Because kratom’s main alkaloids act on the brain’s opioid receptors, regular use can lead to physical dependence. Many people who use kratom never have problems stopping, but some find it harder than they expected. This guide explains the signs of dependence, what withdrawal can look like, and where to get help.
Need to talk to someone now? SAMHSA’s National Helpline is free, confidential and open 24/7 at 1-800-662-4357. You can also find treatment options at FindTreatment.gov.
Dependence vs. addiction
These terms are related but not identical:
- Physical dependence means the body has adapted to a substance, so stopping causes withdrawal symptoms. It can happen even with consistent, controlled use.
- Addiction (substance use disorder) involves a pattern of compulsive use despite harm — for example, being unable to cut back, using more than intended, or continuing despite problems at work, at home or with health.
Someone can be dependent on kratom without meeting criteria for a substance use disorder, but dependence can make it harder to stop.
Signs kratom use may be becoming a problem
- Needing more kratom over time to get the same effect (tolerance)
- Feeling unwell — achy, irritable, restless — when you go without it
- Using kratom first thing in the morning to feel normal
- Trying to cut down and not being able to
- Spending more money or time on kratom than you intended
- Switching to stronger extracts or 7-OH products
- Hiding use from family or friends
What kratom withdrawal can feel like
NIDA and published research describe withdrawal symptoms that can include:
- Muscle and joint aches
- Restlessness and jerky movements
- Irritability, anxiety and mood swings
- Trouble sleeping
- Runny nose, watery eyes and sweating
- Stomach upset and diarrhea
- Strong cravings
Research suggests kratom withdrawal is usually mild to moderate, and surveys indicate a minority of people who use kratom report withdrawal symptoms. However, symptoms can be more significant for people who use large amounts, use frequently, or use concentrated extracts or 7-OH products. People who also use opioids, alcohol or benzodiazepines may face more complicated withdrawal.
Getting help safely
If you want to cut back or stop, the safest step is to talk with a healthcare provider first. They can help you plan, manage symptoms and check for other health issues. Options may include:
- Talking with your primary care doctor. Many are familiar with kratom and can help or refer you.
- Addiction medicine specialists. For more severe dependence, doctors may use the same medications that treat opioid use disorder, such as buprenorphine.
- Counseling and peer support. Behavioral therapy and support groups help many people stay on track.
- Medically supervised detox. Recommended if you use other substances too, or have had difficult withdrawal before.
Do not try to manage withdrawal by switching to other unprescribed opioids or sedatives — that can be dangerous.
Supporting someone else
If you are worried about a family member or friend, try to talk with them calmly and without judgment. Focus on specific things you have noticed and on your concern for them. SAMHSA’s helpline also supports family members looking for guidance and local resources.
Frequently asked questions
Is kratom addictive?
Kratom can cause physical dependence and, for some people, addiction. The risk appears higher with frequent use and with concentrated or 7-OH products.
How long does kratom withdrawal last?
It varies by person, the amount and type of product used, and how long it was used. A healthcare provider can give guidance based on your situation.
Can a doctor help with kratom withdrawal?
Yes. Doctors can treat symptoms and, when appropriate, use medications for opioid use disorder. Being honest about your kratom use helps them help you.
This article is general information, not medical advice. Please talk with a qualified healthcare provider about your situation. Related reading: Kratom Side Effects and Risks.
Sources
Kratom Universe publishes independent educational information. Nothing on this site is medical or legal advice. Kratom is not approved by the FDA to diagnose, treat, cure or prevent any disease. Talk with a healthcare provider before using kratom, and check your state and local laws. If you or someone you know is struggling with substance use, call SAMHSA’s free, confidential National Helpline at 1-800-662-4357.
