Kratom seems like a mild, harmless drug, but it affects the brain in similar ways to opioids, and withdrawals can be very uncomfortable. Many people feel sick or have intense cravings when they try to cut back or stop using kratom similar to symptoms of opioid use disorder.
Everyone’s experience with kratom withdrawal is different. Some people have mild symptoms while others struggle more. Here’s what to expect to help you mentally prepare, make the process easier, and set yourself up for success.
We’ll take a deeper look at what kratom withdrawal feels like, how long it lasts, and what you can do to help yourself feel better and improve your chances of staying sober. We’ll also talk about when it might be time to get professional support.
Kratom (Mitragyna speciosa) is a tropical tree1 related to coffee that grows naturally in Thailand, Malaysia, Indonesia, and other parts of Southeast Asia. For centuries, local workers chewed the leaves or brewed them into tea to fight fatigue and increase productivity during long workdays. It’s gained popularity in recent years as a recreational drug.
Today, people use Kratom for pain relief or to help with opioid withdrawal. While it might seem helpful at first, regular use can cause you to become physically dependent, making it hard to stop.
When you take kratom, chemicals in the plant called alkaloids2 (mainly mitragynine and 7-hydroxymitragynine) interact with receptors in your brain. At low doses, these chemicals create mild stimulant effects, making you feel more energetic. At higher doses, the create opioid-like effects,3 producing pain relief and feelings of pleasure or relaxation.
Kratom use is complex because it affects multiple brain systems at once. It activates opioid receptors (like morphine or oxycodone would), but also impacts other systems that regulate your energy and mood. This complex pharmacology explains why kratom can be both stimulating and sedating.
Kratom is not as high-risk as some other substances, but it can have serious side effects that should be taken seriously. Per the National Institute on Drug Abuse (NIDA).
Rare but serious effects have been reported in people who use kratom,4 including psychiatric, cardiovascular, gastrointestinal and respiratory problems.
In the U.S. and other Western countries, people use kratom for various reasons:5
Kratom comes in different forms: Powder, capsules, extracts, and teas. Some people chew the leaves directly, while others mix the powder into drinks or food.
See our article on self-medicating with substances to understand if you might be using kratom to cope with underlying issues.
Kratom’s legal status is unclear in many places. The U.S. Food and Drug Administration (FDA) has issued warnings about the safety of kratom6 and has not approved it for any medical use. While kratom remains legal federally in the U.S., several states and cities have banned it.
The Drug Enforcement Administration (DEA) classifies kratom as a “Drug and Chemical of Concern.” Internationally, some countries where kratom grows naturally have made it illegal, and regulations vary widely elsewhere.
This uncertain legal status makes it hard for manufacturers to ensure kratom’s purity and safety7 for those who use it.
Like many substances that affect your brain, regular kratom use can cause you to become physically dependent.8 This means your body adapts to having kratom in your system and starts relying on it to function normally.
When you use kratom regularly, your brain adjusts to the chemicals it provides. Over time, your brain may produce fewer of its own, natural feel-good chemicals because it’s getting them from kratom instead. When this happens, you might need higher doses to feel the same effects of kratom (tolerance), and your body might react negatively when you don’t have it (withdrawal).
Kratom dependency9 can ramp up in as little as a few weeks of daily use, though it varies from person to person. How quickly you become physically reliant on kratom depends on:
While dependency is mainly about your body’s physical reliance on kratom,10 addiction involves both physical dependency and behavioral changes. If you find yourself doing any of the following, it could be a sign that you’re developing a kratom addiction:
Some factors that might make you more likely to develop dependency include:
Understanding the difference between casual use, dependency, and addiction helps you identify where you might be on this spectrum. If you notice signs of dependency or addiction, it may be time to reevaluate your relationship with kratom and start making some changes.
When you stop taking kratom after regular use, your body needs time to adjust to functioning without it. This adjustment period can bring on a range of uncomfortable symptoms that affect both your body and mind.
Your body can react in several ways when you stop taking kratom:11
There are also mental symptoms of kratom withdrawal:12
Sleep problems deserve special attention because they can make everything else feel worse. During kratom withdrawal, you might:
Kratom withdrawal insomnia generally peaks during the first week but can linger for several weeks. Getting even small amounts of quality sleep can make a big difference in how you feel.
Sleep struggles during withdrawal? Learn more about managing withdrawal insomnia and get tips for better rest during recovery.
