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Robin Campbell, LMFT, PHD Can You Overdose on Kratom?
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Clinical Editorial Team
Kratom, a herbal substance derived from the tropical tree Mitragyna speciosa, has gained attention for its opioid-like properties. While some believe kratom works as a natural remedy for pain relief and opioid addiction, concerns about substance misuse and overdose have grown. Reports from the National Institute on Drug Abuse and the Drug Enforcement Administration highlight potential risks, including addiction, withdrawal symptoms, and toxic effects, with the DEA expressing concerns about kratom’s potential classification as an illicit drug. Kratom products, such as liquid extracts, have been linked to serious health concerns, including decreased bowel sounds, frequent urination, and even opioid overdose-like symptoms. Poison control centers have received calls regarding adverse effects, and case reports have identified kratom in toxicology screenings of individuals who tested positive for multiple substances. With kratom often marketed as a safe alternative, it is essential to understand its risks, signs of overdose, and available addiction treatment programs.
An overdose happens when someone takes too much of a substance, leading to harmful effects on the body. With kratom, overdose symptoms can range from mild discomfort to severe reactions, depending on the dose and individual tolerance. While kratom affects opioid receptors, it does not depress breathing as strongly as traditional opioids. However, high doses can still cause sedation, confusion, rapid heartbeat, and, in some cases, seizures. The risk increases when kratom is mixed with other substances, such as alcohol or opioids. Understanding these dangers can help users make safer choices and prevent overdose.
Kratom is a plant native to Southeast Asia, primarily found in Thailand, Indonesia, Malaysia, and Myanmar. Its leaves contain compounds that interact with opioid receptors in the brain, producing stimulant effects at low doses and sedative effects at higher doses. Traditionally, people have used kratom for pain relief, increased energy, and mood enhancement. Today, it is often consumed as a powder, capsule, or tea. While some use it for its potential benefits, concerns exist about its safety, addictive properties, and the risk of overdose, especially when taken in large amounts or combined with other substances.
Kratom is commonly used for its stimulant and sedative effects, depending on the dose. People use it for various reasons, including:
While some claim benefits, kratom carries risks, including dependence, side effects, and potential overdose when misused.
Kratom comes in different strains, each with unique effects based on its alkaloid content. The three main types are classified by vein color:
Other specialty blends, like Yellow or Gold Kratom, are often combinations of different strains, providing mixed effects. Each strain varies in potency, and individual responses may differ.
Yes, kratom can be addictive, especially with frequent or high-dose use. Kratom interacts with opioid receptors in the brain, leading to physical dependence over time. Users who take kratom regularly may develop tolerance, requiring higher doses to achieve the same effects. Withdrawal symptoms, similar to opioid withdrawal, can occur when stopping use. These may include muscle aches, irritability, insomnia, nausea, and cravings. While some use kratom to manage opioid withdrawal, prolonged use can lead to its own addiction. Safe, moderate use and awareness of potential risks can help prevent dependence.
Kratom Overdose Symptoms:
Taking too much kratom can lead to severe health risks. Overdose symptoms may include:
Mixing kratom with other substances, such as alcohol, opioids, or benzodiazepines, increases the risk of a dangerous overdose.
Signs of Kratom Overuse:
Regular or excessive kratom use can lead to dependence and other health issues. Signs of overuse include:
Recognizing these signs early can help prevent serious health complications. If you or someone you know is struggling with kratom misuse, seeking medical guidance is recommended.
Kratom’s legal status varies by location. In the U.S., it is legal at the federal level but banned in some states and cities. The FDA has raised concerns about its safety, and the DEA has considered stricter regulations, including the potential classification of kratom as an illicit drug due to its association with abuse and serious health risks. There has been an increasing number of overdose-related incidents and calls to poison control centers. Some countries, including Thailand and Indonesia, have restrictions on kratom use and sale. Always check local laws before purchasing or using kratom.
Kratom interacts with opioid receptors, producing stimulant or sedative effects depending on the dose.
Effects on the Body:
Effects on the Mind:
Yes, it is possible to overdose on kratom, especially when taken in high doses or combined with other substances. While kratom does not depress breathing as strongly as opioids, excessive use can still cause dangerous effects. The Drug Enforcement Administration has expressed concerns about kratom’s potential classification as an illicit drug due to its association with abuse and the increasing number of overdose-related incidents.
Mixing kratom with alcohol, opioids, or other drugs increases the risk of overdose and severe health complications. If overdose symptoms occur, seek immediate medical help.
Short-Term Effects & Risks:
Long-Term Effects & Risks:
While some use kratom for pain relief or energy, misuse can lead to serious health risks. Responsible use and awareness of potential dangers are essential.
To reduce the risks associated with kratom use, follow these safety guidelines:
Using kratom responsibly can help minimize health risks and potential complications.
Kratom dosage varies based on strain, tolerance, and desired effects.
Safety Tip: Start with a low dose and avoid daily use to reduce the risk of dependence and side effects.
Combining kratom with other substances increases the risk of severe side effects, overdose, and even death.
Dangerous Interactions:
Mixing kratom with other substances is unpredictable and dangerous. To stay safe, avoid combining kratom with any drugs or alcohol.
For those seeking natural options without the risks of kratom, consider these alternatives:
These alternatives may offer similar benefits with fewer risks of dependence and side effects. Always consult a healthcare professional before use.
If someone shows signs of a kratom overdose, take immediate action:
Prompt medical attention can prevent serious complications and save lives.
If struggling with kratom addiction, consider these treatment options:
Insurance coverage for kratom addiction treatment varies. Some plans cover detox, therapy, and rehab if classified under substance use disorder treatment. Coverage depends on the provider, policy, and treatment type. Checking with your insurance company or speaking with a treatment center can clarify costs and coverage options.
Coverage for kratom addiction treatment depends on the provider and policy. Common insurance plans that may offer coverage include:
While kratom is legal in some areas and often considered a complementary and integrative health option, its safety remains debated. The National Institute on Drug Abuse, Disease Control, and American Addiction Centers have raised concerns about its potential for substance abuse and dependence. Kratom-related overdoses have been documented, particularly when combined with illicit drugs, drug alcohol, or contaminated with heavy metals. The Drug Enforcement Administration has expressed concerns about kratom’s toxicity and the potential for scheduling it as an illicit drug, emphasizing the increasing number of overdose-related incidents and calls to poison control centers. Symptoms such as constricted pupils, runny nose, lost control of motor functions, and bowel sounds abnormalities have been reported in emergency cases. If you or someone you know is struggling with kratom dependence, outpatient services, rehab facilities, and public health programs offer support. Insurance providers may cover addiction treatment, helping individuals start their recovery journey. If you suspect a kratom overdose, contact poison control centers immediately for guidance. Understanding the risks and seeking help when needed is crucial for making informed choices about kratom use.
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.
Visit SAMHSA for more information.
Can you overdose on kratom?
Yes, taking high doses of kratom can cause severe side effects and lead to overdose.
What are the signs of a kratom overdose?
Symptoms include nausea, vomiting, confusion, rapid heartbeat, seizures, and loss of consciousness.
How much kratom is too much?
There is no official safe dose, but high doses (over 10-15 grams) increase the risk of overdose.
Can kratom overdose be fatal?
While rare, fatal overdoses have occurred, especially when mixed with other substances.
What should I do if someone overdoses on kratom?
Call 911 immediately, keep them awake, and provide medical professionals with all necessary details.
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