Kratom (Mitragyna speciosa) is an evergreen tree in the coffee family that grows mainly in Southeast Asia, including Thailand, Malaysia, and Indonesia.(Source) For generations, people in these regions have used kratom leaves in traditional and herbal medicine, often to increase stamina for work, relieve pain, or manage fatigue.(Source)

In the United States, kratom is typically sold as a powder, capsule, extract, or tea and is often marketed as a “dietary supplement,” “herbal remedy,” or even “incense” in smoke shops and online stores.(Source) Because it is not approved as a medication, kratom products can vary widely in strength and purity.

The U.S. Drug Enforcement Administration (DEA) lists kratom as a “drug of concern” due to its potential for abuse, addiction, and serious health effects.(Source) As of 2026, kratom is not scheduled as a federal controlled substance, but several states and municipalities have restricted or banned its sale and use.(Source) Regulations continue to evolve, and anyone considering kratom should be aware of local laws.

The U.S. Food and Drug Administration (FDA) has not approved kratom for any medical use and has repeatedly warned consumers about its risks, including contamination, addiction, and serious side effects.(Source) The agency has detained and refused multiple kratom shipments into the U.S. because of safety concerns.(Source)

Despite these warnings, kratom use has grown in the U.S., especially among people seeking a “legal high,” self-treatment for pain, anxiety, or depression, or an alternative to opioids.(Source)