Key Facts About Kratom:
1. Active Compounds:
- The main psychoactive ingredients are:
- Mitragynine
- 7-hydroxymitragynine
These compounds interact with opioid receptors in the brain, which is why kratom can produce both stimulating and sedative effects depending on the dose.
2. Effects:
- Low doses (1–5 grams): Mild stimulation, increased energy, alertness, sociability.
- Moderate to high doses (5–15 grams): Pain relief, sedation, euphoria; similar to opioids.
- Very high doses: Strong sedation, risk of side effects and toxicity.
3. Forms of Use:
- Chewing fresh leaves (traditional method)
- Powdered leaves (mixed with water, juice, or made into tea)
- Capsules and tablets
- Extracts and resins
4. Uses:
- Traditional: For manual laborers, to increase stamina and relieve fatigue.
- Modern: For chronic pain, opioid withdrawal, anxiety, and depression (anecdotally).
5. Risks and Side Effects:
- Nausea, constipation, dry mouth, loss of appetite
- Dependence and withdrawal symptoms (similar to opioids)
- Liver toxicity (in rare cases)
- Potential for abuse at high doses or frequent use
6. Legality:
- Legal status varies:
- Legal and widely available in many U.S. states
- Banned or restricted in others (e.g., Alabama, Indiana)
7. Regulation and Safety:
- Kratom is not FDA-approved for any medical use.
- There’s no standardized dosing, and the quality of kratom products can vary significantly.
- The FDA and CDC have warned about potential health risks, including contamination (e.g., with salmonella or heavy metals) and drug interactions.