance 4339 Date: Monday,September 15,2025 8:26:34 AM You don't often get email from sarahandcano@gmail.com.Learn why this is important To whom it may concern please note that agenda#25-725 and ordinance 4339 I do not support. Please do not ban kratom and 7-oh. This has given so many families and people that were dying a new way of life to live. It helps so many people in positive ways. It is also great for harm reduction. I have close friends and family members who have been able to stop using fentanyl and are still staying clean and sober now that they have kratom and 7-oh instead. I personally take 7-oh myself for depression and anxiety and back and nerve pain and freedom from OxyContin and other controlled substances that are very harmful and deadly. I have a way of life now that allows me to work and have my own business and raise my children. By taking away kratom and 7 is stopping our freedom to choose what we want to put in our bodies. This is now a time where millions of people have to find harm reduction . We have to stay away from deadly substances . The recovering alcoholic and addict(some of them) doe not want to be on suboxone and methadone, we want To be able to stay away from old places and friends and have a helpful substance that can be readily available. Please do not ban kratom and 7-oh. Please allow us to take care of ourselves in a healthy way. Thank you for your time Sarah Johnson 865-242-5156 Mr. Amory Hanson 8102 Ellis Avenue Apartment 121 Huntington Beach CA 92646 September 16, 2025 The Mayor Of Huntington Beach 2000 Main Street Huntington Beach CA 92648 My Dear Mister Mayor, I would like to express my support for Item XIII Sincerely Yours, Mr.Amory Hanson CC:The Honorable Casey McKeon CC:The Honorable Andrew Gruel CC:The Honorable Donald C.Kennedy CC:The Honorable E.M.Twining CC:The Honorable Grace Vandermark CC:The Honorable Chad Williams From: Matthew Weicberoer To: Suoolementalcomrrasurfcity-hb,orq Subject: Upcoming hearing on attempt to ban 7-hydroymitragynine. Date: Monday,September 15,2025 2:22:21 PM 1 You don't often get email from cheflifemw@gmail.com.I earn why this is important Hi my name is Matthew, I am reaching out today in regards to the upcoming hearing on the attempt to ban 7 hydroxymitragynine.As myself and many others who have reached out regarding this ban I am against this idea. I have already previously sent an email with studies that have been done by the pharmaceutical agency for the United States that has done their due diligence in testing KRATOM AND 7 HYDROXYMITRAGYNINE. In these tests it shows evidence of how much kratom and seven hydroxymitragynine can help with so many different ailments from pain Management to Parkinson's disease to dementia and many others on top of that. There are so many reasons why this idea of banning kratom is wrong. besides the scientific reasons it is wrong on a personal level being that I use this safe medicine for my physical pain. I rather choose to use a medicine that is derived from a plant then use a pharmaceutical that is extremely addictive and can cause physical harm and death. 7- hydroymitragynine is the safest and best pain medication I believe to exist currently. Removing the option to having access to 7-hydroymitragynine would put so many people in harm's Way and put so many people back in physical and emotional pain and distress. I am a avid kratom and 7-oh user for my back and knee pain and I need to have this medicine so that I am able to walk and stand on two feet, so that I'm able to go into work and physically function so that I can be around others while not being in so much pain to where I can't even live a normal life to where I can't even be at peace and be happy around others. I am in such physical pain! the moment that I found kratom it was a blessing from God. I have used pharmaceutical medications before and yes they help in some ways but in many many other ways they also caused damage to my liver to my body and put me in horrible withdrawals when I decided that I wanted to lower my dosage or that I wanted to change medications. It comparison to kratom the withdrawal symptoms from using kratom or 7 hydroxymitragynine are nothing compared to any of these other opiates that exist that not only cause these horrible withdrawals I'm speaking of but also put you at risk of death...the amazing thing about kratom and 7-hydroymitragynine is that it does not hit the receptors in your brain that affect your respiratory system when it comes to breathing,this is scientifically been proven this isn't a debate this isn't a idea or speculation;this is a proven fact and that is one of the biggest problems that's going on right now with the push to ban kratom and 7-hydroymitragynine no one is studying it!! In the government(the banning side). It is not being done when it comes to those who are trying to make the ban. all these false accusations all these false words about how bad this plant is and how much we need to get rid of it and ban it when there has been no due diligence done when it comes to hearing from what the people want and to be doing scientific studies in order to prove your side of wanting to have this beautiful plant and alkaloid banned. With that I would like to finish off by saying that I wish all those that are in pain to have access to medication that is safe for the body for the mind and for the consumer at home.As a human being I have the right to decide what I put into my body as long as it is not causing physical harm to myself or to others and it is not causing me to be a detriment towards society. I implore you to please do the right thing and do your due diligence in the proper manner so that the decision that is made is made scientifically and done with listening to what us the consumer and people want and do what's right by us the people not by doing what's right for the pocket and the kratom powder industry that is pushing this entire agenda. Peace and love to all and thank you for taking the time to read this. Best regards Matthew /Unt,i,: ?/10/02S rub ,026 H B Wave PUBLISH DATE: 09/25/2025 CITY OF HUNTINGTON BEACH LEGAL NOTICE ORDINANCE NO.4339 Adopted by the City Council on September 16, 2025 "AN ORDINANCE OF THE CITY COUNCIL OF THE CITY OF HUNTINGTON BEACH AMENDING THE HUNTINGTON BEACH MUNICIPAL CODE BY ADDING NEW CHAPTER 9.92 THEREOF PROHIBITING THE SALE, DISTRIBUTION AND POSSESSION OF KRATOM" SYNOPSIS: Ordinance No. 4339 prohibits the sale, distribution, or possession of kratom and other products within the City of Huntington Beach that contain more than 2% of 7-hydroxymitraginyne in the alkaloid fraction, recognizing significant health risks associated with elevated concentrations of the alkaloid; prohibits the sale of any kratom product that is adulterated with synthesized or semi-synthesized-kratom alkaloids or kratom constituents; and prohibits the sale or distribution of kratom product to a person under 21 years of age. Several states and local jurisdictions have prohibited the sale or possession of Kratom, including Alabama, Arkansas, Indiana, Rhode Island, Vermont, Wisconsin, the City of San Diego (2016), Newport Beach (2025), and the County of Orange (2025). Kratom is not currently regulated at the federal level, nor is it prohibited statewide in California. Penalties for those who violate HBMC §9.92.030 will be guilty of a misdemeanor and may be fined up to $1000 or be imprisoned in County Jail for not more than six months; and if applicable the Huntington Beach Business License may be revoked pursuant to HBMC §5.08.300. COPIES OF THIS ORDINANCE ARE AVAILABLE IN THE CITY CLERK'S OFFICE. PASSED AND ADOPTED by the City Council of the City of Huntington Beach at a regular meeting held September 16, 2025 by the following roll call vote: AYES: Twining, Kennedy, McKeon, Burns, Van Der Mark, Gruel, Williams NOES: None ABSENT: None This ordinance is effective October 16, 2025. CITY OF HUNTINGTON BEACH 2000 MAIN STREET HUNTINGTON BEACH, CA 92648 714-536-5227 LISA LANE BARNES, ELECTED CITY CLERK Column OFFICIAL AD PROOF This is the proof of your ad scheduled to run in Huntington Beach Wave on the dates indicated below. If changes are needed, please contact us prior to deadline at (714) 796-2209. Notice ID: UXTw0FuJABIAM4r7fQpD I Proof Updated:Sep.18,2025 at 09:59am PDT Notice Name:Synopsis-Ord No.4339 I Publisher ID:0011756419 See Proof on Next Page This is not an invoice.Below is an estimated price,and it is subject to change.You will receive an invoice with the final price upon invoice creation by the publisher. FILER FILING FOR Donna Switzer Huntington Beach Wave donna.switzer@surfcity-hb.org (714)374-1649 Columns Wide: 5 Ad Class: Legals Total Column Inches: 29.12 Number of Lines: 55 09/25/2025:City Notices Notice 442.10 Subtotal $442.10 Tax $0.00 Processing Fee $0.00 Total $442.10 Synopsis - Ord No. 4339 - Page 1 of 2 HB Wave • PUBLISH DATE:09/25/2025 CITY OF HUNTINGTON BEACH LEGAL NOTICE ORDINANCE NO.4339 Adopted by the City Council on September 16,2025 "AN ORDINANCE OF THE CITY COUNCIL OF THE CITY OF HUNTINGTON BEACH AMENDING THE HUNTINGTON BEACH MUNICIPAL CODE BY ADDING -NEW CHAPTER 9.92 THEREOF PROHIBITING THE SALE;DISTRIBUTION AND POSSESSION OF KRATOM" SYNOPSIS: Ordinance No. 4339 prohibits the sale, distribution, or possession of kratom and other products within the City of Huntington Beach that contain more than 20/0 of 7-hydroxymitraglnvne In the alkaloid fraction, recognizing significant health risks associated with elevated concentrations of the alkaloid;. prohibits.the sale of any kratom product that is adulterated with synthesized or semi-synthesized kratom alkaloids or kratom constituents;-and prohibits the sale or distribution of kratom product to a person under 21'years of age. Several states and local iurisdlctlons have prohibited the sale or possession of Kratom, including Alabama,Arkansas, Indiana,Rhode Island,Vermont,Wisconsin,the City of San Diego (2016),Newport Beach (2025),and the County of Orange'(2025). Kratom Is not currently regulated at the federal level,nor Is It prohibited statewide In California. Penalties for those who violate HBMC§9.92.030 will be guilty of a misdemeanor and may be fined up to 51000 or be imprisoned in County Jail for not more than six months; and if applicable the Huntington Beach Business License may be revoked pursuant to HBMC§5.08.300. COPIES OF THIS ORDINANCE ARE AVAILABLE IN THE CITY CLERK'S OFFICE. PASSED AND ADOPTED by the City Council of the City of Huntington Beach at a regular meeting held September 16,2025 by the following roll call vote: AYES: Twining,Kennedy,-McKeon,Burns,Van Der Mark,Gruel, Williams NOES: None ABSENT: None This ordinance is effective October 16,.2025. CITY OF HUNTINGTON BEACH • 2000 MAIN STREET HUNTINGTON BEACH,CA 92648 714-536-5227 .LISA LANE'BARNES,ELECTED.CITY CLERK Huntington Beach Wave Published:9/25/25 • • • • Synopsis - Ord No. 4339 - Page 2 of 2 INCLUDES THE FOUNTAIN VALLEY VIEW _.. filiii....,, 1920 Main St. Suite 225, Irvine Irvine, California 92614 (714) 796-2209 legals@inlandnewspapers.com City of Huntington Beach - City Clerk's Office 2000 Main Street Huntington Beach, California 92648 Account Number: 5272431 Ad Order Number: 0011756419 Customer's Reference/PO Number: Publication: Huntington Beach Wave Publication Dates: 09/25/2025 Total Amount: $442.10 Payment Amount: $0.00 Amount Due: $442.10 Notice ID: UXTw0FuJABIAM4r7fQpD Invoice Text: HB Wave PUBLISH DATE:09/25/2025 CITY OF HUNTINGTON BEACH LEGAL NOTICE ORDINANCE NO.4339 Adopted by the City Council on September 16,2025 "AN ORDINANCE OF THE CITY COUNCIL OF THE CITY OF HUNTINGTON BEACH AMENDING THE HUNTINGTON BEACH MUNICIPAL CODE BY ADDING NEW CHAPTER 9.92 THEREOF PROHIBITING THE SALE, DISTRIBUTION AND POSSESSION OF KRATOM"SYNOPSIS: Ordinance No.4339 prohibits the sale, distribution,or possession of kratom and other products within the City of Huntington Beach that contain more than 2%of 7-hydroxymitraginyne in the alkaloid fraction, recognizing significant health risks associated with elevated concentrations of the alkaloid; prohibits the sale of any kratom product that is adulterated with synthesized or semi-synthesized kratom alkaloids or kratom constituents;and prohibits the sale or distribution of kratom product to a person under 21 years of age. Several states and local jurisdictions have prohibited the sale or possession of Kratom, including Alabama,Arkansas, Indiana, Rhode Island,Vermont,Wisconsin,the City of San Diego(2016), Newport Beach(2025),and the County of Orange(2025). Kratom is not currently regulated at the federal level, nor is it prohibited statewide in California. Penalties for those who violate HBMC§9.92.030 will be guilty of a misdemeanor and may be fined up to$1000 or be imprisoned in County Jail for not more than six months;and if applicable the Huntington Beach Business License may be revoked pursuant to HBMC§5.08.300. COPIES OF THIS ORDINANCE ARE AVAILABLE IN THE CITY CLERK'S OFFICE. PASSED AND ADOPTED by the City Council of the City of Huntington Beach at a regular meeting held September 16, 2025 by the Synopsis - Ord No. 4339 - Page 1 of 2 See Proof on Next Page tli INCLUDES THE FOUNTAIN VALLEY VIEW Huntington Beach Wave 1920 Main St.Suite 225,Irvine Irvine,California 92614 (714)796-2209 2000 Main Street Huntington