Kratom is a tropical tree native to Southeast Asia, whose leaves are used for their stimulant and opioid-like effects. At low doses, kratom acts as a stimulant, increasing alertness, physical energy, and talkativeness. At higher doses, it produces sedative effects similar to opioids, helping to relieve pain, induce relaxation, and decrease anxiety. The two main active compounds in kratom, mitragynine and 7-hydroxymitragynine, interact with opioid receptors in the brain. This action can lead to pain relief and mood enhancement, but also carries risks of addiction and withdrawal symptoms similar to opioids. People use kratom for various purposes, including:
- Easing chronic pain
- Boosting mood and energy
- Managing symptoms of opioid withdrawal
- Self-treating anxiety and depression
However, kratom is not FDA-approved for any medical use, and its safety and efficacy remain insufficiently studied. Side effects can range from nausea, itching, and dry mouth to more serious effects like hallucinations, psychosis, seizures, and respiratory problems. Long-term use may cause weight loss, insomnia, and addiction. In summary, kratom can stimulate or sedate depending on the dose, relieve pain and improve mood, but it carries risks of addiction and serious side effects. It is often used as an alternative to opioids or to self-treat various conditions, though more research is needed to fully understand its benefits and risks. Users should be cautious due to lack of regulation and potential health dangers.