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Robin Campbell, LMFT, PHD Does Kratom Get You High?
Maverick
Clinical Editorial Team
Kratom, a botanical substance derived from the kratom plant, has gained popularity for its stimulant-like effects and its potential to relieve pain and opiate withdrawal symptoms. As kratom use increases, so do concerns about its potential for abuse and dependency. The Drug Enforcement Administration (DEA) has highlighted issues related to kratom abuse, noting the need for further research and regulation. Despite its availability in health food stores and various kratom products, the effects of kratom, particularly at high doses, can lead to kratom dependency and other substance use disorders. Many kratom users initially turn to this herbal remedy for stress relief and chronic pain management, but the need for progressively larger doses can result in negative consequences similar to those seen in opioid addiction and drug abuse.
Kratom, scientifically known as Mitragyna speciosa, is a tropical tree native to Southeast Asia, prized for its leaves which have psychotropic effects. Traditionally used for its stimulant properties at low doses and sedative effects at higher doses, kratom has become popular for managing pain and opioid withdrawal symptoms. Its primary active compounds, mitragynine and 7-hydroxymitragynine, interact with opioid receptors in the brain, creating effects similar to both stimulants and opioids. Methods of consumption include chewing the leaves, brewing them into tea, or taking them in capsule or extract form. While kratom offers potential benefits, it also poses risks such as addiction, dependence, and side effects like nausea and constipation. Its legal status varies worldwide, with some countries banning it and others allowing regulated use. Despite its controversial nature, ongoing research aims to better understand kratom’s therapeutic potential and safety profile. It is important to seek a diagnosis from a professional treatment provider for substance use disorder, as self-assessment is not a reliable diagnostic tool.
Kratom is used for various purposes, ranging from traditional medicinal applications to modern therapeutic uses. Here are some of the most common uses of kratom:
Kratom is available in several types, categorized by leaf vein color and region of origin. Each type has distinct effects:
Vein Colors:
Regional Types:
Special Strains:
Experimentation is key to finding the right type and dosage for individual needs.
Kratom is known by various street names, which can vary by region and community. Some of the common street names for kratom include:
Yes, kratom can produce effects that some users describe as a “high,” depending on the dose and the strain used. At lower doses, kratom acts as a stimulant, increasing energy, alertness, and sociability. At higher doses, it can have sedative effects, leading to relaxation, pain relief, and euphoria.
The euphoric effects are due to the active compounds in kratom leaves, primarily mitragynine and 7-hydroxymitragynine, which interact with opioid receptors in the brain. This interaction can produce feelings of pleasure and well-being, similar to the effects of opioids, but the intensity and duration of the “high” can vary widely among users. It’s important to note that while some people use kratom for its psychoactive effects, it also carries risks, including dependence, addiction, and adverse side effects.
The efficacy of kratom varies among users and is influenced by dosage, strain, and individual response.
Key Points:
Research:
Risks:
Kratom works on the body and brain primarily through its active compounds, mitragynine and 7-hydroxymitragynine. These alkaloids interact with various receptors in the brain, particularly opioid receptors, which influence mood, pain perception, and behavior.
Mechanisms of Action:
Dosage-Dependent Effects:
Kratom’s legal status varies globally and within regions. It is not classified as a controlled substance at the federal level in the United States, but several states and municipalities have banned or regulated it. Internationally, some countries, like Thailand and Malaysia, classify kratom as a controlled substance, while others permit its use. The classification and regulation of kratom continue to evolve as more research and policy decisions are made.
Kratom’s primary active compound, mitragynine, has an estimated half-life of about 24 hours, meaning it takes approximately 24 hours for the concentration of mitragynine in the body to reduce by half. Generally, kratom can be detected in urine for about 1 to 7 days after use, in blood for up to 24 hours, and potentially in hair for up to 90 days, although hair testing for kratom is rare. The exact duration kratom stays in the system can vary based on factors such as frequency and amount of use, individual metabolism, age, health, and body weight.
The detectability of kratom in the body varies depending on the testing method and individual factors. Here are general detection windows:
Detection Times:
Factors Influencing Detection:
Short-Term Side Effects:
Long-Term Risks:
Both short-term and long-term use of kratom can lead to adverse effects, and its safety profile is still under study.