Beach, California 92648 AFFIDAVIT OF PUBLICATION STATE OF CALIFORNIA County of Orange County I am a citizen of the United States and a resident of the County aforesaid; I am over the age of eighteen years, and not a party to or interested in the above-entitled matter. I am the principal clerk of the Huntington Beach Wave, a newspaper that has been adjudged to be a newspaper of general circulation by the Superior Court of the County of Orange County, State of California, on July 1, 1998, Case No. A-185906 in and for the City of Irvine, County of Orange County, State of California; that the notice, of which the annexed is a true printed copy, has been published in each regular and entire issue of said newspaper and not in any supplement thereof on the following dates,to wit: 0912512025 I certify (or declare) under the penalty of perjury under the laws of the State of California that the foregoing is true and correct: Executed at Anaheim, Orange County,California,on Date: Sep 25, 2025. ... , Canif,k- S��ure / Synopsis - Ord No. 4339 - Page 1 of 2 HB Wave PUBLISH DATE:09/25/2025 CITY OF HUNTINGTON BEACH LEGAL NOTICE ORDINANCE NO.4339 Adopted by the City Council on September 16,2025 "AN ORDINANCE OF THE CITY COUNCIL OF THE CITY OF HUNTINGTON BEACH AMENDING THE HUNTINGTON BEACH MUNICIPAL CODE BY ADDING NEW CHAPTER 9.92 THEREOF PROHIBITING THE SALE,DISTRIBUTION AND POSSESSION OF KRATOM" SYNOPSIS: Ordinance No. 4339 prohibits the sale, distribution, or possession of kratom and other products within the City of Huntington Beach that contain more than 2% of 7-hyciroxymitraginyne in the alkaloid fraction, recognizing significant health risks associated with elevated concentrations of the alkaloid; prohibits the sale of any kratom product that is adulterated with synthesized or semi-synthesized kratom alkaloids or kratom constituents; and prohibits the sale or distribution of kratom product to a person under 21 years of age. Several states and local Jurisdictions have prohibited the sale or possession of Kratorn, including Alabama,Arkansas, Indiana,Rhode Island,Vermont,Wisconsin,the City of San Diego(2016),Newport Beach (2025),and the County of Orange (2025). Kratom is not currently regulated at the federal level,nor Is It prohibited statewide in California. Penalties for those who violate HBMC§9.92.030 will be guilty of a misdemeanor and may be fined up to$1000 or be imprisoned in County Jail for not more than six months; and if applicable the Huntington Beach Business License may be revoked pursuant to H BMC§5.08.300. COPIES OF THIS ORDINANCE ARE AVAILABLE IN THE CITY CLERK'S OFFICE. PASSED AND ADOPTED by the City Council of the City of Huntington Beach at❑ regular meeting held September 16,2025 by the following roll call vote: AYES: Twining,Kennedy,McKeon,Burns,Van Der Mark,Gruel, Williams NOES: None ABSENT: None This ordinance is effective October 16,2025. CITY OF HUNTINGTON BEACH 2000 MAIN STREET HUNTINGTON BEACH,CA 92648 714-536-5227 LISA LANE BARNES,ELECTED CITY CLERK Huntington Beach Wave - Published:9/25/25 Synopsis - Ord No. 4339 - Page 2 of 2 �*��ircros. 2 _ 000 Main Street, a� Huntington Beach,CA �9=� __ _� 1,1 City of Huntington Beach 92648 -" APPROVED FOR INTRODUCTIOT will 7-0 File#: 25-704 MEETING DATE: 9/2/2025 REQUEST FOR CITY COUNCIL ACTION SUBMITTED TO: Honorable Mayor and City Council Members SUBMITTED BY: Travis Hopkins, City Manager VIA: Eric Parra, Chief of Police PREPARED BY: Shannon Levin, Council Policy Analyst and Kevin Johnson, Captain Subject: Approve for Introduction Ordinance No. 4339 Prohibiting the Sale, Distribution and Possession of Kratom Statement of Issue: At the request of Council Woman Gracey Van Der Mark, the Huntington Beach City Council, at its August 19, 2025, meeting, directed staff to prepare an ordinance prohibiting the sale and distribution of Kratom within the City. The City Council voted unanimously in support of bringing the ordinance forward for consideration. Financial Impact: Not applicable. Recommended Action: Approve for introduction Ordinance No. 4339 "An Ordinance of the City Council of the City of Huntington Beach Amending the Huntington Beach Municipal Code by Adding New Chapter 9.92 Thereof Prohibiting the Sale, Distribution and Possession of Kratom." Alternative Action(s): Do not approve the recommended action and direct staff accordingly. Analysis: Kratom is a tropical tree native to Southeast Asia. Its leaves contain psychoactive compounds, including mitragynine and 7-hydroxymitragynine, which can produce stimulant effects at low doses and sedative effects at high doses. According to the Drug Enforcement Administration (DEA) and the National Institutes of Health (NIH), Kratom use has been associated with a range of adverse health impacts, including psychotic symptoms, dependence, and numerous side effects such as nausea, vomiting, sweating, constipation, tachycardia, seizures, hallucinations, and hepatotoxicity. City of Huntington Beach Page 1 of 2 Printed on 8/28/2025 powered by Legistarn" 402 File#: 25-704 MEETING DATE:...9/2/2025. ... Although Kratom is often marketed for relief of pain, anxiety, opioid withdrawal, and fatigue, there are no FDA-approved medical uses for the substance. The FDA continues to monitor reports of adverse events, and current data suggests Kratom's opioid-like properties may expose users to risks of addiction, abuse, and dependence. Several states and local jurisdictions have prohibited the sale or possession of Kratom, including Alabama, Arkansas, Indiana, Rhode Island, Vermont, Wisconsin, the City of San Diego (2016), Newport Beach (2025), and the County of Orange (2025). Kratom is not currently regulated at the federal level, nor is it prohibited statewide in California. The intention of this ordinance is to prohibit the sale, distribution, or possession of kratom and other products within the City of Huntington Beach that contain more than 2% of 7-hydroxymitraginyne in the alkaloid fraction, recognizing significant health risks associated with elevated concentrations of the alkaloid; prohibit the sale of any kratom product that is adulterated with synthesized or semi- synthesized kratom alkaloids or kratom constituents; and prohibit the sale or distribution of kratom product to a person under 21 years of age. Penalties for those who violate HBMC §9.92.030 will be guilty of a misdemeanor and may be fined up to $1000 or be imprisoned in County Jail for not more than six months; and if applicable the Huntington Beach Business License may be revoked pursuant to HBMC §5.08.300. Environmental Status: This action is not subject to the California Environmental Quality Act (CEQA) pursuant to Sections 15060(c)(2) (the activity will not result in a direct or reasonably foreseeable indirect physical change in the environment) and 15060(c)(3) (the activity is not a project as defined in Section 15378) of the CEQA Guidelines, California Code of Regulations, Title 14, Chapter 3, because it has no potential for resulting in physical change to the environment, directly or indirectly. Strategic Plan Goal: Non Applicable -Administrative Item Attachment(s): 1.Ordinance No. 4339 City of Huntington Beach Page 2 of 2 Printed on 8/28/2025 powered by LegistarTM 403 ORDINANCE NO. 4039 AN ORDINANCE.OF THE CITY COUNCIL OF THE CITY OF HUNTINGTON BEACH AMENDING THE HUNTINGTON BEACH MUNICIPAL CODE BY ADDING NEW CHAPTER 9.92 THEREOF PROHIBITING THE SALE,DISTRIBUTION AND POSSESSION OF KRATOM The City Council of the City of Huntington Beach does hereby ordain as follows: SECTION 1. WHEREAS,it is the intent of the City Council to prohibit the sale, distribution,or possession of kratom and other products within the City of Huntington Beach that contain more than 2%of 7-hydroxymitragynine in the alkaloid&action,recognizing the significant health risks associated with elevated concentrations of thisalkaloid;and Kiatom,(Mitragyna speciosa)IS a tropical tree.native to Southeast Asia,and its leaves are Often consurried in powdered or extrattform for their stimulant and sedative.effects;and. The active compounds.in Icratominclucle mitragynine and 74tydroxytnitragynine.While mitragynine is present in higher concentrations,7-hydroxymitragynine is mote potent and is largely responsible for the stronger pain-relieving, sedative,and euphoric effects; and 7-hydroxymitragynine binds to opioid receptors in the brain and has:been shown to have euphoric and mood-enhancing effects,particularly at higher doses,which can increase its appeal for recreational use;and 7-hydroxytnitragynineis believed to ben ore.potent than morphine in terms of pain relief. Research has shown that it binds to ppioid receptors in the brain with greater affinity than morphine,making it significantly more powerful in relieving pain..This greater potency raises significant concerns about its safety profile,especially regarding the potential for addiction, overdose,and adverse physical and psychological effects,including nausea,vomiting,and potential psychosis.These risks are compounded when products contain higher concentrations of 7-hyclroxymitragynine;and Scientific research and health adviSdrieS have raised concerns Over the safety of baton) products,particularly those with higher concentrations of 7-hydroxymitragynine,which may increase the potential for abuse and harm to:public health;and Several cities in California have taken steps to regulate or baukratom products, recognizing the need to protect public safety,especially among vulnerable populations.For _ example,Newport Beach,San Diego,.and Oceanside have all enacted a complete ban on the sale, distribution,and poSsession of all kratom products -irrespective of the concentration of 7- hydroxymitragynine content;.and The US.Food and Drug Administration has issued several warning letters to various compartieS for illegally marketing products containing enhanced levels of 7- hydroxymitragynine,'culminating in a formal request to the Drug.Enforcement Administration 25-16974/387632 404 ORDINANCE NO, 4339 (DEA)on July 29,2025,to place 7-hydroxymitragynine products on the controlled substance list;and The City Council is committed to safeguarding the health and well-being of its residents •by ensuring that products available for sale do not pose undue health risks;and The City Council wishes to restrict the-sale and distribution of kratom and other products containing more than Vo of 7-hydroxymitragynine in the alkaloid ftaction,thereby reducing potential risks to public health and safety. SECTION 2.New Chapter 9.92 is added to the Huntington Beach Municipal Code to read as follows: "Chapter 992 SALE,DISTRIBUTION,AND POSSESSION OF KRATOM PROHIBITED § 9.92,010 Purpose and Intent. §9.92.020 Definitions. § 9.92,03.0 Sale,distribution and possession of kratorn prohibited. § 9.92.040 Violations and Penalties. § 9.92.050 Severability. § 9.92.010 Purpose and Intent. This article is enacted pursuant to the City's plenary police powers to protect public safety,health and welfare,The express purpose of this article is to protect public health and safety by regulating access to kratorn and other products containing more.than 2%of 7-hydroxymitragynine in the alkaloid fraction. §9.92.020 Definitions. For purposes of this article,the following definitions apply. (a) "Attractive to children'' means any of the following: (1)Use of images that are attractive to children,including„but not limited to,images,of any of the following,,except as part of required health warnings: (A)Cartoons,tOys,or robots. (B)Any real or fictional humans. (C)Fictional animals or creatures. (D)Fruits or vegetables, except when used to accurately describe ingredients or flavors,contained in a product.. 2 405 ORDINANCE NO:4339 (2)Likeness to iinages, charadterS, or phrases that arepopnlarly used.to advertise to children. (3)linitation of candy packaging or labeling,or other packagingand labeling,Of cereals,'sweets,chips,,or other food products typically marketed to children. (4)The terms "'candy" or"candies" or variants in spelling such as"kandy" or"karidee. (5)Brand names or close imitations of brand names of eandies,cereals, sweets,chips,or other food products typically marketed,to.children. (6)Any Other image or packaging that is eaSily confused*ith commeicially available foods that do not contain kratom and are typically marketed to.children (7)Any other packaging used that is attractive to children considering all releVant factS..arid Circumstances. (b) "Kratom,leaf" means the leaf of the kratom plant,also known as mitragyna speciosa,any.form. (c) "Kratom leaf tneansthernaterial obtained by extraction of kratoni leaves by any rleans.. (d) "Kratomproduct" means aproduct consisting of any part of a leaf of the plant MitragyhaspeCiosa in fresh,dehydrated,or dried form;or a kratom extract,or any product that contains any kratorii alkaloid or metabolite. (e)"Total kratom alkaloids" means the sum of mitragyninei speciociliatinc, speciogynine,paynantheine,and 7-hydroxymitmgynine in a kratom product. (f)."SyhtheSized" means an alkaloid or alkaloid derivative that has been created by chemical synthesis or biosynthetic means(including but not limited,to; fermentation,,recombinant techniques,yeast derived,enzymatic techniques), rather than traditional food preparation techniques such as heating or extracting.It also inclUdes alkaloids that has been further exposed to chemicals or prOcesses that would COnet a structural change in the alkaldids contained within the extract. §9.92.030 Sale, distribution and possessiorrof kratom prohibited. (a)Except as otherwise authorized by law;an individual,business,ot other entity shall not sell,attempt to sell,offer,provide,or distribute a kratom product to a person under 2,1 years of age.. 3 406 ORDINANCE NO: 4339 (b)Except as otherwise atithoriged by law,an individual,,business, or other entity shall not sell,attetimt,to sell,offer,provide,or distribute any product with a level of 7-hydroxymitragynine that is greater than 2 percent of the total alkaloids in the produet, (c)Except asotherWise authorized by law,,an individual,business;or other entity shall not sell,attempt to sell,offer,provide,or distribute a kratom product that is attractive to children.. (d)Any individual,business; Or Other entity that tells;attempts to sel1,offers, provides, ot distributes a kratom product shall conduct age-verification to ensure compliance with subdivision(a). (e)No person or entity shall offerlor sak any kratom product that:contains:or is adulterated with synthesized or semi-synthesized kratotri alkaloids or kratom constituents. § 9.92.040 Violations and Penalties. Any person who violates section§ 9.92.030'is guilty of a misdemeanor and upon conviction thereof may he,punished by a fine,of not more than one thousand dollar&(Sl.,900.00) or by imprisonment in the County Jail for a.petiod ofnot more than six.