Substance guides

What is kratom? Benefits, risks, and addiction potential

Published October 10, 2024 · 8 min read · Updated April 2026

Reviewed for accuracy by licensed clinical professionals.

Kratom (Mitragyna speciosa) is a tropical tree whose leaves interact with opioid receptors, producing stimulant effects at low doses and sedative, opioid-like effects at higher doses. Sold legally in most US states as a supplement.

How people use it

Consumed as powder, capsules, or tea. Low doses (1-5g): increased energy and alertness. Higher doses (5-15g): pain relief, sedation, and euphoria.

Opioid withdrawal use

Many people self-manage opioid withdrawal with kratom. While it can reduce discomfort, kratom itself produces dependence with regular use and withdrawal symptoms similar to mild opioid withdrawal.

Risks

Unregulated potency and purity. Contamination with heavy metals and bacteria documented. Deaths reported, mostly involving other substances. The FDA warns against kratom use.

Addiction potential

Regular daily use produces physical dependence, tolerance, and withdrawal. People seeking treatment report symptoms similar to moderate opioid use disorder.

Authoritative sources

This article references guidelines from: NIDA · SAMHSA · CDC

Frequently asked questions

Is kratom addictive?

Yes. Regular daily use produces physical dependence, tolerance, and withdrawal symptoms.

Is kratom legal?

Legal federally but banned in several states including Alabama, Arkansas, Indiana, Rhode Island, Vermont, and Wisconsin.

Can kratom help with opioid withdrawal?

Some use it for this purpose, but it is not FDA-approved, is itself addictive, and products are unregulated.

Disclaimer: Informational only. Not medical advice. SAMHSA: 1-800-662-4357.