Kratom, Mitragyna
speciosa Korth.,
is being widely consumed in the United States for pain management
and the reduction of opioid withdrawal symptoms. The central nervous
system (CNS) active alkaloids of kratom, including mitragynine, 7-hydroxymitragynine,
and numerous additional compounds, are believed to derive their effects
through opioid receptor activity. There is no literature describing
the systemic exposure of many of these alkaloids after the consumption
of kratom. Therefore, we have developed and validated a bioanalytical
method for the simultaneous quantitation of 11 kratom alkaloids (mitragynine,
7-hydroxymitragynine, corynantheidine, speciogynine, speciociliatine,
paynantheine, corynoxine, corynoxine-B, mitraphylline, ajmalicine,
and isospeciofoline) in rat plasma. The validated method was used
to analyze oral pharmacokinetic study samples of lyophilized kratom
tea (LKT) and a marketed product, OPMS liquid shot, in rats. Among
the 11 alkaloids, only mitragynine, 7-hydroxymitragynine, speciociliatine,
and corynantheidine showed systemic exposure 8 h postdose, and the
dose-normalized systemic exposure of these four alkaloids was higher
(1.6–2.4-fold) following the administration of the commercial
OPMS liquid. Paynantheine and speciogynine levels were quantifiable
up to 1 h postdose, whereas none of the other alkaloids were detected.
In summary, the method was successfully applied to quantify the exposure
of individual kratom alkaloids after an oral dose of traditional or
commercial products. This information will contribute to understanding
the role of each alkaloid in the overall pharmacology of kratom and
elucidating the pharmacokinetic differences between traditional and
commercial kratom products.