Spring Hill resident Stepheny Cashion spoons greenish brownpowdered kratom into a white, plastic capsule maker. She uses the Southeast Asia plant to treat her chronic pain.
Daylina Miller/WUSF Public Media

At her home in Spring Hill, Stepheny Cashion sits at her kitchen table with a bag of greenish-brown powder and a white, plastic box.

She pours out some empty, clear pills and pops them into the capsule maker. Then she scrapes the powdered kratom with a business card into the capsules.

The Federal Drug Administration (FDA) issued a public health advisory this week regarding the use of Kratom - an herb that some people use to treat pain, stress, anxiety, and even opioid withdrawal.