Kratom Use Disorder
A plant from Southeast Asia that acts on opioid receptors. Sold in smoke shops in the U.S.
What to know. Withdrawal resembles opioid withdrawal; can be managed with medication.
What major medical bodies recommend first when this condition is the focus of care.
Off-label medications can be used in addition to behavioral therapy.
How clinicians think about it.
The DSM-5 lists eleven signs grouped into four areas. The number that fit in the past year suggests a severity — not a verdict.
- ·Using more than meant to
- ·Wanting to cut down
- ·Time spent using
- ·Cravings
- ·Trouble at work / school
- ·Relationship strain
- ·Giving up activities
- ·Risky situations
- ·Using despite harm
- ·Tolerance
- ·Withdrawal
Plainly: what makes this condition dangerous.
Opioid-like withdrawal (sweats, muscle aches, anxiety)
Adulterated products of unknown potency
Liver injury — rare but reported
What's offered, and what we usually start with.
Treats kratom withdrawal effectively. Often a shorter course than for OUD.
Daily oral pill that blocks opioid receptors. For people who have completed withdrawal.
Monthly injection of naltrexone. A once-a-month option that doesn't depend on remembering daily pills.
Clonidine, anti-nausea, sleep support during taper.
Asked often, answered briefly.
Natural doesn't mean harmless. Kratom binds the same brain receptors as opioids. Many people use it without trouble; some develop dependence and need help to stop.