Hi vikkitennis Yes... Here is the Mayo website regarding Kratom: https://www.mayoclinic.org/diseases-conditions/prescription-drug-abuse/in-depth/kratom/art-20402171

The potential for dental issues with Suboxone are well-known. As the printed hand-out from the pharmacist-- always attached to the medication--explains. Mainly, it is important to wait an hour (or more) between taking the medication and brushing teeth. The medication is quite acidic. And, to take it, it needs to dissolve in the mouth.

Suboxone's reputation for creating dental problems comes from the fact that historically (and primarily) it has been prescribed for addiction problems. In that population, as darkflowa23 described, it is a huge, ugly deal--due to the fact that large doses are needed to treat addiction. ...The doses prescribed for RLS are much, much smaller.

I discussed dental risks with both my sleep neurologist and my dentist when it was first prescribed for me. Neither of these smart, caring professionals was, in any way, concerned about me taking Suboxone, because the dose prescribed for RLS is so small. Still, I make sure I wait between taking the medication and brushing my teeth. I see my dentist regularly.

I doubt a prisoner in a maximum security prison practices the same level of oral hygiene that I do. Additionally, I understand the Suboxone dose for addiction is at least 6 times to 12 times the amounts prescribed for RLS. And, these prisoners, most probably, had horrible oral hygiene during addiction, before they ever started taking Suboxone.

Certainly, Suboxone is responsible--to a large extent-- for the dental woes of that population. But, the population of prisoners in maximum security taking Suboxone for addiction problems does not share characteristics with those of us taking Suboxone for RLS. Condemning Suboxone for RLS--based on the dental nightmare exhibited by that (previously addicted) prison population (taking large doses of Suboxone)--- isn't really looking at root-causes or making logical comparisons.

I have taken Suboxone for over two years without any dental problems--none observed by my dentist and none noticed by me. I would be naive not to recognize there hasn't been long, long-term observations of dental effects of tiny dose Suboxone--no 25 years of observations--because it hasn't been available that long to people with RLS. And, I am aware there are potential risks with any medication.

Nonetheless, I am completely and totally satisfied that this drug was carefully considered by my doctor (a brilliant man) before he started subscribing it. There is not one nuance of RLS medications he has not studied. I know he commonly prescribes it and I believe if there were ANY dental problems in ANY of his patients, he wouldn't.

I credit Suboxone with the fact I have had only one episode of RLS in the last 19 days (and counting--I am on a roll!) After living in sleepless hell, for years, I am so grateful.

Of course, I would prefer to take no medications. But, the choice of not-sleeping and sleeping? I pick having my RLS under control and finally being able to sleep.

And, the choice between an FDA approved medication and an unregulated and untested supplement (that Mayo warns against)? Our medical system is imperfect, but it has more smart people involved and more safe guards for patients. For me, it will always be my choice.

And, a Mayo clinical warning? I have great respect for what Mayo shares online. If I have a medical/health question I'm googling, I give credence to what I read on a Mayo Clinic website.

I don't doubt the experience darkflowa23 describes she has had. But, I disagree with a criticism of Suboxone based on comparison to a population and a dosage that has very different characteristics than that of typical sufferer of RLS.

I believe in science based medical care. That is what I sought out when RLS was beating me and that is what turned my life around.

My houses catches on fire, I'm grabbing my Suboxone first, before I run out...

The best to all of you!