Yes, kratom can be addictive. Regular use can lead to physical dependence and addiction due to its interaction with opioid receptors in the brain. Users may develop tolerance, requiring higher doses to achieve the same effects. Withdrawal symptoms, similar to those of opioids, can occur, including irritability, anxiety, muscle aches, insomnia, and cravings. It’s important to use kratom cautiously and be aware of its potential for addiction.
Yes, it is possible to overdose on kratom. While a kratom overdose is generally less likely to be fatal compared to opioids, it can still cause serious health problems. Symptoms of a kratom overdose may include:
In severe cases, especially when combined with other substances, a kratom overdose can be life-threatening. If you suspect an overdose, seek medical attention immediately.
Combining alcohol use with kratom can be dangerous due to their compounded effects on the central nervous system. Both substances can depress respiratory function and impair cognitive and motor skills, increasing the risk of accidents and overdose. Additionally, using them together can amplify side effects such as dizziness, drowsiness, and nausea. Chronic use of both can also lead to increased risks of liver damage and other health complications. It is generally advised to avoid using alcohol and kratom simultaneously to prevent these potential risks.
Using kratom during pregnancy is not recommended due to potential risks to both the mother and the fetus. Limited research suggests that kratom can cross the placenta, potentially leading to adverse effects such as:
Kratom addiction is primarily caused by its active alkaloids, mitragynine and 7-hydroxymitragynine, which interact with opioid receptors in the brain. This interaction can lead to several factors contributing to addiction:
These factors combined can make it challenging to stop using kratom, resulting in addiction.
Kratom addiction itself is not directly hereditary, but genetic factors can influence an individual’s susceptibility to addiction in general. Here are some key points:
While genetics can increase the risk, environmental and personal factors are equally important in the development of kratom addiction.
Inpatient Treatment:
Outpatient Treatment:
Both inpatient and outpatient treatments can be effective, with the choice depending on the severity of addiction and individual circumstances. Combining these approaches often yields the best results.
Yes, many insurance plans cover treatment for kratom addiction. Coverage often includes detoxification, inpatient and outpatient rehab, counseling, and medication-assisted treatment. However, coverage can vary widely depending on the insurance provider and specific policy. It is important to check with your insurance company to understand the details of your coverage.
In summary, while kratom may offer benefits for those seeking pain relief and aid in opiate withdrawal, the risk of kratom dependency and other adverse effects cannot be ignored. Long-term kratom users and high-dose kratom users often face challenges such as weight loss, high blood pressure, and the need for progressively larger doses to achieve the same effects. Kratom abuse and compulsive drug-taking behavior have led to increased scrutiny from the Drug Enforcement Administration and other health organizations. It is crucial for individuals considering kratom to be aware of its potential risks and to seek medical support if experiencing kratom withdrawal or other negative effects. As kratom’s legal status varies, ongoing research and comprehensive reports are necessary to understand fully and regulate this complex substance.
At New Hope Healthcare, as an in-network provider we work with most insurance plans, such as:
If you or a loved one are struggling with mental health challenges or substance abuse, reach out to New Hope Healthcare today. Our team of compassionate professionals is here to support your journey towards lasting well-being. Give us a call at 866-799-0806.
Can kratom make you feel high?
Yes, kratom can produce a high, especially at higher doses. This high can include feelings of euphoria, relaxation, and increased sociability.
How does kratom cause a high?
Kratom’s active compounds, mitragynine and 7-hydroxymitragynine, interact with opioid receptors in the brain, producing effects similar to opioids, which can result in a high.
Is the kratom high similar to other drugs?
The high from kratom can be similar to both stimulants and opioids, depending on the dose. Lower doses typically produce stimulating effects, while higher doses can cause sedation and euphoria.
How long does the kratom high last?
The duration of the kratom high can vary but typically lasts between 2 to 6 hours, depending on the dose and individual metabolism.
Are there risks associated with getting high on kratom?
Yes, there are risks, including addiction, tolerance, dependence, and potential side effects like nausea, dizziness, and constipation. Combining kratom with other substances can increase these risks.
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