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Sceletium tortuosum (Kanna) has been  used by South African pastoralists and hunter-gatherers as a mood-altering substance since  prehistoric times. The earliest written records of the use of the Kanna plant date back to 1662. Sceletium was an item of barter in the time of Jan van Riebeck, and there is documentation of trade from the Castle in Cape Town, South Africa. The traditionally prepared dried sceletium was often chewed as a quid after fermenting it, but it has also been made into teas and tinctures. Less commonly, it has been reported that Sceletium tortuosum used to be inhaled as a snuff, or smoked with the addition of other herbs.

Kanna elevates mood and decreases anxiety, stress and tension, and it has also been used as an appetite suppressant by shepherds walking long distances in arid areas. In intoxicating doses it can cause euphoria, initially with stimulation and later with sedation. Long-term use in the local context followed by abstinence has not been reported to result in a withdrawal state. The plant is not hallucinogenic, and no severe adverse effects have ever been documented.

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