(6)month or by both such fine and imprisonment This section shall not serve to limit any other legal retteCiieS or aCtiOnS that the City mayhaVe,to address violations of§9.92.030. A violation of§9.92.030,is:grounds for a revocation of a business license,if applicable,pursuant to § 50$.300.of the Huntington Beach Municipal Code. § 9.92.050 Severability. If any section,paragraph, sentence,clause,,phrase or portion of this article is held invalid or-unconstitutional by any court of competent jurisdiction,such portion shall be deemed sdverable and such holding shall hot affect the validity of the remaining portions hereof.The:City CouriCil hereby:declares that it-would have adopted this article irrespective'of the invalidity of any particular portion thereof and intends that the invalid portions should be severed,and the balance of the article'be enforced. SECTION 3.This'ordinance shall become effective 30 days after its adoption. 4 407 ORDINANCE NO. 4339 PASSED AND ADOPTED by the City Council of the City of Huntington Beach at.a regular meeting thereof held on ,2025 Mayor REVIEWED AND APPROVED: ATTEST: Manager City Clerk tNI • 'ED ND APP OVED: APPROVED AS TO FORM: Police Chief City Attorney 5 408 From: Drew Wolfson To: SupDlementalcommCalsurfcity-hb.org;Andrew.aruel(Tsurfcitv.hb.org;Butch.twinning(asunfcitv.hb.org; Casev.McKeon(alsurfcitv.hb.org•Chad.willams(alsurfdtv.hb.org;Don.kennedv( surfdtv.hb.org; Grace.vandermark aClsurfcitv.hb.org;Pat.bums(asurfcity.hb.org Subject: 70h scheduling Date: Saturday,August 30,2025 9:23:57 PM You don't often get email from drewwolfsonl@gmail.com.I earn why this is important I write to you with sincerity and deep concern. The potential banning of 7-hydroxymitragynine (7-OH)would not only be a devastating blow to countless people who rely on it, but it could create a true public crisis. Not one person has died from this. I am a vendor in the public market im a software engineer worked for some of the top companies in the world. I wanted to make a difference in the world; so I joined this space. I lost countless friends due to the pandemic and precipitation drugs, I refuse to lost any more. Follow the science please; For many, 7-OH has been a godsend—offering relief, stability, and a lifeline where other options have failed. It has helped people step away from far more dangerous substances, giving them a chance at a healthier, safer, and more productive life. If access is taken away, the reality is that overdose rates will rise. Those who have found safety in 7-OH will be pushed back toward street drugs and high-risk alternatives. Instead of protecting people, such a ban would expose them to far greater harm. This is not an abstract policy decision. It is about real lives—about mothers, fathers, sons, daughters, and friends who have found hope where there once was none. To remove that is to risk undoing years of progress in harm reduction and public health. I urge you to consider the human cost. The people who rely on 7-OH are not statistics—they are our neighbors, family members, and community. This compound has been a bridge away from danger for so many, and banning it would close that bridge at the exact moment it is most needed. With respect and sincerity, Thank you, Drew NEW YORK, NY DREW WOLFSONI @GMAIL.COM 516-662-8519 From: wakeup777 To: 5uoolementalcomm(@surfcity-hb.org surfcity-hb.org Subject: Agenda Item 25-704-Approve for Introduction Ordinance No.4339 Prohibiting the Sale,Distribution and Possession of Kratom Date: Saturday,August 30,2025 10:28:25 PM You don't often get email from wakeup777@protonmail.com. i earn why this is important Hello, I'm reaching out in regards to Agenda Item 25-704 - Approve for Introduction Ordinance No. 4339 Prohibiting the Sale, Distribution and Possession of Kratom to be discussed during the September 2, 2025 Huntington Beach City Council meeting. I wanted to provide some feedback on what negative affects that the prohibition of selling and possessing of kratom could have. Kratom is a plant that has been used for centuries in Southeast Asia. It is related to coffee as they are both flowering, sub-tropical plants in the Rubiaceae family. This is a plant that has an alkaloid called mitragynine. Mitragynine has pain relieving properties as it is a partial agonist of the mu-opioid receptor. Because kratom is a partial agonist of the mu-opioid receptor, it has been shown to help people get off of illicit substances such as fentanyl and heroin and there have been countless testimonies from multitudes of people who have been given their lives back and have once again been brought back to living lives that are productive to society and productive for their families after being addicted and homeless from illicit substances. Making the sale and possession of kratom illegal will rob people in the future from having the potential of being saved from a life on the streets caused by addiction. Kratom with its pain relieving effects also helps chronic pain patient who can't afford healthcare to manage their pain with a wholistic alternative. People who pay for insurance, sometimes cannot afford the copays, prescription costs or the lack of coverage for testing that insurance refuses to cover. Some people cannot afford to pay for insurance in the first place, much less copays, prescription costs and testing costs. It is a fact that kratom causes far less respiratory depression than even FDA approved pharmaceuticals and opioids since it is a partial mu-opioid receptor agonist. Please consider the treatment that this plant can provide for people to get off of illicit substances and for chronic pain patients to be given relief before making its possession and sale illegal. Thank you. From: Dakota Crocker To: 5uoolementalcommCalsurfcity-hb.orq;Andrew.aruel(Tsurfcitv.hb.orq;Butch.twinninaasurrfcitv.hb.org; Casev.McKeonPsurfcitv.hb.orq;Chad.willamsaesurfcitv.hb.orq;pon.kennedv(asurfcitv.hb.org; Grace.vandermark4surfcitv.hb.org;Pat,burns(a surfcitv.hb.orq Subject: The Benefit of Keeping 7-hydroxymitragynine(7-OH)Legal Date: Saturday,August 30,2025 11:48:38 PM You don't often get email from dakotacrock@gmail.com.J earn why this is important 7-hydroxymitragynine (7-OH) is a plant alkaloid that provides a safe and effective alternative for treating pain and various psychiatric conditions. Unlike alcohol, 7-OH does not incite violence or idiotic behavior, and an overdose on 7-OH alone cannot cause death. Additionally, 7-OH is even less toxic than mitragynine, the primary active alkaloid in kratom. Banning 7-OH while keeping mitragynine legal would be a misinformed decision, as mitragynine is metabolized into 7-OH in the liver. I believe that keeping 7-OH legal will help reduce opioid-related deaths, as people will have a safe, non-toxic alternative to potentially lethal drugs like fentanyl, heroin, and prescription painkillers. Big kratom companies have sought to make 7-OH a banned substance. They are merely trying to protect their market share, which has been threatened by 7-OH recently. If public health were the primary concern, then tobacco and alcohol would be targeted, as they are much more dangerous substances. An overdose on 7-OH alone has yet to cause a single death, and it is non-toxic to the body. Thank you for reading. From: S E=nand To: 5uoolementalcomm(asurfcity-hb.orq Subject: My son died from Kratom powder,not 7oh Date: Monday,September 1,2025 7:54:02 AM You don't often get email from switchinz@yahoo.com.I Parn why this is important My 22 year old son Matthew died from Kratom POWDER (the least potent form of Kratom available in the United States). He did NOT die from 7oh/7hydroxymitragynine. Kratom caused him to have a seizure, go into cardiac arrest and die. His toxicology showed he died from the "TOXIC effects of Mitragynine" an alkaloid found only in kratOm. He had no prescription drugs, no street drugs nor alcohol in his system when he died, and his autopsy showed he had no underlying health conditions. Please email me if you would like his toxicology and autopsy results. Susan Eppard (Matthew's Mom) Sent from my iPad From: laiesiJIP.am To: suoolementalcommCnlsurfcity-hb.org Subject: Agenda Item 25-704:Please Delay or Reconsider Kratom Ban Date: Tuesday,September 2,2025 8:27:56 AM You don't often get email fromjaredbeam3@gmail.com.Learn why this is important Dear city council, I urge you to please delay or reconsider the banning of kratom and its alkaloids (agenda item 25-704). The current push of misinformation against its major alkaloids is driven by lobbying against a safe alkaloid for market interests, not because of any real danger. The safety profile of 7-OH is demonstrated by over 500 million doses of 7-OH and no confirmed deaths from it alone. Studies also show it's a partial-agonist that doesn't bind to the receptors that cause respiratory depression. Kratom, which likewise does not affect those receptors, has been safely used by millions for much longer. Removing access to these safe harm reduction tools will put people at risk. There is no emerging public health threat from kratom or its alkaloids that justifies a ban. Thank you for your time. I pray you'll keep the public's safety in mind and protect safe harm reduction options. Best, Jared beam From: Matthew Weicberger To: suoolementalcommftsurfcity-hb.orq Subject: Matthew An advocate for kratom and 7oh Date: Tuesday,September 2,2025 8:28:20 AM Attachments: jcon.onq jcon.pnq IYou don't often get email from cheflifemw@gmail.com.J earn why this is important Hello my name is Matthew. I am reaching out to you in regards to the upcoming hearing that you have regarding the action to ban kratom in Huntington Beach California. I oppose to this idea. The thought that our political leaders want to take away and alkaloid/medicine that provides relief as well as harm reduction and so many benefits that range from pain relief to emotional relief to anxiety relief and others; In my opinion the idea of banning kratom is nonsensical and will only bring harm to many who are trying to live a decent life. I'm attaching below a document and a written article that is written by the national library of medicine. I welcome you to please read through this information I would like to bet that after doing so there would be a change of heart and this would not come from sympathy or compassion but from scientific proof from studies and due diligence being done on this beautiful plant and alkaloid that millions of us on this planet use so that we can live a normal decent life. Thank you kindly for your time and I hope that the right decision is made;that the decision for the people is made; one that is for the people and not for the money. Kind regards Matthew. Hello my name is Matthew.I am reaching out to you in regards to the upcoming hearing that you have regarding the action to ban kratom in Huntington Beach California.I oppose to this idea.The thought that our political leaders want to take away and alkaloid/medicine that provides relief as well as harm reduction and so many benefits that range from pain relief to emotional relief to anxiety relief and others;In my opinion the idea of banning kratom is nonsensical and will only bring harm to many who are trying to live a decent life.I'm attaching below a document and a written article that is written by the national library of medicine.I welcome you to please read through this information I would like to bet that after doing so there would be a change of heart and this would not come from sympathy or compassion but from scientific proof from studies and due diligence being done on this beautiful plant and alkaloid that millions of us on this planet use so that we can live a normal decent life.Thank you kindly for your time and I hope that the right decision is made;that the decision for the people is made;one that is for the people and not for the money. Kind regards Matthew. Skip to main content 'An official website of the United States government Here's how you know Here's how you know PMC Search Update PMC Beta search will replace the current PMC search the week of September 7, 2025. Try out PMC Beta search now and give us your feedback. Learn more Q As a library, NLM provides access to scientific literature. Inclusion in an NLM database does not imply endorsement of, or agreement with, the contents by NLM or the National Institutes of Health. Learn more: PMC Disclaimer I PMC Copyright Notice Pharmaceuticals logo Pharmaceuticals (Basel). 