Why Kratom Addiction is Often Overlooked
Although kratom addiction is less commonly discussed than other types of substance use disorders, it can be just as difficult to manage and equally harmful. Unfortunately, many online kratom sellers promote unfounded and even prohibited health claims about kratom, portraying it as a harmless herbal remedy. In reality, kratom can be highlu addictive and lead to significant health issues.
What Is Kratom?
Kratom is derived from Mitragyna speciosa, a tree native to Southeast Asia. The leaves of this tree have been used for centuries by local communities as a stimulant, sedative, and for social purposes. Traditional uses include chewing raw leaves or boiling them to make tea. Due to its long history, kratom has gained popularity in regions like Southern Thailand, although its legal status remains unclear.
In recent years, kratom has gained traction in Western countries as a herbal supplement. It is now widely available online and at local stores in various forms, such as capsules, powder, and liquid extracts.
Some specialized kratom vendors create different “strains” or blends of kratom, each supposedly offering unique effects. Kratom products are often categorized by the color of the veins in the leaves: red, green, or white. However, there is no scientific evidence to support claims that these different strains or vein colors have distinct effects.
Unfortunately, many vendors continue to make misleading and potentially dangerous claims about kratom’s benefits. The FDA has issued warning letters to sellers who assert that kratom can treat opioid withdrawal, anxiety, and even cancer.
Kratom is considered hazardous enough to be banned in certain regions. In Singapore, for example, it is classified as a controlled drug due to its active compounds, mitragynine and 7-hydroxymitragynine.
In the United States, kratom is regulated in specific states because of its potential to cause harm. States that have listed kratom’s psychoactive components as controlled substances include:
- Alabama
- Arkansas
- Indiana
- Rhode Island
- Vermont
- Wisconsin
- District of Columbia
These regulations highlight the risks associated with kratom use and aim to reduce the likelihood of addiction and adverse effects. Yet, many states and countries still have no formal regulations on kratom, leaving users vulnerable to its risks.
Is Kratom Addictive?
While many users believe kratom provides benefits to their mental and physical health, its risks far outweigh any perceived advantages.
A recent study found that 2% of participants met the DSM-5 criteria for a past-year moderate or severe kratom-related substance use disorder. This confirms that kratom addiction is not only possible but already a documented outcome.
One reason kratom may lead to addiction is its alkaloid content. The primary alkaloids, mitragynine and 7-hydroxymitragynine, interact with the same brain receptors as opioids. This may explain why many users turn to kratom to alleviate opioid withdrawal symptoms. However, substituting one addictive substance for another is never a healthy solution to addiction or withdrawal.
Chronic kratom use can result in tolerance, dependence, and addiction. There have already been reports of severe cases of kratom addiction.
Despite its regulation and the potential dangers, many individuals still regard kratom as a natural remedy for pain relief and anxiety. In 2021 alone, about 1.7 million Americans aged 12 and older reported using kratom.
Even more alarming is the growing prevalence of kratom use among people struggling with opioid use disorder. While approximately 0.7% of the general population uses kratom, studies show that 10.3% of individuals with opioid use disorder have used kratom.
Signs of Kratom Addiction
Individuals with kratom use disorder may exhibit signs of addiction, such as:
- Increased need for kratom to achieve desired effects
- Withdrawal symptoms, such as cravings, irritability, and mood swings when kratom is unavailable
- Neglecting personal responsibilities or relationships due to kratom use
- Continuing to use kratom despite negative consequences
- Feeling reliant on kratom for physical or emotional reasons
- Spending more on kratom than they can afford
- Being unable to stop using kratom despite attempts to quit
If you or someone you care about is struggling with kratom use, seeking professional help is essential. Like all substance use disorders, kratom addiction can spiral out of control and have life-threatening consequences.
Long-Term Effects Of Heavy Kratom Use
Even small doses of kratom, particularly “White vein” strains, are often claimed to have energy-boosting effects similar to stimulants. At higher doses or with “Red vein” strains, users report feeling sedative and calming effects. These effects may stem from varying concentrations of mitragynine in different kratom products.
Health Risks of Excessive Kratom Use
- Cardiac arrest
- Heart palpitations
- Increased blood pressure
- Tachycardia (rapid heartbeat)
- Constipation
- Diarrhea
- Nausea
- Vomiting
- Seizures
- Disorientation
- Headaches
Withdrawal symptoms of Kratom
- Anger
- Anxiety
- Nervousness
- Restlessness
- Depression
- Stomach issues
- Fatigue or low energy
- Cravings
Withdrawal symptoms can begin within one to two days after the last use of kratom. In some cases, the intensity of withdrawal can lead users to relapse, further prolonging their addiction.
Addiction Treatment Options For Kratom Use
Kratom use is particularly common among those with opioid use disorder. However, even individuals without prior substance abuse issues can become addicted to kratom. Like all addiction treatments, addressing kratom addiction can be challenging, as its causes and effective treatments are still being explored.
Currently, no medications are specifically approved by the FDA for treating kratom addiction. However, various treatment options can help users taper off kratom safely, manage underlying mental health issues, and maintain long-term sobriety.
Detoxification
Detoxification, or detox, is crucial for safely discontinuing kratom use. Withdrawal symptoms can emerge within 12-24 hours of the last dose, and those who use kratom regularly may develop a tolerance, requiring higher doses to achieve the same effects.
Because kratom withdrawal can cause physical discomfort, such as body aches and insomnia, it’s essential to detox under medical supervision. During detox, medications can be prescribed to ease withdrawal symptoms, and users can be monitored for complications.
Certain medications, such as buprenorphine, which is typically used for opioid withdrawal, can help reduce symptoms and cravings. A combination of buprenorphine-naloxone is another potential treatment, but these medications should only be administered by healthcare professionals.
Inpatient Treatment
Inpatient rehab can be an effective option for those battling kratom addiction. These programs offer 24/7 care and support as individuals detoxify and address underlying issues contributing to their kratom use.
Rehab is especially beneficial for individuals using kratom to manage opioid use disorder. Treating both conditions simultaneously, along with any co-occurring mental health disorders, can be complex, making inpatient care vital.
During inpatient treatment, patients engage in various therapeutic modalities, such as Cognitive-behavioral therapy (CBT), Dialectical behavior therapy (DBT), and Mindfulness-based therapies.
These treatments help individuals develop healthy coping strategies, manage cravings, and address underlying mental health concerns. By being in a supportive environment, individuals have a better chance of overcoming their kratom addiction and maintaining long-term sobriety.
Health Risks of Excessive Kratom Use
Completing inpatient treatment marks just the beginning of the recovery process. Aftercare and support services are critical to prevent relapse and maintain sobriety. These services may include:
- Sober living homes
- Outpatient treatment programs
- Support groups (e.g., 12-step programs)
- Ongoing individual therapy
Withdrawal symptoms of Kratom
Chronic pain is often a significant barrier to long-term sobriety for those with kratom and opioid use disorders. Many people turn to kratom or opioids to alleviate their pain, which can complicate their recovery.
For those in need of aftercare services, seeking a chronic pain clinic specializing in alternative pain management is essential.
If you or someone you know is struggling with kratom addiction, seeking professional help can significantly improve the chances of recovery. With the proper treatment, long-term sobriety is achievable, and individuals can break free from the grip of kratom addiction.
Take the First Step Toward Recovery
Recovery from kratom addiction is possible, and it starts with the proper support. We are here to help you every step of the way. Contact us today to learn more about our kratom addiction treatment programs and begin your journey to a healthier, sober life.
Your recovery begins here.