Several factors affect how intense your withdrawal symptoms will be:
As you go through this process, it’s good to keep in mind that withdrawal symptoms are temporary. They’re your body’s way of healing and finding a new balance without kratom. While they are uncomfortable, they’re not dangerous for most people and will improve with time.
If you’re planning to stop using kratom, having a roadmap of what to expect can help you prepare mentally. While everyone’s experience differs, most kratom users follow a somewhat predictable timeline of symptoms.
For most people, kratom withdrawal begins within 12-24 hours14 after your last dose. If you’ve been using very high doses or potent extracts, you might notice symptoms starting even sooner—sometimes within just 6 to 12 hours.
The onset often feels like a growing sense of discomfort, restlessness, or anxiety. You might notice minor physical symptoms like yawning, watery eyes, or a runny nose before more intense symptoms kick in.
The first few days are typically the most challenging:
During this phase, remind yourself that what you’re experiencing is normal and temporary. The discomfort means your body is beginning to adjust to functioning without kratom.
For most people, withdrawal symptoms reach their worst point somewhere between days 2 and 5. This is when the combination of physical discomfort and psychological symptoms can feel overwhelming.
The good news is that once you get through this peak period, your body starts to heal, and symptoms gradually become less intense. Many people find that reaching this turning point gives them the motivation to continue.
After the peak, you’ll enter the subacute phase:
By the end of the second week, most people find that they’re functioning reasonably well, though not entirely back to normal.
Some people have lingering symptoms for weeks or even months after quitting substances. This is known as post-acute withdrawal syndrome,15 or PAWS. These symptoms are usually milder than acute withdrawal but can still affect your quality of life:
PAWS symptoms typically come in waves: You might feel fine for several days, then have a few hard days before improving again. Each wave tends to be less intense than the one before.
Remember that healing isn’t a linear process. Having good and bad days during recovery is completely normal. With time, these waves become less frequent and less intense as your brain chemistry rebalances.
Are you having lingering symptoms after the initial withdrawal phase? Learn about post-acute withdrawal syndrome (PAWS) and how to manage these longer-term recovery challenges.
Many people successfully navigate kratom withdrawal from the comfort of their own homes. With the right approach and preparation, you can make this challenging process more manageable.
Home detox might be appropriate if:
However, home detox isn’t right for everyone. Your safety comes first. Here’s how to know when it’s time to seek professional help:
Watch for these warning signs that indicate you may need medical support:
If you experience any of these, do not hesitate to reach out to a healthcare provider.
Instead of stopping kratom cold turkey, some people find that gradually reducing their dose helps minimize withdrawal symptoms. Here’s a simple tapering approach:
Tapering off of kratom takes longer than quitting cold turkey, but it’s often much more comfortable. Be patient with yourself—a gradual taper over several weeks is typically easier on your body than a rapid one.
These simple kratom withdrawal remedies16 can make a big difference in how you feel:
While these aren’t cures for withdrawal, they may help manage specific symptoms:
*Note that these are general suggestions, not medical advice. Check with your doctor first if you’re unsure about taking any medication or supplement, especially if you have other health conditions or take prescription medications.
Sometimes, getting expert help makes the difference between struggling through withdrawal and finding a smoother path to recovery. Professional drug addiction treatment provides structure, medical supervision, and tools to address not just your kratom use, but also what led you to addiction in the first place.
Medical detox programs are safe settings where healthcare professionals monitor your withdrawal symptoms and provide relief. These programs typically last 3-7 days and focus on helping you get through the acute withdrawal phase comfortably. Because the discomfort of withdrawal causes many people to start using again, supervised detoxification can improve your chances of recovery success.
Other benefits of professional kratom detox include:
Many insurance plans cover detox services, especially if your provider determines it’s medically necessary.
Effective treatment programs typically include:
Medications: While there’s no FDA-approved medication specifically for kratom withdrawal, providers may prescribe medications to target specific symptoms, like clonidine for anxiety or trazodone for sleep problems.
Talk therapy: Interventions like cognitive behavioral therapy (CBT) help you identify and change patterns that led to kratom use, plus develop healthier coping skills.
Group support: Connecting with others who understand what you’re going through can be incredibly healing. Many programs include group therapy or facilitate attendance at support groups.
Addressing co-occurring issues: If you’ve been using kratom to self-medicate anxiety, depression, pain, or trauma, treatment will include addressing these underlying concerns.
