So…. Does anyone actually know what kratom does? Kratom is an herbal substance from Southeast Asia that has both stimulant and opioid-like effects. But what exactly is the appeal? And what do governing bodies and research have to say about it?
People use kratom for multiple purposes. In small doses, people experience increased energy. Larger doses are sometimes used to ease withdrawal symptoms from opioids or to experience sedative like effects. Similar to cannabis, people also attempt to utilize kratom to reduce anxiety, depression, and physical pain.
So what does the science say about this substance? A meta analysis from multiple international studies revealed it’s use was predominantly beneficial in decreasing use of other drugs. However, other studies continue to emphasize the potential for further harm if not properly researched and regulated.
With all of this in mind, how do regulatory agencies weigh in? The FDA has not approved kratom for any medicinal purposes and no products containing it are legally sold in the United States. is not currently on the DEA’s controlled substances list, but they do label it as a “Drug of Concern”. Additionally, the World Health Organization found the drug has potential for abuse, despite not issuing any current controls for the substance.
Research on the benefits and dangers of kratom paint a nuanced image requiring further research. The jury may still be out on future medicinal purposes for kratom, but current policy seems to say it’s a no go. Despite the potential benefits or pitfalls clients themselves may report, clinicians should be aware of potential dangers and changing policy.