2025 Feb 6;18(2):222. doi: 10.3390/ph18020222 Exploring the Therapeutic Potential of Mitragynine and Corynoxeine: Kratom-Derived Indole and Oxindole Alkaloids for Pain Management Ahmed S Alford 1,*, Hope L Moreno 1, Menny M Benjamin 1, Cody F Dickinson 1, Mark T Hamann 1 Editor: Rejean Couture Author information Article notes Copyright and License information PMCID: PMC11858930 PMID: 40006036 Abstract The search for effective pain management solutions remains a critical challenge, especially amidst growing concerns over the use of conventional opioids. In the US, opioid-related mortality rates have surged to as many as 80 deaths per 100,000 people in some states, with an estimated economic burden of USD 1.5 trillion annually—exceeding the gross domestic product (GDP) of most US industrial sectors. A remarkable breakthrough lies in the discovery that indole and oxindole alkaloids, produced by several genera within the plant Tribe Naucleeae, act on opioid receptors without activating the beta-arrestin-2 pathway, the primary driver of respiratory depression and overdose deaths. This systematic review explores the pharmacological properties, mechanisms of action, dosing considerations, interactions, and long-term effects of mitragynine and corynoxeine, alkaloids from the Southeast Asian plant Mitragyna speciosa (kratom) and others in the Tribe Naucleeae. Mitragynine, a partial opioid receptor agonist, and corynoxeine, known for its anti-inflammatory and neuroprotective effects, demonstrate significant therapeutic potential for managing diverse pain types— including neuropathic, inflammatory, nociceptive, visceral, and central pain syndromes—with a focus on cancer pain. Unlike . . traditional opioids, these compounds do not . recruit beta-arrestin-2,-avoiding key adverse effects such as respiratory depression, severe constipation, and rapid tolerance development. Their distinct pharmacological profiles make . . them innovative candidates for safer, non-lethal pain relief. However, challenges persist, including the unregulated nature of kratom products, inconsistencies in potency due to crude extract variability, potential for misuse, and adverse drug interactions. Addressing these issues requires establishing standardized quality control protocols, such as Good Manufacturing Practices (GMP), to ensure consistent potency and purity. Clear labeling requirements with dosage guidelines and warnings should be mandated to ensure safe use and prevent misuse. Furthermore, the implementation of regulatory oversight to monitor product quality and enforce compliance is essential. This review emphasizes the urgency of focused research to optimize dosing regimens, characterize the pharmacodynamic profiles of these alkaloids, and evaluate long-term safety. By addressing these gaps, the mitragynine- and corynoxeine- related drug classes can transition from promising plant-derived molecules to validated pharmacotherapeutic agents, potentially revolutionizing the field of pain management. Keywords: mitragynine, corynoxeine, pain management, Mitragyna speciosa, systematic review, pharmacology, 13-arrestin, opioids 1. Introduction The search for effective pain management solutions remains a critical challenge, especially amidst growing concerns over the side effects and dependency risks associated with conventional opioids. In the United States, opioid misuse has led to significant mortality and economic burden, with opioid-related deaths estimated at 80 per 100,000 individuals in some states and an annual cost of approximately USD 1.5 trillion [1]. Amid this crisis, certain indole and oxindole alkaloids from the plant tribe Naucleeae have emerged as promising alternatives due to their ability to engage opioid receptors without activating the I3-arrestin-2 pathway, a key mediator of respiratory depression and other severe opioid side effects [2]. The alkaloid composition of Mitragyna speciosa (kratom) is dominated by mitragynine, which constitutes approximately 66.2% of the total alkaloid content in commercial kratom products. In contrast, 7-hydroxymitragynine, despite its higher potency at opioid receptors, is a minor component, accounting for only 0.01- 0.03% of the total alkaloids. Other significant alkaloids include speciociliatine (8.6-16.6%), paynantheine (9.0-16.0%), and speciogynine (6.6-8.6%), with trace amounts of additional alkaloids such as corynoxeine, isocorynoxeine, and speciophylline. These secondary alkaloids may also contribute to kratom's pharmacological profile but in a less pronounced manner. The variability in alkaloid composition across kratom products is influenced by factors such as genetic differences, environmental conditions, and processing methods, resulting in inconsistencies that affect their pharmacological effects and safety profiles. Among these compounds, mitragynine and corynoxeine, derived from the Southeast Asian plant Mitragyna speciosa (Figure 1), commonly known as kratom, stand out as potentially safer alternatives to traditional opioids. While kratom contains a range of bioactive alkaloids, the oxindoles, including corynoxeine and its stereoisomer isocorynoxeine, are minor yet significant tetracyclic oxindole alkaloids. Kratom also contains other active compounds, such as flavonoids, polyphenols, and terpenoids, which contribute to the pharmacological effects of the raw plant products and crude plant extract. These oxindoles also occur in higher concentrations in other plants, such as species within the Uncaria genus, further highlighting their pharmacological importance [3]. Mitragynine, an indole alkaloid, is recognized as a partial agonist of the mu-opioid receptor (MOR), whereas corynoxeine demonstrates notable anti-inflammatory and neuroprotective properties. Unlike conventional opioids, both mitragynine and corynoxeine lack 13-arrestin recruitment, which reduces risks of adverse effects such as respiratory depression, constipation, and tolerance development [4]. This unique pharmacological profile positions them as promising candidates for managing various types of pain—including neuropathic, inflammatory, nociceptive, visceral, and central pain syndromes—with a particular focus on cancer-related pain. Figure 1. Figure 1 Open in a new tab Mitragyna speciosa, commonly known as kratom, contains bioactive secondary metabolites, specifically indoles (e.g., mitragynine) and oxindoles (e.g., corynoxeine). This review focuses specifically on mitragynine and corynoxeine as representative compounds of the indole and oxindole alkaloid classes, respectively. Although kratom is traditionally consumed in its whole form (e.g., crude leaves or powdered leaves), isolating and examining these two compounds allows for a targeted analysis of their unique therapeutic potential, mechanisms of action, and safety profiles. By focusing on mitragynine and corynoxeine, this review seeks to reflect the broader pharmacological potential of indole and oxindole alkaloids, addressing their potential applications in pain management without the confounding factors present in whole-plant kratom formulations. For reference, Table 1 and Table 2 present the principal structures of the oxindole and indole alkaloids derived from Mitragyna speciosa, providing an overview of these compounds' structural diversity relevant to their pharmacological profiles. Table 1. Principal structures of oxindole alkaloids of Mitragyna speciosa. la Compound R1 3 7 15 20 R2 Corynoxeine H S R S R CHCH2 Corynoxine A H S S S S CH2CH3 Corynoxine B H S R S S CH2CH3 Mitrafoline OH S S S S CH2CH3 Speciofoline OH R R S S CH2CH3 Specionoxeine OCH3 S R S R CHCH2 Rhynchophylline H S R S R CH2CH3 Rotundifoline OH S S S R CH2CH3 Rotundifoleine OH S S S R CHCH2 Open in a new tab Table 2. Principal structures of indole alkaloids of Mitragyna speciosa. B; Compound R1 3 15 20 R2 Mitragynine OCH3 S S S CH2CH3 Speciogynine OCH3 S S R CH2CH3 Speciociliatine OCH3 R S S CH2CH3 Mitraciliatine OCH3 R S R CH2CH3 Paynantheine OCH3 S S R CHCH2 Corynantheidine OH S S S CH2CH3 Open in a new tab Despite these promising pharmacological profiles, challenges remain, particularly around the unregulated nature of kratom products, variability in dosage, and potential for abuse. This review aims to identify and critically assess relevant studies to provide an in-depth understanding of the current evidence surrounding mitragynine, corynoxeine, and other kratom-derived alkaloids. While no clinical trials have yet defined therapeutic doses or established guidelines, the preclinical and observational data reviewed here may offer preliminary insights that could inform future research. This synthesis is intended to support clinicians and researchers in gaining a foundational understanding of these compounds' potential pharmacological profiles and mechanisms, and to encourage further investigation into their role in pain management and other therapeutic areas. Policymakers and the general public may also find this review beneficial in understanding the complex landscape of kratom's benefits and risks as they relate to public health considerations. 2. Results 2.1. Pharmacodynamics Corynoxeine's mechanisms of action suggest significant potential in the treatment of pain through several pathways: Anti-Inflammatory Agent: Corynoxeine's role as an anti-inflammatory agent is critical in managing pain linked to inflammation, a common cause in conditions such as arthritis and autoimmune diseases. Through inhibition of vascular smooth muscle cell (VSMC) proliferation, particularly by blocking the extracellular signal-regulated kinase (ERK1/2) phosphorylation pathway, corynoxeine reduces inflammatory processes in vascular and tissue contexts. This anti-inflammatory activity can help mitigate pain by lessening the release of pro-inflammatory cytokines and mediators that typically heighten pain sensitivity. By targeting inflammation pathways, corynoxeine supports tissue health and reduces the potential for chronic pain development [5,6]. Neuroprotective Actions and Autophagy Enhancement: Corynoxeine serves as a neuroprotective agent, offering significant potential in conditions associated with neuropathic pain where nerve cell damage or dysfunction contributes to pain perception. Through the enhancement of autophagy, corynoxeine helps clear neurotoxic protein aggregates such as alpha-synuclein, which can otherwise accumulate and cause neural stress and degeneration. By engaging pathways like Akt/mTOR to induce autophagy, corynoxeine may reduce neuronal death and maintain nerve function, effectively lowering pain signals associated with damaged or impaired nerves. This neuroprotective mechanism could be beneficial in conditions like peripheral neuropathy and neurodegenerative diseases, where nerve protection aligns with pain mitigation [6,7]. Calcium Channel Blockade and Vasorelaxation: Corynoxeine induces vasorelaxation by blocking L-type calcium channels in vascular smooth muscle cells, thus preventing the influx of calcium ions. Calcium ions play a critical role in smooth muscle contraction; by limiting their entry, corynoxeine reduces smooth muscle tone and relaxes blood vessels. This vasodilation effect is particularly beneficial in conditions where vascular constriction is linked to pain, such as migraines and certain vascular pain syndromes. Enhanced blood flow from reduced vascular resistance can alleviate symptoms by improving oxygenation and nutrient delivery to affected tissues, thus reducing ischemic or tension-induced pain [6,7,$]. Adrenergic Receptor Antagonism: By inhibiting a1A adrenergic receptors, corynoxeine further promotes vasodilation, countering the effects of adrenergic-mediated vasoconstriction. Adrenergic receptors, when activated, increase vascular tone, which can exacerbate pain in conditions like tension headaches and hypertension-related discomfort. Corynoxeine's antagonism of these receptors allows for relaxation of blood vessels, which can ease pain by reducing the stress and pressure within the vascular system. This mechanism adds a layer of vascular relief in pain conditions where adrenergic activity contributes to vascular tightness and discomfort [9,10]. Potassium Channel Activation and Vascular Smooth Muscle Relaxation: As a potential potassium channel opener, corynoxeine hyperpolarizes vascular smooth muscle cells, further reducing cellular excitability and promoting vasodilation. The activation of potassium channels encourages the efflux of potassium ions, stabilizing the cellular membrane potential away from depolarization thresholds that trigger contraction. This action