Kratom (Mitragyna speciosa), a plant native to Southeast Asia, is often marketed as a natural product for pain relief, anxiety, energy, or opioid withdrawal. However, medical organizations warn that “natural” does not always mean safe.
Why is Kratom a Concern?
Research shows kratom can produce stimulant effects at low doses and opioid-like effects at higher doses, and regular use may lead to dependence, addiction, and withdrawal symptoms.
As kratom products become increasingly available in gas stations, smoke shops, and online marketplaces, recovery advocates and public health professionals are urging greater awareness of the potential risks associated with regular use, particularly for individuals in recovery from substance use disorder (SUD).
What are the Signs of Kratom Use?
UNC Health Pardee has observed a significant increase in patients struggling with withdrawal syndromes related to kratom and 7-OH recently. Although kratom has been an emerging concern over the past decade, we have seen a sharp rise in 2026, which may be due to increased marketing and accessibility, particularly among young individuals and those seeking alternatives to alcohol and other addictions.
Possible signs of problematic kratom use may include but are not limited to:
- Needing increasing amounts to achieve the same effect
- Experiencing cravings or difficulty stopping using the substance
- Continued use despite negative effects on everyday life
What are the Treatment Options?
Currently there are no FDA approved medications for kratom withdrawals. Symptoms can resemble opioid withdrawal presenting with severe physical, mental, and emotional distress and may include:
- Depression
- Anxiety
- Fatigue
- Alarming changes in vital signs
The situation is further complicated when kratom or 7-OH is used in conjunction with other substances, exacerbating management difficulties.
Recovering from Kratom Addiction
People living in recovery emphasize that healing is not just about avoiding substances. It is about building meaningful, stable, and healthy lives. Individuals in alcohol and substance use recovery report that replacing one substance with another, even legal or herbal products, can sometimes complicate the recovery process.
Recovery advocates stress that individuals facing kratom dependency deserve the same compassion, dignity, and access to care as anyone facing substance use challenges.
Resources and Hope
UNC Health Pardee is committed to educating the public about the dangers of these substances. Psychiatric and Addictions Therapeutic Healing Services (PATHS) at Pardee
offers therapeutic detox protocols, group therapy programs, and connections with local resources for aftercare, which can be instrumental in supporting those affected.
Recovery is not defined by setbacks, but by the courage to continue.
Anyone concerned about kratom use or substance use of any kind is encouraged to speak with a healthcare provider, recovery organization, or the SAMHSA National Helpline (1-800-662-HELP).
Emily Sawyer, MD