Discover effective ways to reclaim your life from pain through specialized rehab programs in our article on managing chronic pain.
After detox (or sometimes instead of it), you might consider:
Inpatient or residential rehab: You live at the facility for a set period, usually 28-90 days. This option provides the most structure and removes you from environments that might trigger kratom use.
Intensive outpatient programs (IOPs): You attend treatment several days a week for a few hours each day while living at home. This allows you to maintain work or family responsibilities while getting substantial support.
The right level of care depends on your specific situation, including the severity of your kratom use, your support system at home, and any other challenges you’re facing.
Recovery continues long after formal treatment ends. Many programs help you develop a continuing care plan that might include:
Remember that seeking professional help isn’t a sign of weakness—it’s a proactive commitment to your health. Many people who go through formal treatment of some kind find that the structure and support give them a helpful foundation to create lasting change.
After you’ve gone through the challenge of kratom withdrawal, the next order of business is to stay kratom-free. Relapse prevention isn’t just about willpower —it’s about understanding your triggers and building healthy strategies to navigate life’s ups and downs.
Most people have specific situations, feelings, or environments that make them want to use kratom again. Common triggers include:
Learning to identify your personal triggers is the first step in reducing your risk of relapse. When you notice a trigger, pause and remind yourself that the urge to use will pass, even if it feels intense in the moment.
Recovery thrives in connection. Consider building support through these avenues:
Having people you can reach out to when cravings hit can make all the difference in preventing a momentary urge from becoming a relapse.
Life is hard at times and we need healthy ways of managing it! A large part of recovery is learning and practicing more helpful ways of dealing with challenges:
The more tools you have in your toolkit, the better equipped you’ll be to handle difficult times. The key is to get those resources in place before those moments arrive.
Small daily habits can strengthen your recovery:
Recovery is a process, not an event. Each day you make choices that support your health is a success, and even if you experience a setback, you haven’t lost the progress you’ve made.
Learn how proper nutrition can fuel your recovery journey in our article on nutrition for addiction and mental health healing.
Recovery from kratom dependency is a journey that takes time, patience, and sometimes a helping hand. While the withdrawal process has its challenges, remember that thousands of people have successfully navigated this path before you!
If you’re struggling with kratom addiction or withdrawal, you don’t have to go through it alone. Professional care can mean the difference between a difficult, uncertain recovery and one with proper guidance and support.
Treatment specialists understand what you’re going through and can help you with tools, medication, and strategies that significantly improve your chances of success.
Ready to take the next step? Search for a treatment provider today. Many treatment centers offer free, confidential assessments to help determine what level of care might be right for you. You’ll thank yourself for having the courage to ask for help when you needed it.
A: Kratom addiction occurs when regular use leads to dependence, causing physical or psychological cravings and withdrawal symptoms when not taken.
A: Withdrawal symptoms typically begin within 6–12 hours after the last dose and can last from 3 to 10 days, depending on frequency and amount used.
A: Insomnia during kratom withdrawal can last from a few days up to a week. Sleep patterns may gradually improve as the body adjusts.
A: Ketum (another name for kratom) withdrawal symptoms may include anxiety, irritability, muscle aches, insomnia, sweating, nausea, and cravings.
A: Opioids, alcohol, and benzodiazepines are often considered to have the most severe withdrawal symptoms, sometimes requiring medical detox. Kratom withdrawal is usually milder but still uncomfortable.
A: Common symptoms include anxiety, restlessness, muscle aches, insomnia, nausea, diarrhea, and emotional distress.
Q: Should I detox from kratom at home?
A: Detoxing at home may be possible for mild cases, but medical supervision is recommended if symptoms are severe or if there are co-occurring mental health conditions.
A: Yes, kratom can affect blood pressure. It may cause either elevated or lowered blood pressure depending on dosage and individual response.
A: Kratom is often used for pain relief, mood enhancement, increased energy, and in some cases, self-management of opioid withdrawal—though it is not FDA-approved for medical use.
A: Coverage depends on your health insurance provider and plan. Many policies include behavioral health services. Contact your insurer to confirm benefits for substance use treatment.
A: Treatment may involve tapering off use, behavioral therapy, support groups, and in some cases, medications to manage symptoms or co-occurring conditions.