complements calcium channel inhibition, creating a dual mechanism for smooth muscle relaxation. By decreasing vascular resistance and enhancing blood flow, corynoxeine's potassium channel activation may help alleviate pain from vascular sources, as seen in migraine and other vascular pain disorders [6,7]. Prevention of Vascular Smooth Muscle Cell Proliferation: Corynoxeine also inhibits the proliferation of vascular smooth muscle cells (VSMCs), an effect particularly relevant in conditions like atherosclerosis and restenosis, where abnormal cell growth contributes to vascular narrowing and pain. By blocking the ERK1/2 pathway, corynoxeine disrupts the signaling required for VSMC proliferation, which can prevent or slow down the progression of vascular blockages. This mechanism is essential in managing chronic pain linked to vascular diseases, as maintaining healthy, unobstructed vessels can reduce ischemic pain and improve blood circulation to affected regions [7,a]. In summary, corynoxeine's multi-faceted mechanisms—including its roles as an anti- inflammatory agent, neuroprotective agent, calcium channel blocker, adrenergic receptor antagonist, and potassium channel opener— highlight its potential in effectively managing and treating various types of pain. Mitragynine's mechanisms of actions also suggest significant potential in the treatment of pain but through unique polypharmacology pathways (summarized in Figure 2). Figure 2. Figure 2 Open in a new tab Polypharmacology of mitragynine, the principal indole alkaloid derived from Mitragyna speciosa. Mu-Opioid Receptor (MOR) Partial Agonist: Mitragynine acts as a partial agonist at mu- opioid receptors (MOR), which are primary targets for traditional opioid analgesics. With a binding affinity of approximately 0.233 pM, mitragynine can activate MOR to produce analgesic effects but with limited efficacy compared to full agonists like morphine. This partial agonism allows mitragynine to provide pain relief while significantly reducing the side effects typically associated with opioid receptor activation, including respiratory depression and high potential for addiction. The decreased ability to fully activate MOR is linked to a reduced risk of tolerance development, meaning that patients are less likely to need increasing doses over time to achieve the same level of pain relief. Additionally, the partial agonism at MOR may result in lower risks of gastrointestinal side effects, such as constipation, which is a common issue with traditional opioids [9.,14,11]. Kappa-Opioid Receptor (KOR) Antagonist: In contrast to its partial agonism at MOR, mitragynine functions as an antagonist at kappa-opioid receptors (KOR). KOR activation is often associated with dysphoria, hallucinations, and a reduction in reward- seeking behaviors. By antagonizing KOR, mitragynine reduces these adverse effects, potentially providing mood-stabilizing effects and lessening dysphoric reactions. KOR antagonism also contributes to pain relief, as KOR can play a role in modulating pain perception, especially in conditions where stress and mood are exacerbated by pain. This dual MOR agonism and KOR antagonism may offer a balanced analgesic effect while avoiding some of the psychological side effects of KOR agonists [12]. Competitive Antagonist at Serotonin Receptors (5-HT2A): Mitragynine acts as a competitive antagonist at the 5-HT2A serotonin receptor, which modulates the release of various neurotransmitters involved in mood, cognition, and pain perception. By blocking 5-HT2A receptors, mitragynine can reduce serotonin- related neurotransmission, which may help in stabilizing mood and controlling pain perception, particularly in individuals with anxiety or depression-related pain. This antagonism is also thought to reduce anxiety and prevent overstimulation of neural pathways, contributing to an improved quality of life for those with chronic pain [2,1.0]. Partial Agonist at 5-HT1A: As a partial agonist at the 5-HT1A receptor, mitragynine can enhance serotonin signaling to some extent, particularly in ways that are anxiolytic and mood-enhancing. The 5-HT1A receptor is linked to improved mood and anxiety reduction, both of which are beneficial in chronic pain management, as pain can be exacerbated by psychological stress and anxiety. By partially activating this receptor, mitragynine may improve the psychological state of individuals suffering from chronic pain, which indirectly aids in pain management by reducing pain perception linked to stress and anxiety [9,1Q]. Binding to 5-HT2B and 5-HT2C Receptors: Mitragynine has weaker interactions with 5- HT2B and 5-HT2C serotonin receptors, binding with a Ki of approximately 1260 nM. While these interactions are less pronounced than its actions on other receptors, they may have subtle modulatory effects on mood and cognition. Since 5-HT2B and 5-HT2C receptors are involved in the regulation of mood and appetite, the slight binding affinity could contribute to mitigating symptoms like irritability or loss of appetite in individuals with chronic pain, although the impact is likely minor compared to its effects on other receptors [9,1Q]. Alpha-2 Adrenergic Receptor Agonist: Acting as an agonist at alpha-2 adrenergic receptors, mitragynine engages mechanisms similar to clonidine, a drug used to manage opioid withdrawal symptoms. Alpha-2 agonism can reduce norepinephrine release, which calms the sympathetic nervous system and provides a sense of relaxation and reduced arousal. This agonism is particularly useful for managing symptoms of opioid withdrawal, including cravings, irritability, and heightened pain sensitivity. The activity at alpha-2 receptors may also contribute to the overall analgesic effect of mitragynine by reducing sympathetic responses that can intensify pain perception in stressful situations [2.,1 ]. Dopamine D2 Receptor Affinity: Mitragynine's affinity for dopamine D2 receptors suggests potential antipsychotic effects, which may alleviate symptoms of psychosis in vulnerable individuals. By interacting with D2 receptors, mitragynine could theoretically reduce excessive dopamine activity, which is linked to conditions such as schizophrenia and bipolar disorder. For chronic pain patients, this dopaminergic modulation might help in managing pain perception and emotional responses, as well as in mitigating the negative psychological symptoms sometimes associated with chronic pain, such as anhedonia and low motivation [14]. [3-Arrestin Activity: Unlike traditional opioids, mitragynine does not recruit R-arrestin 2 at the mu-opioid receptor, which is significant because R-arrestin 2 recruitment is linked to several adverse effects of opioids, including respiratory depression, constipation, and tolerance [15]. The absence of R-arrestin 2 recruitment in mitragynine's mechanism suggests a potentially safer side effect profile, offering effective pain relief without the heightened risks associated with conventional opioids. This property is a crucial factor in its unique pharmacological safety, making it a promising candidate for further research in pain management settings. Cannabinoid Receptor Modulation: Mitragynine also interacts with cannabinoid receptors, particularly CBI and CB2, which play roles in modulating pain and inflammation. Research indicates that mitragynine's analgesic effects, particularly in neuropathic pain, may be mediated through these cannabinoid pathways. For instance, in models of chemotherapy- induced peripheral neuropathy, the analgesic effect of mitragynine was lessened when cannabinoid receptors were blocked, suggesting that these receptors are instrumental in its effect on neuropathic pain. This cannabinoid receptor interaction provides a unique avenue for pain relief, especially in complex pain conditions involving both central and peripheral mechanisms [16]. TRPV1 Modulation: Recent studies have shown that mitragynine may modulate the Transient Receptor Potential Vanilloid 1 receptor (1), a non-opioid pathway involved in sensing noxious stimuli, such as heat and inflammation. By affecting TRPV1 receptors, mitragynine can potentially reduce pain signaling in inflammatory and neuropathic pain conditions. TRPV1 modulation is particularly relevant for pain states where peripheral sensitization occurs, as blocking or modulating these receptors decreases the activation of pain pathways. This pathway represents an additional analgesic mechanism that can complement its opioid-like effects [17]. The absence of significant Delta-Opioid Receptor (DOR) activity in both mitragynine and corynoxeine indicates that their analgesic and neuroprotective effects are mediated through other pathways [12.]. DORs are involved in modulating pain, mood, and neuroprotection, but DOR agonists are associated with the risk of convulsions and other adverse effects. 2.2. Pharmacokinetics Mitragynine, the principal indole alkaloid in Mitragyna speciosa (kratom), exhibits distinctive pharmacokinetic properties that are crucial to its therapeutic applications. It is a lipophilic weak base (pKa -8.1) with high plasma protein binding (85-95%) and undergoes extensive hepatic metabolism through both phase I (oxidation, demethylation) and phase II (glucuronidation, sulfation) pathways. The pharmacokinetics of mitragynine demonstrate dose-dependent variations, with key parameters providing insights into its behavior. After a single dose, the Cmax ranged from 17.1 ng/mL (6.65 mg dose) to 125 ng/mL (53.2 mg dose), while at steady-state (Cmax,ss), it ranged from 21.4 ng/mL to 143 ng/mL. The Tmax remained consistent across both single and multiple doses, ranging from 1.0 to 1.7 h. The elimination half-life (t1/2) increased significantly with dose, ranging from 8.5 h at the lowest dose to 43.4 h at the highest dose for single dosing, and from 25.7 to 67.9 h at steady state. Systemic exposure, measured as AUCO—co, increased proportionally with dose, ranging from 52.8 h•ng/mL to 908 h•ng/mL after a single dose, while steady-state AUC (AUCO—T,ss) ranged from 85.1 h•ng/mL to 958 h•ng/mL. Clearance (CL) decreased with increasing doses, ranging from 278 L/h at lower doses to 94 L/h at higher doses, indicating nonlinear pharmacokinetics. The volume of distribution (Vd) also increased with dose, from 1349 L to 3788 L for single doses and from 2980 L to 6020 L at steady-state, reflecting extensive tissue distribution [18]. These findings highlight the importance of dose adjustments to account for significant changes in clearance and half-life at higher doses. A significant factor influencing the pharmacokinetics of mitragynine is the variability between administering pure mitragynine versus raw kratom products. Raw kratom contains a complex mixture of alkaloids and bioactive compounds that can alter absorption, metabolism, and clearance, resulting in greater variability in pharmacokinetic parameters. For instance, other alkaloids in raw kratom may competitively inhibit or enhance mitragynine metabolism, affecting Cmax, Tmax, and t1/2. Furthermore, no standardization of kratom formulations or dosing exists, making it challenging to establish predictable therapeutic outcomes or mitigate potential adverse effects. The pharmacokinetics of corynoxeine exhibit notable differences between normal physiological conditions and CUMS-induced depression models, which are essential to consider for therapeutic applications. In normal rats, the maximum plasma concentration (Cmax) of corynoxeine was 407.48 ± 10.87 ng/mL, with a time to reach Cmax (Tmax) of 1.67 ± 0.24 h. In contrast, CUMS-induced depression rats demonstrated a lower Cmax of 306.83 ± 18.72 ng/mL and a delayed Tmax of 2.33 ± 0.47 h, indicating reduced absorption under pathological conditions. The elimination half-life (t1/2) was slightly longer in CUMS- induced depression rats (2.68 ± 0.30 h) compared to normal rats (2.40 ± 0.12 h), while the clearance rate (CL) was faster in the depression model (18.06 ± 1.36 L/h/kg versus 14.48 ± 0.61 L/h/kg in normal rats), suggesting a reduced systemic exposure to the compound [14]. Additionally, the volume of distribution (Vd) was significantly higher in CUMS-induced depression rats (69.15 ± 3.25 L/kg) compared to normal rats (50.09 ± 2.11 L/kg), implying greater tissue penetration in the pathological state. The area under the concentration—time curve (AUC), representing overall drug exposure, was reduced in CUMS-induced rats, with AUCO-t values of 1202.97 ± 39.79 ng•h/mL versus 1495.62 ± 55.23 ng•h/mL in normal rats and AUCO-°° values of 1614.48 ± 119.62 ng•h/mL versus 1914.65 ± 95.66 ng•h/mL, respectively [14]. These findings highlight a significant impact of depression on corynoxeine's pharmacokinetics, including reduced absorption, faster clearance, and greater distribution into tissues. The altered pharmacokinetic parameters in the depression model underscore the influence of pathological conditions on the behavior of corynoxeine within the body. These differences emphasize the need for tailored dosing regimens in clinical applications to ensure therapeutic efficacy and safety in patients with underlying conditions. Understanding these variations provides a foundation for optimizing the use of these compounds in different physiological and pathological contexts. Furthermore, these disparities underscore the necessity of further research to optimize standardization; characterize dose—response relationships, and establish regulatory frameworks for the safe and effective clinical use of mitragynine and kratom products. 