Why Kratom Isn’t the Answer After Substance Use Treatment

At Dilworth Center, we believe in clarity regarding recovery. Using kratom after substance use treatment is not a gray area—it's a full-blown relapse. Recovery means freedom from mind-altering substances, and kratom's effects clearly place it in that category.
What Is Kratom?
Kratom (Mitragyna speciosa) is a tropical evergreen tree native to Southeast Asia, particularly Thailand, Indonesia, and Malaysia. Its leaves contain psychoactive alkaloids, primarily mitragynine and 7-hydroxymitragynine, which interact directly with opioid receptors in the brain. This interaction produces stimulant-like effects in lower doses and sedative, opioid-like effects at higher doses.
Despite its natural origins, kratom is not approved for medical use by the FDA. Its safety and efficacy remain widely debated, raising critical questions about its use.
Kratom Use Equals Relapse
Recovery is straightforward when it comes to mind-altering substances: using them means relapse. Kratom fits this definition explicitly. Although some perceive kratom as a safe herbal alternative, it shares many properties with opioids, making it inherently risky, particularly for those in recovery from substance use disorders.
Regular use of kratom can quickly lead to dependence and a resurgence of addictive behaviors. Because kratom influences opioid receptors, users develop tolerance, requiring higher doses to achieve the same effects, perpetuating the cycle of addiction.
Effects of Kratom on the Brain and Body
Understanding the effects of kratom helps clarify why it poses a relapse risk. Kratom’s primary psychoactive compound, 7-hydroxymitragynine, binds to the brain’s opioid receptors more powerfully than morphine. This potency significantly increases the risk of dependence and addiction.
Short-term effects of kratom use include increased energy, sociability, and alertness at lower doses. However, higher doses lead to sedation, dizziness, nausea, and cognitive impairment. Chronic use intensifies these adverse effects, causing severe mental health issues like anxiety, depression, and mood swings.
Furthermore, prolonged kratom use can result in significant physical health consequences, such as liver damage, gastrointestinal issues, and severe weight loss. Kratom withdrawal symptoms further underscore the risks associated with its use, often including muscle aches, insomnia, irritability, anxiety, and intense cravings similar to opioid withdrawal.
Professional Perspectives on Kratom Use
Medical professionals and addiction specialists strongly advise against using kratom, especially after completing substance use treatment.
The Drug Enforcement Administration (DEA) categorizes kratom as a "drug of concern," citing substantial evidence of abuse, addiction potential, and adverse health outcomes.
The FDA has warned consumers not to use kratom due to the risk of serious adverse events, including liver toxicity, seizures, and substance use disorder.
The Misleading Safety of Kratom
The belief that kratom is a safe, herbal alternative can trap individuals in a dangerous cycle of relapse. Products containing concentrated forms of 7-hydroxymitragynine are often marketed without adequate warnings, disguising their addictive potential. The lack of regulation and clear labeling further complicates this issue, leading many to underestimate kratom's dangers.
It is essential to recognize that kratom is not safer merely because it is natural. Many naturally occurring substances, including heroin (derived from poppies), pose significant addiction risks. Kratom is no different in its capacity to foster dependency and relapse.
Healthy Alternatives for Coping in Recovery
Recovery involves developing healthy coping mechanisms, free from reliance on substances. At Dilworth Center, we recommend evidence-based practices and supportive activities such as:
- Engaging in ongoing therapy or counseling
- Participating in peer support groups (12 Step Meetings)
- Practicing mindfulness and stress reduction techniques
- Maintaining regular physical exercise
- Adopting balanced nutritional habits
- Cultivating healthy hobbies and activities
These practices not only safeguard sobriety but also enhance overall well-being and resilience, offering sustainable tools to manage life's challenges.
Conclusion
In clear terms, kratom is not an acceptable alternative for those in recovery from substance use disorders. Its effects on the brain and body mirror those of recognized addictive substances, making its use a definitive relapse.
Recovery from substance use means pursuing a lifestyle free from mind-altering substances. Dilworth Center supports individuals and families through this journey by providing education, resources, and professional guidance to maintain sobriety and improve quality of life.
If you or someone you care about is considering using kratom or is struggling with substance use, contact Dilworth Center. We offer compassionate, professional support focused on genuine recovery and lasting health.
References and Further Reading
FDA and Kratom: https://www.fda.gov/news-events/public-health-focus/fda-and-kratom
Kratom - DEA.gov: https://www.dea.gov/factsheets/kratom
Chemical composition and biological effects of kratom: https://www.nature.com/articles/s41598-020-76119-w