A: Staying hydrated, using over-the-counter medications for symptom relief, maintaining a sleep routine, and seeking counseling or medical support can help manage withdrawal.
A: Similar to above—gradual tapering, professional support, proper nutrition, and self-care strategies can reduce discomfort during withdrawal.
A: Withdrawal typically progresses through early symptoms (6–12 hours), peak discomfort (2–4 days), and gradual resolution (5–10 days), though timelines vary by individual.
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2. Trakulsrichai, S., Sathirakul, K., Auparakkitanon, S., Krongvorakul, J., Sueajai, J., Noumjad, N., Sukasem, C., & Wananukul, W. (2015). Pharmacokinetics of mitragynine in man. Drug design, development and therapy, 9, 2421–2429. https://doi.org/10.2147/DDDT.S79658
3. Bestha D. (2018). KRATOM AND THE OPIOID CRISIS. Innovations in clinical neuroscience, 15(5-6), 11.
4. National Institute on Drug Abuse. (2021, April 29). Kratom. National Institutes of Health. https://nida.nih.gov/research-topics/kratom
5. National Institute on Drug Abuse. (2021, April 29). Kratom: Why do people use kratom? National Institutes of Health. https://nida.nih.gov/research-topics/kratom#why-use-kratom
6. U.S. Food and Drug Administration. (2018, February 6). Statement from FDA Commissioner Scott Gottlieb, M.D., on FDA advisory about deadly risks associated with kratom. https://www.fda.gov/news-events/press-announcements/statement-fda-commissioner-scott-gottlieb-md-fda-advisory-about-deadly-risks-associated-kratom
7. National Institute on Drug Abuse. (2021, April 29). Kratom: Is kratom safe? National Institutes of Health. https://nida.nih.gov/research-topics/kratom#safe
8. Chang-Chien, G. C., Odonkor, C. A., & Amorapanth, P. (2017). Is Kratom the New 'Legal High' on the Block?: The Case of an Emerging Opioid Receptor Agonist with Substance Abuse Potential. Pain physician, 20(1), E195–E198.
9. National Institute on Drug Abuse. (2021, April 29). Kratom: Is kratom addictive? Are there withdrawal symptoms? National Institutes of Health. https://nida.nih.gov/research-topics/kratom#addictive-withdrawal
10. Stanciu, C. N., Gnanasegaram, S. A., Ahmed, S., & Penders, T. (2019). Kratom Withdrawal: A Systematic Review with Case Series. Journal of psychoactive drugs, 51(1), 12–18. https://doi.org/10.1080/02791072.2018.1562133
11. Grundmann, O. (2017). Patterns of kratom use and health impact in the U.S.—Results from an online survey. Drug and Alcohol Dependence, 176, 63–70. https://doi.org/10.1016/j.drugalcdep.2017.03.007
12. Singh, D., Narayanan, S., Müller, C. P., Swogger, M., T., Rahim, A. A., Leong Bin Abdullah, M. F. I., & Vicknasingam, B. K. (2018). Severity of Kratom (Mitragyna speciosa Korth.) Psychological Withdrawal Symptoms. Journal of Psychoactive Drugs, 50(5), 445–450. https://doi.org/10.1080/02791072.2018.1511879
13. Suwandi, T., Putra, I. D. K. A., & Winarno, A. S. (2023). Kratom: Traditional medicinal plant or dangerous drug? Addicta: The Turkish Journal on Addictions, 10(1), 151–160. https://www.ceeol.com/search/article-detail?id=1296071
14. Stanciu, C. N., Gnanasegaram, S. A., Ahmed, S., & Penders, T. (2019). Kratom Withdrawal: A Systematic Review with Case Series. Journal of Psychoactive Drugs, 51(1), 12–18. https://doi.org/10.1080/02791072.2018.1562133
15. Zhou, J., & Brennan, M. (2023, May 4). Kratom: The good, the bad, and the unknown [Conference presentation abstract]. Rowan University Student Works. https://rdw.rowan.edu/stratford_research_day/2023/may4/110/
16. Smith, K. E., Feldman, J. D., Dunn, K. E., McCurdy, C. R., Weiss, S. T., Grundmann, O., Garcia-Romeu, A., Nichels, J., & Epstein, D. H. (2023). Examining the paradoxical effects of kratom: a narrative inquiry. Frontiers in pharmacology, 14, 1174139. https://doi.org/10.3389/fphar.2023.1174139
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