3. Discussion 3.1. Summary of Findings Mitragynine and corynoxeine exhibit significant potential in effectively managing and treating various types of pain through their multifaceted mechanisms of action. When addressing pain management, there is a large basis of pharmacotherapy because of the vastly diverse pathophysiology: While these compounds hold. significant potential in neuropathic pain. (chemotherapy-induced peripheral neuropathy (CIPN), diabetic neuropathy, postherpetic neuralgia), inflammatory pain, nociceptive pain (post-surgical, musculoskeletal), visceral pain (IBS, endometriosis), and central pain syndromes (MS, spinal cord injury), cancer pain is the most notable for effective.management. Cancer pain presents a unique challenge in pain management due to its complex and multifaceted nature, often involving a combination of nociceptive; neuropathic, and inflammatory components. Traditional opioids like morphine have long been the mainstay for cancer pain management; however, their use is associated with significant drawbacks, including the risk of tolerance, dependence, respiratory depression, and constipation. Furthermore, recent studies have suggested that morphine and other opioids may promote tumor growth and metastasis by enhancing angiogenesis and suppressing immune function [19,20]. This potentially adverse effect on cancer progression highlights the need for alternative analgesics that do not compromise cancer treatment outcomes. Mitragynine and corynoxeine offer promising alternatives to traditional opioids for cancer pain management. Mitragynine, a partial agonist at mu-opioid receptors, provides effective analgesia while reducing the risk of severe side effects associated with full opioid agonists [ i]. Its lack of beta-arrestin 2 recruitment minimizes the risks of respiratory depression, constipation, and tolerance development. Additionally, mitragynine's partial agonist activity at 5-HT1A receptors and antagonist activity at 5-HT2A receptors may offer mood-enhancing and anxiolytic benefits, which are crucial for the overall well-being of cancer patients [10,21]. Corynoxeine, with its potent anti-inflammatory and neuroprotective properties, can further enhance pain relief in cancer patients. Its ability to reduce inflammation and protect neurons from damage is particularly beneficial in managing pain caused by tumor growth and metastasis [$,22]. Corynoxeine's vasorelaxant effects, mediated through calcium channel blocking and adrenergic receptor antagonism, can help alleviate pain associated with tumor- induced vascular tension and improve blood flow to affected tissues [[,22]. Moreover, neither mitragynine nor corynoxeine has been shown to promote tumor growth, making them safer options for cancer patients compared to traditional opioids [2,1,24]. By offering effective analgesia without the risk of enhancing tumor progression, these compounds represent a significant advancement in the management of cancer pain. The combined pharmacological actions of mitragynine and corynoxeine, including their opioid receptor modulation, anti-inflammatory effects, and neuroprotective properties, position them as superior alternatives to traditional opioids like morphine for cancer pain management. Their potential to provide comprehensive pain relief while minimizing adverse effects and supporting overall patient health underscores their importance in the evolving landscape of cancer pain therapeutics. 3.2. p-Arrestin Activity G-protein-coupled receptors such as the opioid receptors are transmembrane receptors that are capable of recruiting proteins [i-arrestins to initiate separate cellular signal transduction pathways [12]. One of the most promising aspects of the major alkaloids found in Mitragyna speciosa is their lack of beta- arrestin 2 recruitment. Traditional opioids like morphine and fentanyl not only activate G- protein signaling pathways to provide pain relief but also recruit beta-arrestin 2. This recruitment is associated with many adverse effects, such as respiratory depression, constipation, and the development of tolerance and dependence. Beta-arrestin 2 mediates these effects by desensitizing the receptors, internalizing them, and initiating altern Address not found Your message wasn't delivered to supplementalcomm@surfcity- hb.orh because the domain surfcity- hb.orh couldn't be found. Check for typos or unnecessary spaces and try again. LEARN MORE The response was: DNS Error: DNS type 'mx' lookup of surfcity-hb.orh responded with code NXDOMAIN Domain name not found: surfcity-hb.orh For more information, go to https://support.google.com/mail/? p=BadRcptDomain Forwarded message From:Mail Delivery Subsystem<mailer- daemon( g000lemai 1.com> Date:Sat,Aug 30,2025,1:48 AM Subject:Delivery Status Notification(Failure) To:<cheflitemw@gmail.cou1> Address not found Your message wasn't delivered to supplementalcomm@surfcity- hb.orh because the domain surfcity- hb.orh couldn't be found. Check for typos or unnecessary spaces and try again. J.EARN MORE The response was: DNS Error: DNS type 'mx' lookup of surfcity-hb.orh responded with code NXDOMAIN Domain name not found: surfcity-hb.orh For more information, go to nttps://support.google.com/mail/? p=BadRcptDomain Switzer, Donna From: Matthew Weicberger <cheflifemw@gmail.com> Sent: Saturday,August 30, 2025 1:54 AM To: supplementalcomm@surfcity-hb.org Subject: Matthew An advocate for kratom and 7oh ' Y You don't often get email from cheflifemw@gmail.comn Learn why this is important Hello my name is Matthew. I am reaching out to you in regards to the upcoming hearing that you have regarding the action to ban kratom in Huntington Beach California. I oppose to this idea.The thought that our political leaders want to take away and alkaloid/medicine that provides relief as well as harm reduction and so many benefits that range from pain relief to emotional relief to anxiety relief and others; In my opinion the idea of banning kratom is nonsensical and will only bring harm to many who are trying to live a decent life. I'm attaching below a document and a written article that is written by the national library of medicine. I welcome you to please read through this information I would like to bet that after doing so there would be a change of heart and this would not come from sympathy or compassion but from scientific proof from studies and due diligence being done on this beautiful plant and alkaloid that millions of us on this planet use so that we can live a normal decent life.Thank you kindly for your time and I hope that the right decision is made;that the decision for the people is made; one that is for the people and not for the money. Kind regards Matthew. Hello my nameis Matthew.I am reaching out to you in regards to th.eupcoming hearing that you have regarding the action:to ban. kratom in,Huntington Beach California.I oppose to this idea The th :w oughtthat our political leadersant to take away and alkaloid% medicine that provides relief as well as harm reduction and so many benefits that range from pain relief:to emotional relief to anxiety_ relief and others;In,my opinion the idea of banning kratom is nonsensical and will only bring harm to many who are trying to live a :. . decent life.I'm attaching below doc:ument_and a written article th.at,is written by the national library of medicine.I welcome you to please read through this information I would like to bet that after doing:se there would be a change of heart and this.would not come., from sympathy or compassion but from scientific proof from studies and due diligence being done on this beautiful plant and alkaloid that millions of us on this planet use so that we can live a normal decent life..Thankyou kindly for ryour.time and Ihope that the right decision is made;that the decision for the people is made;one that is for the people and not for the money. Kind re ards Matthew:.: Ski. to main content . An officialwebsite of the United.States government: Here's how you know.. ." Here's how you know . . .."::::. _::. .:. • 'PMC:Search Update' 1 PMC:Beta search will replace the current PMC'search the week'of September.7, 2.025. T out PMC Beta search now and •ive us our feedback. Learn more As a library, NLM provides access to scientific literature. Inclusion in an NLM database does not`imply • ;endorsement of, or agreement with, the contents by NLM or the National Institutes.of Health. • ;Learn more::PMC Disclaimer I PMC Copyright Notice Pharmaceuticals (Basel) _ . 2025 Feb 6;18(4222i doi: 10.3390/ph18020222 p g �the Th erapeutic eutic Potential Exl orin p of Mitragynine and CorY noxeine:" Kratom=Derived Indole and Oxindole Alkaloids for Pain Management :Ahmed S`Atford HopeLMoreno 1, Mennv M Benia min Codv F. Dickinson:' Mark T Hamann '" Editor: Rejean Couture' • • Author information • Article notes. • •• Copyright and License information , . PM CI D`..PM C11858930.-PM I D: 40006036 Abstract The•search foreffective pain management solutions remains a critical challenge, especially.amidst :growing :concerns over the-use of conventional opioids. In the US,opioid-related mortality rates have surged to as many as 80 deaths per 100,000 people in.some states,?-with an=estimated economic. burden of USD: 1.5 trillion annually-exceeding the gross domestic product (GDP) of most US industrial sectors A remarkable breakthrough lies in the discovery that indole and'oxindole,alkaloids,.: •produced by several genera within the plant Tribe"Naucleeae act on opioid receptors without; activating the beta-arrestin=2:pathway, the primary driver of respiratory depression and overdose' deaths. This systematic review explores the'pharmacological properties, mechanisms of action, 2 dosing considerations, interactions, and long-term effects of mitragynine and corynoxeine, alkaloids from the Southeast Asian plant Mitragyna speciosa (kratom) and others in the Tribe Naucleeae. Mitragynine, a partial opioid receptor agonist, and corynoxeine, known for its anti-inflammatory and neuroprotective effects, demonstrate significant therapeutic potential for managing diverse pain types—including neuropathic, inflammatory, nociceptive, visceral, and central pain syndromes=with" a focus on cancer pain. Unlike traditional opioids, these compounds do not recruit beta-arrestin-2, avoiding key adverse"effects such as respiratory depression, severe constipation, and rapid tolerance development. Their distinct pharmacological profiles make them innovative candidates for safer, non- lethal pain relief. However, challenges persist including the unregulated nature of kratom products, inconsistencies in potency due to crude extract variability, potential for misuse, and adverse drug interactions. Addressing these issues requires establishing standardized quality control protocols, such as Good Manufacturing Practices (GMP), to ensure consistent potency and purity. Clear. labeling requirements with dosage guidelines and warnings should be mandated to ensure safe use and prevent misuse. Furthermore, the implementation of regulatory oversight to monitor product quality and enforce compliance is essential. This review emphasizes the urgency of focused research to optimize dosing regimens, characterize the pharmacodynamic profiles of these alkaloids, and evaluate long-term safety. By addressing these gaps, the mitragynine-and corynoxeine-related drug classes can transition from promising plant-derived molecules to validated pharmacotherapeutic agents, potentially revolutionizing the field of pain management. Keywords: mitragynine, corynoxeine, pain management, Mitragyna speciosa, systematic review, pharmacology, p-arrestin, opioids 1. Introduction The search for effective pain management solutions remains a critical challenge, especially amidst growing concerns over the side effects and dependency risks associated with conventional opioids. In the United States, opioid misuse has led to significant mortality and economic burden, with opioid- related deaths estimated at 80 per.100,000 individuals in some states and an annual cost of approximately USD.1.5 trillion [1]. Amid this crisis, certain indole and oxindole alkaloids from the plant tribe Naucleeae have emerged as promising alternatives due to their ability to engage opioid receptors without activating the (3-arrestin-2 pathway, a key mediator of respiratory depression and other severe opioid side effects [2]: The alkaloid composition of Mitragyna speciosa (kratom) is dominated by mitragynine, which constitutes approximately 66.2% of the total alkaloid content in commercial kratom products. In contrast, 7-hydroxymitragynine, despite its higher potency at opioid receptors, is a minor component, accounting for only 0.01-0.03% of the total alkaloids. Other significant alkaloids include speciociliatine (8.6-16.6%), paynantheine (9.0-16:0%), and speciogynine (6.6-8.6%), with trace amounts of additional alkaloids such as corynoxeine, isocorynoxeine, and speciophylline. These secondary alkaloids may also contribute to kratom's pharmacological profile but in a less pronounced manner. The variability in alkaloid composition across kratom products is influenced by factors such as genetic differences, environmental conditions, and processing methods, resulting in inconsistencies that affect their pharmacological effects and safety profiles. Among these compounds, mitragynine and corynoxeine,derived from the Southeast Asian plant Mitragyna speciosa (Figure 1), commonly known as kratom, stand out as potentially safer alternatives to traditional opioids. While kratom contains a range of bioactive alkaloids, the oxindoles, including corynoxeine and its`stereoisomer isocorynoxeine, are minor yet significant tetracyclic oxindole alkaloids. Kratom also contains other active compounds, such as flavonoids, polyphenols, 3 and terpenoids, which contribute to the pharmacological effects of the raw plant products and crude plant extract. These oxindoles also"occur in higher concentrations in other plants; such as species within the Lingerie genus, further highlighting their pharmacological importance L]. Mitragynine, an indole alkaloid, is recognized as a partial agonist of the mu-opioid receptor (MOR), whereas corynoxeine demonstrates notable anti-inflammatory and neuroprotective properties. Unlike conventional opioids, both mitragynine and corynoxeine lack 13-arrestin recruitment, which reduces risks of adverse effects such as respiratory depression, constipation, and tolerance development [4]. This unique pharmacological profile positions them as promising candidates for managing various types of pain-including neuropathic, inflammatory, nociceptive, visceral, and central pain syndromes—with a particular focus on cancer-related pain: :Figure 1. _.._ __. ...........ta _Open in anew tab Mitragyna speciosa, commonly known as kratom, contains bioactive secondary metabolites, specifically indoles.