What is the herb kratom that is drawing addiction concerns? This simple yet urgent question has caught the attention of healthcare professionals, lawmakers, and curious consumers around the world.
Kratom, an herbal supplement made from the leaves of a Southeast Asian tree, has become increasingly popular in the United States and other Western countries over the last decade. Marketed as a natural remedy for pain, anxiety, and opioid withdrawal, kratom is now under scrutiny for its potential to cause addiction and serious health risks.
In this article, we explore what the herb kratom is, how it’s used, why it’s controversial, and what you should know before considering it.
What Is the Herb Kratom?
The herb kratom comes from the Mitragyna speciosa tree, which grows naturally in countries like Thailand, Indonesia, Malaysia, and Papua New Guinea. For centuries, local populations have chewed the leaves or brewed them into tea to fight fatigue, relieve pain, and boost mood.
Kratom contains two main active ingredients:
- Mitragynine
- 7-hydroxymitragynine
These compounds act on the brain’s opioid receptors, though kratom is not classified as an opioid. The effects can vary depending on the dose:
- Low doses: Stimulating effects (increased energy, alertness)
- High doses: Sedative and pain-relieving effects (similar to opioids)
This dual nature has made kratom both intriguing and concerning.
How Do People Use Kratom Today?
In the U.S. and other countries, kratom is commonly sold as:
- Capsules or tablets
- Powder (mixed with drinks)
- Extracts or tinctures
- Dried leaves for brewing tea
Many users take kratom for:
- Chronic pain relief
- Mood enhancement
- Energy and focus
- Reducing opioid withdrawal symptoms
- Anxiety and depression relief
Some see kratom as a “natural” alternative to prescription medications, especially opioids. But natural doesn’t always mean safe.
Why Is Kratom Drawing Addiction Concerns?
Potential for Dependency and Withdrawal
Though often marketed as a safe herbal remedy, herb kratom can lead to dependence. Regular users have reported:
- Tolerance buildup (needing more to feel the effects)
- Withdrawal symptoms like irritability, muscle aches, insomnia, and mood swings
- Cravings similar to those seen with opioid addiction
Lack of Regulation
In many countries, including the United States, kratom is sold without FDA approval. This means:
- No control over quality or dosage
- Products can be contaminated or mislabeled
- Users don’t always know what they’re taking
Increasing Emergency Room Visits
A 2022 report from the U.S. Centers for Disease Control and Prevention (CDC) noted a rise in kratom-related poisonings and deaths. While kratom alone is rarely the sole cause of death, it has been found in the systems of people who died from drug overdoses—often in combination with other substances.
Lack of Scientific Studies
There is still limited scientific research on long-term kratom use. While some small studies suggest it may help with pain or opioid withdrawal, the overall data is not strong enough to support its safety and effectiveness.
What Are the Reported Side Effects of Kratom?

Even short-term use of kratom can come with side effects, including:
- Nausea and vomiting
- Constipation
- Drowsiness
- Dizziness
- Loss of appetite
- Hallucinations or confusion
Long-term use or high doses may lead to:
- Liver damage
- Hormonal imbalances
- Seizures
- Psychosis
- Addiction
Is Kratom Legal?
The legal status of herb kratom varies from country to country and even state to state.
United States
Kratom is legal at the federal level. However, individual states and cities have banned or restricted it (e.g., Alabama, Indiana, Arkansas, and some counties in Florida and California). The FDA has not approved kratom for medical use. The DEA considered banning kratom in 2016 but faced public backlash and postponed the decision.
Other Countries
Banned in countries like Thailand (now partially legal), Malaysia, and Australia. Heavily restricted in parts of Europe.
This patchwork legal status reflects the ongoing global debate: Is kratom a helpful herb or a dangerous drug?
What Do Supporters Say About Kratom?
Despite the concerns, many users and advocacy groups defend kratom, arguing it:
- Has helped people quit opioids safely
- Offers a natural alternative to addictive prescription drugs
- Should be regulated—not banned
Groups like the American Kratom Association advocate for safe use standards and better research rather than criminalization.
Testimonials from users often describe how kratom improved their lives, reduced pain, or helped them overcome substance abuse. However, these stories are anecdotal and not a substitute for scientific studies.
What Do Health Experts Recommend?
Most health professionals urge caution when it comes to herb kratom.
The FDA, CDC, and other health organizations emphasize:
- Lack of safety data
- Potential for abuse
- Risks of contamination in unregulated products
Doctors often advise those using kratom to:
- Speak with a healthcare provider
- Avoid mixing it with other drugs or alcohol
- Be aware of withdrawal symptoms
If someone is using kratom to cope with pain, anxiety, or addiction, there may be safer, evidence-based treatments available.
Kratom and the Opioid Crisis
One reason kratom gained popularity is the ongoing opioid epidemic. Many people, especially in the U.S., turned to kratom as a tool to:
- Wean off opioids like heroin or oxycodone
- Manage chronic pain without prescriptions
- Reduce withdrawal symptoms from opioid dependence
While kratom might help some users, replacing one potentially addictive substance with another is not a long-term solution. Experts worry this may simply create a kratom dependence crisis instead of solving the opioid one.
What Should You Do Before Trying Kratom?
If you’re considering using kratom, ask yourself:
- Why do I want to use it? (Pain relief, energy, mental health?)
- Is there a safer, better-researched alternative?
- Do I have a history of addiction or mental health issues?
- Am I willing to risk dependency?
If you do choose to try kratom:
- Start with very small doses
- Buy only from reputable sources
- Do not mix with alcohol, medications, or other drugs
- Stay informed about legal status in your area
Final Thoughts: Is Kratom a Helpful Herb or a Hidden Danger?
The conversation around herb kratom is far from over. What started as a traditional remedy from Southeast Asia has become a modern controversy involving addiction, legality, and health.
While some users praise its benefits, the risks—especially the potential for abuse and dependence—cannot be ignored. Until more scientific research is done and regulations are in place, kratom remains a grey area in the world of alternative medicine.
If you or someone you know is struggling with kratom use or withdrawal, it’s important to seek professional help. Addiction—no matter the substance—deserves real attention and compassionate care.
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