PMC9614595_01
A homemade iced cocktail called "4 x 100" that consists of Coca-Cola, tea made from boiled kratom leaves, diphenhydramine-containing cough syrup and ice cubes (A) Fresh kratom leaves 25 to 40 leaves and cough syrup as main ingredients for cocktail (B) Preparing boiled water with cough syrup (C) Brewing kratom tea with room-temperature water (D) Cooling down the pot once all ingredients for 4 x 100 have been cooked together.
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PMC9614595_01_10.1177_11795476221132824-fig1.jpg
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Kratom was purchased from his friend and used as a homemade iced cocktail called "4 x 100" that consists of Coca-Cola, tea made from boiled kratom leaves, diphenhydramine-containing cough syrup, and ice cubes as shown in Figure 1.
Clinical course of liver function tests from initial presentation to 2 months after symptoms: (A) Aminotransferase and alkaline phosphatase levels and (B) Total bilirubin and direct bilirubin levels.
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PMC9614595_01_10.1177_11795476221132824-fig2.jpg
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During hospitalization of 1 week with supportive treatments by giving intravenous fluid and stopping all medications, there was a persistent decrease in transaminase levels and cholestasis as shown in Figure 2.