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Kratom Abuse, Dependence, and Treatment

Kratom use has grown rapidly in the United States over the past decade, and with that growth has come a clear rise in kratom abuse, dependence, and withdrawal concerns.(Source) While some people use kratom for pain, mood, or energy, others find themselves unable to cut back despite negative consequences. If you or someone you love is struggling with kratom, compassionate, evidence-based help is available.

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What Is Kratom?

Kratom is the common name for Mitragyna speciosa, a tropical evergreen tree in the coffee family that is native to Southeast Asia.(Source) It grows naturally in countries such as Indonesia, Malaysia, Thailand, Myanmar, Vietnam, and Papua New Guinea, where hot, humid, rainforest-like conditions support its growth.(Source)

Kratom trees can grow more than 80 feet tall and have large, dark green leaves with prominent veins that may appear white, green, or red depending on the plant’s chemistry and stage of growth.(Source) These veins contain dozens of alkaloids, the most studied of which are mitragynine and 7-hydroxymitragynine. When ingested, these compounds interact with receptors in the brain and body and can produce stimulant, mood-altering, and opioid-like effects.(Source)

In traditional Southeast Asian settings, kratom leaves have been chewed fresh or brewed as a tea for centuries, often by laborers seeking increased stamina or relief from aches and fatigue.(Source) Today, most kratom sold in the United States is processed into powders, capsules, concentrated extracts, and pressed tablets. These products are typically taken by mouth and are widely available online, in smoke shops, and in some convenience stores.(Source)

Frequently Asked Questions

Kratom is often marketed as a natural alternative to opioids, but “natural” does not mean safe. Kratom’s main alkaloids act on some of the same opioid receptors as prescription pain medications and can lead to dependence, withdrawal, and addiction.(Source) Unlike prescription drugs, kratom products are not FDA-approved, are not standardized for dose or purity, and may be contaminated or adulterated.(Source) For these reasons, kratom is not considered a safe substitute for medically supervised pain treatment.

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