Is Kratom Addictive?

Understanding Kratom Dependence, Withdrawal, and How Treatment Can Help

Kratom has become increasingly popular in recent years, with many people turning to it for pain relief, increased energy, improved mood, or even as a way to reduce opioid withdrawal symptoms.

Because it’s sold in smoke shops, specialty stores, and online, and often marketed as a natural herbal supplement, many assume it’s a safe alternative to prescription medications. For some individuals, however, regular kratom use can gradually lead to tolerance, dependence, and addiction. What may begin as an occasional supplement can eventually become something that’s difficult to stop without support.(1,4)

At Renew Health & Wellness, we provide compassionate, evidence-based addiction treatment for individuals struggling with kratom dependence and other substance use disorders. Our goal isn’t judgment, it’s helping patients safely regain control of their health.

What Is Kratom?

Kratom (Mitragyna speciosa) is a tropical tree native to Southeast Asia. Its leaves contain naturally occurring compounds that interact with opioid receptors in the brain.(1,4) At lower doses, kratom may produce stimulant-like effects, such as increased alertness, energy, and focus. At higher doses, it can produce effects more similar to opioids, including pain relief, relaxation, and sedation.(1,4)

While some people use kratom recreationally, many begin taking it in an attempt to manage chronic pain, anxiety, depression, fatigue, or opioid withdrawal. Unfortunately, repeated use can increase the risk of developing dependence.(1,4)

Why “Natural” Doesn’t Always Mean Safe

One of the biggest misconceptions about kratom is that because it comes from a plant, it must be harmless. Many naturally occurring substances have powerful effects on the body. Kratom’s active compounds interact with the same opioid receptors involved in pain relief and reward pathways, which is one reason it has the potential to become habit-forming.(1,4)

Another challenge is the lack of product standardization. Unlike FDA-approved medications, kratom supplements are not manufactured under consistent quality standards. The amount of active ingredients can vary significantly between brands, or even between batches of the same product.(2) Some products have also been found to contain contaminants or undeclared substances, making it difficult for consumers to know exactly what they’re taking.(1,4)

Why Are More Health Experts Concerned About Kratom?

As kratom use has increased across the United States, healthcare providers and public health agencies have reported growing concerns about its safety.(1,4) Emergency department visits, poison center calls, and reports of kratom-related health complications have increased over the past decade. Researchers continue to study the long-term effects of regular kratom use, but evidence suggests it can lead to physical dependence and addiction in some individuals.(1,2,4)

Health officials have also expressed concern about highly concentrated kratom extracts, adulterated products, and products containing contaminants or undeclared substances. These products may be significantly stronger than traditional kratom leaf and can increase the risk of serious side effects and addiction.(2,3)

Because of these concerns, several states and local governments have restricted or prohibited kratom sales, while others have implemented regulations related to testing, labeling, or age restrictions. Laws continue to evolve as more research becomes available.(3)

Why Do People Start Taking Kratom?

Many people who develop a dependence on kratom didn’t start using it recreationally. Some begin taking kratom to:

  • Manage chronic pain
  • Reduce anxiety
  • Improve mood
  • Increase energy
  • Help with opioid withdrawal
  • Manage chronic health conditions
  • Improve focus or productivity

For many, the decision starts with a genuine desire to feel better. Unfortunately, what initially seems helpful can gradually become something that’s difficult to stop.

Can You Become Addicted to Kratom?

Yes. Although research is still evolving, medical experts recognize that kratom has the potential to cause dependence, particularly with regular or long-term use.(1,4) Dependence often develops gradually, and a person may initially take kratom occasionally and experience the desired effects. Over time, however, the body adapts. Larger or more frequent doses may be needed to achieve the same results, a process known as tolerance.(1,4)

Eventually, some individuals find they’re no longer taking kratom to feel better; they’re taking it simply to avoid withdrawal symptoms.(1,4) Signs that kratom may be becoming a problem include:

  • Needing increasingly larger doses
  • Feeling unable to stop using it
  • Experiencing cravings
  • Continuing to use despite negative consequences
  • Spending significant time obtaining or using kratom
  • Experiencing withdrawal symptoms when trying to quit

Developing a dependence isn’t a sign of weakness. Like many addictive substances, kratom can gradually change the way the brain responds over time.(1,4)

What Are the Risks of Long-Term Kratom Use?

While researchers continue studying kratom’s long-term effects, regular or heavy use has been associated with a variety of physical and mental health concerns.(1,2,4) Some individuals report experiencing:

  • Physical dependence
  • Withdrawal symptoms
  • Anxiety or mood changes
  • Sleep disturbances
  • Difficulty concentrating
  • Constipation
  • Loss of appetite
  • Nausea
  • Increased tolerance
  • Liver injury, seizures, death

For many people, the greatest impact isn’t just the physical symptoms. Kratom use can begin affecting work performance, relationships, finances, and overall quality of life long before someone recognizes it as an addiction.

What Does Kratom Withdrawal Feel Like?