(e.g., mitragynine) and oxindoles (e,g., corynoxeine): This review focuses specifically on mitragynine and corynoxeine as representative compounds of the indole and oxindole alkaloid classes, respectively. Although kratom is traditionally consumed in its whole form (e.g., crude leaves or powdered leaves), isolating and examining these two compounds allows for a targeted analysis of their unique therapeutic potential, mechanisms of action, and safety. ,profiles. By focusing on mitragynine and corynoxeine, this review seeks to reflect the broader pharmacological potential of indole and oxindole alkaloids, addressing their potential applications in pain management without the confounding factors present in whole-plant kratom formulations. For 4 reference, Table 1 and Table 2 present the principal structures of the oxindole and indole alkaloids derived from Mitragyna speciosa; providing an overview of these compounds' structural diversity relevant to their pharmacological profiles. Table'I Principal structures of oxindole alkaloids of Mitragyna speciosa.. 0 = 3 Compound. ., „'.. R, ,a`'>!i 3 r-irrii1-2-6-17 f R-2 -: ,. Corynoxeine H S R S R CHCH2 Corynoxine A H S S.-. S I` S " CH2CH3 Corynoxine B H S R S S CH2CH3 Mitrafoline OH S S S S CH2CH3 1_-. S eciofoline OH ," R R i S i S F' CH2CH3 Specionoxeine l : OCH3 S i R ; S !i R CHCH2 Rhynchophylline H S R S R CH2CH3 Rotundifoline OH S S S R CH2CH3 Rotundifoleine OH S S S R CHCH2 Open manew to Table 2.:: . . Principal;structures of indole alkaloids of Mitragyna speciosa. . . Compound . `RI _- 3 ii" 15 20 RZ Mitragynine OCH3 S S S CH2CH3 Speciogynine ," '" OCH3 S S " ! R CH2CH3 ; Speciociliatine OCH3 R S S CH2CH3 Mitraciliatine ? OCH3 R . S R l ': CH2CH3 Paynantheine OCH3 S S R CHCH2 Corynantheidine OH S S S CH2CH3 5 p 0 en"in.a new-tab Despite these"promising"pharmacological profiles,:challenges remain,:particularly around the unregulated nature of kratom products, variability in dosage, and potential for abuse;This review aims to identify and critically assess relevant studies to provide an in-depth understanding;of the .. i gy • ry current;evidence surrounding. nine mitre , co noxeme, :and other krafom-derived.alkaloids..While no clinical trials have yet defined therapeutic doses or established guidelines, the preclinical and :. observational.data reviewed here may offer preliminary insights that could inform future research: This synthesis:is intended to support clinicians:and"researchers"in gaining a foundational understanding of these compounds' potential pharmacological profiles and mechanisms, and to • -encourage further investigation into their role in pain management and other therapeutic a1eas. Policyrnakers and the general public may also find this review beneficial in understanding the. :complex landscape of:kratom's benefits and risks as they:relate"to public health considerations.. ::".""Results 2.1:. Pharmacodynamlcs Corynoxeine's noxeine's mec i r s gg . g.. .p pain through ry hanisms.of action su estai nificant:' otential in the treatment of ainthrou several pathways Anti-Inflammatory Agent: Corynoxeine's role-as an anti-inflammatory agent is critical in managing pain linked to inflarrimation, a common.cause,in "conditions such:as arthritis and autoimmune: diseases. Through inhibition of vascular smooth muscle cell (VSMC) proliferation, particularly by. :blocking the extracellular signal-regulated kinase.(ERK1/2) phosphorylation pathway, corynoxeine reduces inflammatory processes in vascular and tissue contexts: This"anti-inflammatory activity can " . help mitigate pain by lessening the release of pro-inflammatory cytokines and mediators that.typically ;heighten pain.sensitivity; By targeting inflammation pathways, corynoxeine supports tissue health and reduces the potential for chronic pain development Neuroprotective Actions and Autophagy Enhancement:::Corynoxeine serves as a neuroprotective agent, offering significant potential in-conditions associated with neuropathic pain where nerve cell damage or dysfunction contributes to pain,perception:Through the enhancement of.autophagy, " corynoxeine helps,clear neurotoxic protein.aggregates.such as alpha_synuclein, which can otherwise: accumulate and cause neural stress and degeneration. By engaging pathways like Akt/mTOR to :induce autophagy, corynoxeine may reduce neuronal death:and maintain nerve function, effectively lowering pain signals associated with damaged or impaired nerves. This neuroprotective mechanism could.be beneficial in conditions like peripheral neuropathyand neurodegenerative.diseases; where nerve protection aligns ns with pain mitigation 6,7] - :Calcium Channel Blockade and Vasorelaxation: Corynoxeine induces vasorelaxation by blocking L- type calcium channels:in vascular smooth muscle cells, thus preventing the influx of calcium ions.. .. Calcium'ions:playa critical:role in smooth muscle contraction; by limiting their:entry,'corynoxeine reduces smooth muscle tone and relaxes blood vessels This vasodilation effect is.particularly; :beneficial in conditions where vascular constriction is linked to pain,:such as migraines and certain vascular pain syndromes. Enhanced blood;flow from:.reduced vascular resistance can alleviate ; 6 symptoms by improving oxygenation and nutrient delivery to affected tissues, thus reducing ischemic or tension-induced pain [6,7,8]. Adrenergic Receptor Antagonism: By inhibiting a1A adrenergic receptors,.corynoxeine further promotes vasodilation, countering the effects of adrenergic-mediated vasoconstriction. Adrenergic receptors, when activated, increase vascular tone, which can exacerbate pain in conditions like tension headaches and hypertension-related discomfort. Corynoxeine's.antagonism of these receptors allows for relaxation of blood vessels,:which can ease pain by reducing the stress and pressure within the vascular system. This mechanism adds a layer of vascular relief in pain conditions where adrenergic activity contributes to vascular tightness and discomfort Potassium Channel Activation and Vascular Smooth Muscle Relaxation: As a potential potassium channel opener, corynoxeine hyperpolarizes vascular smooth muscle cells,_further reducing cellular excitability and promoting vasodilation. The activation of potassium channels encourages the efflux of potassium ions, stabilizing the cellular membrane potential away from depolarization thresholds that trigger contraction. This action complements calcium channel inhibition, creating a dual mechanism for smooth muscle relaxation. By decreasing vascular resistance and enhancing blood flow, corynoxeine's potassium channel activation may help alleviate pain from vascular sources, as seen in migraine and other vascular pain disorders 6,7 .. Prevention of Vascular Smooth Muscle Cell Proliferation:s Corynoxeine also inhibits the proliferation of vascular smooth muscle cells (VSMCs), an effect particularly relevant in conditions like atherosclerosis and restenosis, where abnormal cell growth contributes to vascular narrowing and pain. By blocking the ERK1/2 pathway, corynoxeine disrupts the signaling required for VSMC proliferation, which can prevent or slow down the progression of vascular blockages: This mechanism is essential in managing chronic pain linked to vascular diseases, as maintaining healthy, unobstructed vessels can reduce ischemic pain and improve blood circulation to affected regions [Z,8] In summary, corynoxeine's multi-faceted mechanisms—including its roles as an anti-inflammatory agent,:neuroprotective agent, calcium channel blocker, adrenergic receptor antagonist, and potassium channel opener-highlight its potential in effectively managing and treating various types of pain: :. Mitragynine's mechanisms of actions also suggest significant potential in the treatment of pain but through unique polypharmacologypathways (summarized in Figure 2). Figure 2. 7 Open in a new tab Polypharmacology of mitragynine, the principal indole alkaloid derived from Mitragyna speciosa. Mu-Opioid Receptor (MOR) Partial Agonist: Mitragynine acts as a partial agonist at mu-opioid receptors(MOR), which are primary targets for traditional opioid analgesics;With a binding affinity of approximately 0.233 pM; mitragynine can activate MOR to produce analgesic effects but with limited efficacy compared to full agonists like morphine. This partial agonism allows mitragynine to provide pain relief while significantly reducing the side effects typically associated with opioid receptor activation,.including respiratory depression and high.potential for addiction. The decreased abilitylo fully activate MOR is linked to a reduced risk of tolerance development, meaning that patients are less likely to need increasing doses over time to achieve the same level of pain relief. Additionally, the partial agonism at MOR may result in lower risks of gastrointestinal side effects, such as constipation, which is a common issue with traditional opioids Kappa=Opioid Receptor (KOR) Antagonist: In .contrast to its partial agonism at MOR, mitragynine functions as,an antagonist at kappa-opioid receptors_(KOR). KOR activation is often associated with dysphoria, hallucinations,.and a reduction in reward-seeking behaviors. By antagonizing KOR, mitragynine reduces these adverse effects, potentially providing mood-stabilizing effects and lessening dysphoric reactions. KOR antagonism also contributes to pain relief, as KOR can play a role in modulating pain perception, especially in conditions where stress and mood are exacerbated 8 by pain. This dual MOR.agonism and :KOR antagonism may offer a balanced analgesic effect while avoiding some of the psychological side effects of KOR agonists [12] Competitive Antagonist at Serotonin`Receptors(5-HT2A): Mitragynine acts asa competitive antagonist at the 5-HT2A serotonin:receptor, which modulates the release of various neurotransmitters involved in mood,cognition, and pain perception. By blocking 5-HT2A receptors,: mitragynine can reduce serotonin-related neurotransmission, which may help in stabilizing mood and controlling pain;perception, particularly in individuals with anxiety or depression-related pain. This antagonism is also thought to reduce anxiety and prevent overstirnulation of neural pathways, contributing to an improved quality of life for those with chronic pain.