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The FDA is Cracking Down on Kratom:  Here’s Why

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Kratom products were introduced to the U.S. market in 2023 and touted as a dietary supplement.  Many people use it to help manage pain, mood, and opioid withdrawal.

The products are popular because they are readily available in many convenience stores and vape shops.  But, where does it come from, and why is the FDA cracking down on kratom products?  

Here are some things to know before using this controversial drug.

What is Kratom?

Kratom comes from the tropical evergreen, Mitragyna speciosa, found in Southeast Asia.  People chew the leaves or brew them into a tea for the psychoactive properties and stimulant effects.  In high doses, it has opiate-like effects.  The products contains mitragynine and 7-hydroxy-mitragynine (OH-7) alkaloids that interact with opioid receptors in the brain.  

The products are sold as gummies, tablets, shots, and drink mixes and marketed as an all-natural and safe pain reliever, mood booster, and opioid withdrawal remedy.  

Although Kratom offers therapeutic effects, its legal status varies from state to state due to its potentially addictive qualities and other side effects.   It is not controlled by the CSA, and only 24 states regulate Kratom in some manner.  Other states set an age restriction at 18 or 21 years of age, according to the Legislative Analysis and Public Policy Association (LAPPA).  Kratom is not approved for medical use by the FDA.  However, it is listed as a Drug and Chemical of Concern by the DEA.

Is Kratom Addictive?

Researchers continue to better understand the effects of Kratom on the mind and body.  Currently, evidence suggests that it has less potential for dependence and overdose than other opioids and stimulants.

Like other drugs, Kratom’s effects vary depending on how much is used, how it is ingested, the person’s history of substance use, and their mental and physical health.  Studies show that repeated use of the substance can cause dependence.  People most at risk of developing Kratom dependence are those who consume more than 5 grams per day, more than 3 times per day.  

Signs of Dependence or Addiction

The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) lists the diagnostic criteria for dependence or addiction.  The criteria include:

  • Lack of control over the amount or frequency of use.
  • Inability to stop using the substance.
  • Neglecting responsibilities and relationships because of drug use.
  • Social isolation.
  • Poor performance at school or work.
  • Increased risk-taking behaviors.
  • Needing more of the drug to feel the desired effects.
  • Withdrawal symptoms appear when the substance is not used.

Kratom activates the same brain receptors that other addictive substances activate. However, some research suggests that it can reduce cravings and withdrawal symptoms experienced when quitting opioids.

Kratom’s Effects on the Body

Some people experience adverse effects of Kratom like constipation, nausea, vomiting, drowsiness, dizziness, and agitation.  Others report sedation, dry mouth, and sedation in doses above 8g.  Repeated use can cause liver malfunction; however, the liver returns to normal if the drug is discontinued.  

Signs of Withdrawal

Some individuals experience withdrawal symptoms when they stop using Kratom products.  The symptoms range from mild to moderate, but some people have visited the ER due to the symptoms.  The most common  withdrawal symptoms include:

  • Nausea, diarrhea
  • Irritability, mood swings
  • Muscle pain, joint stiffness
  • Restlessness, insomnia

While there are no proven medical therapies to treat Kratom dependence, professional addiction treatment programs provide a range of treatment options that help individuals recover from substance abuse.

Treatment for Kratom Dependence at Design for Change Recovery

Individuals with substance use disorders typically struggle with several physical and mental issues that contribute to their addictions.  Successful recovery can be achieved through a comprehensive approach to treatment that targets the physiological and psychological aspects of substance use simultaneously.  

At Design for Change Recovery, we provide a full continuum of care that can be customized for each client’s unique needs.  Our facility is fully licensed and JCAHO-accredited, which means you can be assured of the high-quality care you need and expect.  

Our different levels of care include short-term and long-term programs such as:

We believe each client can overcome substance use if they have the right help.  Our goal is to help them achieve their recovery goals and maintain a substance-free lifestyle.  Reach out to our Lancaster, CA facility to speak with a treatment advisor today.  One of our representatives will be happy to assist you in any way.

Sources:

legislativeanalysis.org – Kratom: Summary of State Laws

dea.gov – Kratom

nd.az.gov – Kratom Fact Sheet for Healthcare Professionals

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Design for Change
The FDA is Cracking Down on Kratom:  Here’s Why