Kratom acts on opioid receptors and creates withdrawal lasting weeks to months. No FDA-approved medications exist specifically for kratom, but MAT approaches show promise for those with opioid history.
- 1Approximately 1,800 kratom-related incidents occurred between 2011-2017
- 2Kratom compounds function as partial mu opioid agonists
- 3Withdrawal begins within 6-12 hours, peaks days 1-3
- 4Post-Acute Withdrawal Syndrome can persist for weeks to months
- 5No FDA-approved medications specifically for kratom addiction exist yet
How to Overcome Kratom Addiction: Treatment Options
Kratom addiction affects thousands of Americans who initially used this plant-based substance for pain relief or energy. What begins as occasional use can rapidly develop into physical dependence requiring professional intervention.
Understanding Kratom and Its Effects
How Kratom Affects the Brain
Kratom derives from the Mitragyna speciosa tree and contains mitragynine and 7-hydroxymitragynine alkaloids. These compounds function as partial mu opioid agonists, binding to the same brain receptors as prescription opioids and heroin.
According to the National Poison Data System, approximately 1,800 kratom-related incidents occurred between 2011 and 2017, with serious medical complications in roughly half these cases.
Physical Warning Signs
Users experience opioid-like withdrawal symptoms:
- Muscle aches and insomnia
- Excessive sweating and nausea
- Fatigue and depression
Withdrawal typically begins within 6-12 hours of the last dose, with peak symptoms occurring between days 1-3.
Long-Term Health Consequences
Chronic kratom use causes:
- Liver damage and drug-induced hepatitis
- Seizures
- Rapid heart rate
- Hallucinations
- Respiratory depression
Post-Acute Withdrawal Syndrome can persist for weeks to months, featuring mood changes and intense cravings.
Treatment Options
Medical Detox
Medical detoxification provides the foundation for recovery. Unlike opioid withdrawal peaking within 72 hours, kratom withdrawal persists for weeks to months.
Medical teams:
- Monitor vital signs continuously
- Manage symptoms with appropriate medications
- Address the extended withdrawal timeline
Residential Treatment
Inpatient programs offer intensive therapeutic environments:
- 30-90 day durations
- Individual and group therapy
- Holistic approaches (yoga, meditation)
- Particularly important for Post-Acute Withdrawal Syndrome
Medication-Assisted Treatment
No FDA-approved medications exist specifically for kratom addiction. However:
- Buprenorphine-naloxone shows promise for those with prior opioid history
- Carefully monitored outpatient treatment can manage withdrawal
- Other medications address anxiety, depression, and sleep issues
Behavioral Therapies
Cognitive Behavioral Therapy:
- Addresses thought patterns driving use
- Develops alternative coping strategies
Combined Approaches:
- Individual CBT
- Group therapy for accountability
- Demonstrated improved outcomes vs single-modality treatment
Holistic Integration
Supporting recovery:
- Regular exercise rebuilds dopamine pathways
- Nutritional counseling addresses deficiencies
- Mindfulness practices reduce anxiety and depression
Recovery Support
Aftercare Programs
Ongoing support includes:
- Alumni programs
- Sober living environments
- Continued outpatient counseling
- Recovery coaching
Specialized Support Groups
Kratom addiction support groups address unique challenges including:
- Extended withdrawal timelines
- Lack of recognition as a serious addiction
- Mixed messages about kratom's safety
Final Thoughts
Kratom addiction requires comprehensive treatment addressing both physical dependence and psychological factors. Professional help distinguishes successful recovery from repeated relapse attempts, with specialized medical supervision essential for managing the extended withdrawal timeline.
Amity Behavioral Health offers evidence-based treatment for kratom addiction. Contact us for a confidential assessment and personalized treatment planning.
Frequently Asked Questions
Why is kratom addictive?
Kratom contains mitragynine and 7-hydroxymitragynine alkaloids that function as partial mu opioid agonists, binding to the same brain receptors as prescription opioids and heroin. This creates opioid-like dependence and withdrawal.
How does kratom withdrawal compare to opioid withdrawal?
Unlike opioid withdrawal peaking within 72 hours, kratom withdrawal persists for weeks to months. Symptoms begin within 6-12 hours, peak days 1-3, and Post-Acute Withdrawal Syndrome can continue for extended periods.
Are there medications for kratom addiction?
No FDA-approved medications exist specifically for kratom addiction. However, buprenorphine-naloxone shows promise for those with prior opioid history, and other medications manage anxiety and mood symptoms.
Amity BH Clinical Team
Amity BH Clinical Team is part of the clinical team at Amity Behavioral Health, dedicated to providing evidence-based treatment and compassionate care for individuals struggling with addiction and mental health challenges.
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