[9,10]: , Partial Agonist:at 5-HT1A: As a partial agonist at the 5-HT1A receptor, mitragynine can enhance serotonin signaling to some extent,,particularly in".ways that are anxiolytic and mood-enhancing The 5-HT1A receptor is linked to.improved mood and anxiety reduction, both•of which are beneficial,in chronic pain management, as pain can be exacerbated by psychological stress.and anxiety. By partially activating this receptor, mitragynine may improve the psychological state of individuals suffering from chronic pain, which indirectly aids:in pain management by reducing pain perception linked to stress and anxiety [2,10]. p gy Binding to 5-HT2B and 5-HT2C Rece tors:•Mitra nine.has weaker interactions with 5-HT2B and 5- HT2C serotonin receptors, binding with a Ki of approximately 1260 nM: While these interactions are less pronounced than its actions on other receptors, they may have'subtle modulatory effects on • mood and cognition:.Since 5-HT2B and 5-HT2C receptors are involved in the regulation of mood and appetite, the slight binding affinity could contribute to mitigating:symptoms like irritability or loss of appetite in individuals with chronic pain, although the impact is likely minor compared to its effects on other rece tors'L,10 p l Alpha-2 Adrenergic Receptor Agonist: Acting as an agonist at alpha-2 adrenergic receptors, mitragynine engages mechanisms similar to clonidine, a drug used to manage opioid withdrawal • symptoms:Alpha-2 agonism can reduce norepinephrine release, which calms the sympathetic • nervous system and provides a sense of relaxation and reduced arousal..This agonism is particularly, useful for managing symptoms of opioid withdrawal, including cravings, irritability, and heightened pain sensitivity. The activity at:alpha-2 receptors may also:contribute to the overall analgesic effect of. mitragynine by reducing sympathetic responses that can intensify pain perception in stressful situations [9,13]., • Dopamine D2.Receptor Affinity: Mitragynine's affinity for dopamine D2 receptors suggests potential antipsychotic effects, which may alleviate symptoms of psychosis in vulnerable individuals. By interacting with D2 receptors, mitragynine could theoretically reduce excessive dopamine activity, Which h:is linked to conditions such as schizophrenia and bipolar disorder:.For.chronic.pain patients, this dopaminergic modulation might help in managing pain perception-and emotional responses, as well as.in mitigating the negative psychological symptoms sometimes associated with chronic pain, such as anhedonia and low motivation 14 :receptor, whichAity: Unlike traditional opioids, mitragynine does not recruit p-arrestin 2 at the mu-opioid Arrestin Activity: p is significant because 6-arrestin 2 recruitment is linked to several adverse effects of opioids„including respiratory:depression,:constipation,and tolerance j ]. The absence of(3-arrestin 9 • . gg potentially safer side .. 2 recruitment in mitragynine's mechanism•su ests a effect profile, offering effective pain relief without the heightened risks associated with conventional opioids: This property is a crucial factor:in its unique pharmacological Safety,:making it a promising candidate for further research in pain management settings. 'Cannabinoid Receptor;Modulation: Mitragynine also interacts with cannabinoid receptors, particularly CB1 .and CB2, which play roles in;modulating pain and inflammation Research,;indicates that 'mitragynine's analgesic effects, particularly in neuropathic pain, may mediated through;these cannabinoid.pathways. For instance, in models of chemotherapy-induced peripheral neuropathy; the. analgesic effect of mitragynine was lessened when cannabinoid receptors were blocked,'suggesting that these receptors.are instrumental in its effect on neuropathic pain. This cannabinoid receptor interaction provides a unique avenue for pain relief, especially in complex pain conditions involving both central and peripheral mechanisms L]: TRPV1 Modulation: Recent studiesihave shown that mitragynine may modulate the Transient Receptor Potential,Vanillloid 1 receptor (1);a non-opioid pathway involved in sensing:noxious:stiimulli, such as heat and inflammation. By affectingTRPV1 -receptors, mitragynine can potentially reduce pain signaling in inflammatory and neuropathic pain conditions. TRPV1. modulation is particularly relevant for pain states where peripheral sensitization occurs, as blocking or modulating these receptors decreases the activation of pain pathways. This pathway represents an additional analgesic mechanism that can complement its opioid-like effects LE]. The absence of significant Delta-Opioid Receptor (DOR) activity in both mitragynine and corynoxeine indicates that their,analgesic and neuroprotective effects are mediated through other pathways:[12]. DORs.are involved in modulatin ain, mood, and neurop rotection, but:DOR agonists are associated 9p with the risk of convulsions and other adverse effects. 2.2.,:Pharmacokinetic5 Mitragynine, the principal indole alkaloid.in Mitragyna speciosa (kratom), exhibits distinctive pharmacokinetic properties that are crucial to its therapeutic applications: It is a lipophilic;weak base (pKa :-'8.1) with high plasma protein binding (85-95%) and undergoes extensive hepatic metabolism.: through both phase I (oxidation, demethylation). and phase II (glucuronidation; sulfation) pathways: The pharmacokinetics of mitragynine demonstrate dose-dependent variations, with key parameters. .. providing;insights into its behavior:After a single dose, the Cmax ranged from 17.1 ng/mL:(6.65 mg dose) to 125 ng/mL (53.2 mg dose),while at steady-state (Cmax,ss), it ranged from 21.4 ng/mL to' 143 ng/mL:-The Tmax remained consistent across both single and multiple doses, ranging from:.1:0 to 1.7 h:The elimination half-life (t1/2) increased significantly with dose, ranging from 8.5 h at the:lowest :dose<to 43:4.h at the highest dose for single dosing, and from 25.7 to.67.9 h at steady state. Systemic exposure, measured as.AUCO-°°; increased proportionally with dose; ranging from 52.8 h•ng/mL to ;908 h•ng/mL,after a single;dose,while steady-state:AUC (AUCO—T,ss).ranged from 85.1 h.ng/mL to '958.h•ng/mL.::Clearance (CL) decreased with,increasing doses, ranging from 278 L/h at lower doses to94.L/h at higher doses, indicating nonlinear pharmacokinetics. The volume of distribution (Vd) also :increased with dose,from1.349 L to'3788 L for single doses and from 2980. L to 6020 L at;steady State,:reftecting extensive tissue:distributio DIE.:These findings highlight the importance;of.dose,.;_ adjustments.to account for significant Chan es in clearance and half-life at higher doses. io A significant factor influencing the pharmacokinetics of mitragynine is the variability between administering pure mitragynine versus raw kratom products. Raw kratom contains a complex mixture of alkaloids and bioactive compounds that can alter absorption, metabolism, and clearance, resulting in greater variability in pharmacokinetic parameters. For instance, other alkaloids in raw kratom may competitively inhibit or enhance mitragynine metabolism, affecting Cmax, Tmax, and t1/2. ;Furthermore, no standardization of kratom formulations or dosing exists, making it challenging to establish predictable therapeutic outcomes or mitigate potential adverse effects. The pharmacokinetics of corynoxeine exhibit notable differences between normal physiological conditions and CUMS-induced depression models, which are essential to consider for therapeutic applications. In normal rats,the maximum plasma concentration (Cmax) of corynoxeine'was 407.48 ± 10.87 ng/mL, with a time to reach Cmax (Tmax) of 1.67 ± 0.24 h. In contrast, CUMS-induced depression rats demonstrated a lower Cmax of 306.83 ±.18.72 ng/mL and a delayed Tmax of 2.33 ± 0.47 h, indicating reduced absorption under pathological conditions. The elimination half-life(t1'/2) was slightly longer in CUMS-induced depression rats (2.68 ± 0.30 h) compared to normal rats (2.40 ± 0.12 h), while the clearance rate (CL) was faster in the depression model (18.06 ± 1.36 L/h/kg versus 14.48 ± 0.61 L/h/kg in normal 'rats), suggesting a reduced systemic exposure to the compound [14]. Additionally, the volume of distribution (Vd) was significantly higher in CUMS-induced depression rats' (69.15 ± 3.25 L/kg) compared to normal rats (50.09.± 2.11 L/kg), implying greater tissue penetration inthe pathological state:The area under the concentration—time curve (AUC), representing overall drug exposure, was reduced in'CUMS-induced rats;with.AUCO-t values of 1202.97 ± 39.79 ng-h/mL versus 1495.62 ± 55.23 ng.h/mL in normal rats and AUCO-°° values of 1614.48 ± 119.62 ng.h/mL versus.1914.65 ± 95.66 ng•h/mL, respectively (14]. These findings highlight a significant impact of depression on corynoxeine's pharmacokinetics, including reduced absorption, faster clearance, and greater distribution into tissues. The altered pharmacokinetic parameters in the depression model underscore the influence of pathological conditions on the behavior of corynoxeine within the body.These differences emphasize' the need for tailored dosing regimens in clinical applications to ensure therapeutic efficacy and safety in patients with underlying 'conditions. Understanding these variations provides a foundation for optimizing the use of these compounds in different physiological and pathological contexts. Furthermore; these disparities underscore the necessity of further research to optimize standardization, characterize dose-response relationships, and establish regulatory frameworks for the safe and effective clinical use of mitragynine and kratom products. 3. Discussion 3.1. Summary of Findings Mitragynine and corynoxeine exhibit significant potential in effectively managing and treating various types of pain through their multifaceted mechanisms,of action. When addressing pain management, there is a large basis of pharmacotherapy because of the vastly diverse pathophysiology. While these compounds hold significant potential in neuropathic pain (chemotherapy-induced peripheral; neuropathy (CIPN), diabetic neuropathy, postherpetic neuralgia), inflammatory pain, nociceptive pain (post-surgical, musculoskeletal), visceral pain (IBS, endometriosis), and central pain syndromes (MS, spinal cord injury), cancer pain'is the most notable for effective'management. : 11 Cancer pain Presents'a unique challenge in pain :management due to its complex and multifaceted nature, often involving a combinational nociceptive, neuropathic,.and inflammatory-components'. : : s: Traditional opioids like morphine have long been the mainstay for cancer:pain management; however, their use is associated with significant drawbacks, including the risk of.tolerance, ;dependence,:respiratory depression, and constipation. Furthermore, recent:studies.have suggested, that morphine,and other opioids may promote tumor growth and metastasis by:enhancing angiogenesis:and suppressing immune function:[1_9;20]:This potentially:adverse:effect on:cancer: 'progression highlights the need for alternative analgesics that do not compromise:,cancer treatment, ;outcomes. :: Mitragynine and corynoxeine offer promising:alternatives to traditional opioids for cancer.pain ;management.Mitragynine, a partial agonist at mu-opioid receptors,:proviides effective analgesia while reducing the risk of severe side effects associated with full opioid:agonists [16]: Its,lack of beta arrestin.2::recruitment minimizes the risks of respiratory:depression, constipation, and tolerance :development. Additionally, :mitragynine's partial agonist:activity at;5-HT1A receptors and antagonist, activity,at 5-HT2A receptors may::offer mood-enhancing and anxiolytic benefits,:which are crucial for. the overall well-being of cancer:patients[,21], Corynoxeine, with its:potent anti-inflammatory and;neuroprotective:properties, can further enhance:.. pain f relie in cancer patients::Its ability to reduce"inflammation and protect neurons from:damage is particularly beneficial in managing pain caused by tumor growth and metastasis [,22].;Corynoxeine's vasorelexant effects, mediated.through calcium channel blocking:and adrenergic receptor 'antagonism, can help alleviate pain associated;with tumor-induced vascular tension and improve blood flow to affected.tissues[,22]. Moreover; neither mitragynine nor corynoxeine has:been showh to promote tumor growth, making them saferoptions for cancer patients compared to:traditional opioids [23,24]: By offering effective analgesia without:the risk of enhancing tumor progression,:these compounds represent a:significant. advancement in the management of cancer pain Th:e combined pharmacological actions of mitragynine and corynoxeine;: including their;opioid receptor:modulation,.anti-inflammatory:effects and_neuroprotective properties, position .them:as superior alternatives"to traditional:opioids like morphine for cancer pain management. Their potential to provide comprehensive pain;relief while. minimizing adverse effects and supporting overall patient health underscores'their importance in the ;evolving .landscape of cancer pain therapeutics:. 13-Arrestin Activity :G-protein-coupled receptors such as the opioid receptors are transmembrane receptors that are. capable of recruiting proteins.[i'arrestins to initiate separate cellular,signal transduction pathways [12]::One of the most promising aspects of the..major alkaloids found in Mitragyna speciosa is their ; lack'of.beta-arrestin 2:recruitment. Traditional opioids like'morphine and fentanyl not only activate protein::signaling:pathways to provide pain relief but also recruitibeta-arrestin 2' This recruitment is , associated with many adverse effects, ::such as respiratory depression, constipation, and:the development of tolerance and dependence..Beta-arrestin:2 mediates:these effects by desensitizing the receptors, internalizing there,and initiating altern, 12 j E I e { 1 � Ep t Address not found • i Your message wasn't delivered to supplementaLcomm@surfcity-hb.orh because the domain surfcity-hb.orh couldn't be found. Check for typos or unnecessary spaces and try again. ' S LEARN._MORE The response was: DNS Error: DNS type 'mx' lookup of surfcity-hb. orh responded with code NXDOMAIN Domain name not found: surfcity-hb. orh For more information, go to https://support.google.com/mail/?p=BadRcptDomain Forwarded message " . 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