Withdrawal experiences vary from person to person, but commonly reported symptoms include:(1,4)

  • Anxiety or irritability
  • Restlessness
  • Insomnia
  • Muscle aches
  • Nausea
  • Sweating
  • Runny nose
  • Fatigue
  • Depression
  • Strong cravings

For some people, these symptoms make quitting without medical support extremely difficult.(1,4)

Why Quitting Alone Can Be Difficult

Many people try to stop using kratom several times before seeking help. Withdrawal symptoms can make it tempting to begin using again simply to feel normal. This cycle can become frustrating and discouraging, leading many individuals to believe they lack willpower when, in reality, they’re experiencing physical dependence.

Successful recovery often involves more than simply stopping the substance. It also means understanding why someone started using kratom in the first place. For some individuals, that may be chronic pain. For others, it may be anxiety, depression, trauma, stress, or previous opioid use. Addressing these underlying concerns is an important part of long-term recovery.

How Renew Health & Wellness Can Help

At Renew Health & Wellness, we understand that every patient’s story is different. Our providers offer compassionate, personalized care for individuals struggling with substance use disorders, including kratom dependence.

Treatment begins with a comprehensive evaluation to better understand your medical history, symptoms, and recovery goals. Depending on your individual needs, your treatment plan may include:

  • Comprehensive psychiatric evaluation
  • Medication management when appropriate
  • Treatment for co-occurring anxiety, depression, or other mental health conditions
  • Personalized recovery planning
  • Ongoing follow-up and support
  • Referrals to additional treatment resources when needed

We understand that asking for help isn’t always easy. Our goal is to provide confidential, evidence-based care in a supportive and judgment-free environment. Learn more about our Addiction Treatment services.

When Should You Seek Help?

Many people wonder whether their kratom use is “serious enough” to seek treatment. The better question is whether it’s affecting your health, relationships, work, or quality of life. It may be time to speak with a healthcare provider if:

  • You’ve tried to quit but can’t.
  • You experience withdrawal symptoms when you stop.
  • You’re taking increasingly larger doses.
  • You’re using kratom every day.
  • You’re hiding your use from family or friends.
  • You’re using kratom to cope with anxiety, depression, or emotional stress.
  • Your kratom use is interfering with work, relationships, or daily responsibilities.

Seeking help early can often make recovery easier and reduce the risk of more serious health complications.

You Don’t Have to Navigate Recovery Alone

If you’re concerned about your kratom use or finding it difficult to stop, help is available. At Renew Health & Wellness, we provide personalized addiction treatment and medication management for patients throughout Apollo Beach, Riverview, Ruskin, Sun City Center, Wimauma, Parrish, Lakewood Ranch, Bradenton, Sarasota, Temple Terrace, and across Florida through convenient telehealth appointments.

Whether you’re beginning to question your relationship with kratom or you’ve been trying to quit for months, you don’t have to face it alone.

Schedule a consultation to learn more about your treatment options and take the first step toward recovery.

References:

  1. National Institute on Drug Abuse. Kratom. https://nida.nih.gov/research-topics/kratom
  2. U.S. Food & Drug Administration. FDA and Kratom. https://www.fda.gov/news-events/public-health-focus/fda-and-kratom
  3. U.S. Food & Drug Administration. FDA Issues Warning Letters to Firms Marketing Products Containing 7-Hydroxymitragynine (7-OH). https://www.fda.gov/news-events/press-announcements/fda-issues-warning-letters-firms-marketing-products-containing-7-hydroxymitragynine
  4. Eastlack SC, Cornett EM, Kaye AD. Kratom—Pharmacology, Clinical Implications, and Outlook: A Comprehensive Review. Pain and Therapy. 2020. https://pmc.ncbi.nlm.nih.gov/articles/PMC7203303/

Medical Note: This article is intended for educational purposes and is based on current information from the National Institute on Drug Abuse (NIDA), the U.S. Food and Drug Administration (FDA), and peer-reviewed medical literature on kratom use, dependence, and substance use disorders. Kratom affects each person differently, and the risks associated with its use can vary based on individual health factors, dosage, frequency of use, and other substances being taken. If you’re concerned about your kratom use or are experiencing withdrawal symptoms, schedule an evaluation with a provider at Renew Health & Wellness to discuss your symptoms, treatment options, and personalized recovery plan.

Reviewed by:
Abigail Butterfield, MSN, APRN, PMHNP-BC, AGNP-C
Board-Certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC)
Board-Certified Adult-Gerontology Nurse Practitioner (AGNP-C)
Renew Health & Wellness

Frequently Asked Questions

Can medication help with kratom withdrawal?

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Treatment varies depending on the individual. During your evaluation, your provider will determine whether medication or other supportive therapies may be appropriate as part of your treatment plan.

Is kratom withdrawal dangerous?

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Withdrawal is often uncomfortable and, for some individuals, can be difficult to manage without medical support. A healthcare provider can help determine the safest approach based on your individual needs.(1,4)

Is kratom addictive?

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Yes. Regular or long-term use can lead to physical dependence and addiction in some individuals. Like other substances that affect opioid receptors, kratom has the potential to produce tolerance, withdrawal symptoms, and cravings.(1,4)