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Kratom vs. Opioids: Safety & Overdose Risks Explored

Comparing Kratom and Opioids: Safety and Overdose Risks

TL;DR

Kratom offers an alternative to opioids for pain management with potentially less severe side effects and overdose risks, though safety concerns persist.

As an emerging alternative to opioids for pain management and substance use disorder treatment, kratom has garnered attention for its potential benefits and risks. Unlike opioids, which are well-documented for their risk of dependence, overdose, and severe side effects, kratom presents a more complex safety profile. Despite reports of dependence and withdrawal symptoms among regular users, evidence suggests these may be less severe than those associated with opioids. However, the legal status of kratom varies significantly, and overdose risks, while reported, are less understood. The CDC noted 91 kratom-related deaths between 2016 and 2017, often involving polydrug use, complicating the direct attribution to kratom alone. This article delves into the comparative safety of kratom and opioids, offering insights into their respective side effects, overdose statistics, legal status, and potential benefits.
By Sarah Mitchell, Medical Expert & Sports NutritionOctober 2, 202511 min read

What is Kratom and How is it Used?

Kratom is a natural substance used for pain relief and opioid withdrawal symptoms, consumed as tea, powder, or capsules.

Kratom is a natural herb that has gained attention for its pain-relieving properties and potential to ease opioid withdrawal symptoms. People consume it in various forms, including tea, powder, and capsules, seeking relief from chronic pain and a natural alternative to prescription opioids.

Originating from Southeast Asia, kratom is derived from the leaves of the Mitragyna speciosa tree. Its active ingredients, mitragynine and 7-hydroxymitragynine, interact with opioid receptors in the brain. This interaction can produce pain relief, sedation, and a sense of well-being. However, unlike traditional opioids, kratom also stimulates serotonin and norepinephrine receptors, which could explain its less severe dependency profile.

Despite its potential benefits, kratom isn't without its drawbacks. Regular users can develop dependency, experiencing withdrawal symptoms and cravings similar to opioids, though often reported as less severe. A study tracking 163 kratom users found that about 56% experienced mild withdrawal symptoms, emphasizing the substance's addictive potential.

Kratom's legal status is a complicated patchwork. In the United States, it remains legal at the federal level but is classified as a controlled substance in several states and municipalities. This legal ambiguity contrasts sharply with opioids, which are strictly regulated nationwide due to their high potential for addiction and overdose.

Why does this matter? For one, the varied legal status of kratom complicates access for those seeking it as an alternative to opioids, either for pain management or to aid in opioid withdrawal. Additionally, the lack of regulation can lead to inconsistencies in product quality and potency, posing safety risks to consumers. This is where resources like the ProveIt app become invaluable, helping users compare brands and verify the quality of their kratom supplements.

In the context of the opioid crisis, kratom presents a fascinating case study. On one hand, it offers a glimmer of hope for individuals struggling with opioid addiction, providing a less potent, natural alternative. On the other hand, its potential for dependency and lack of regulatory oversight underscore the critical need for comprehensive research and thoughtful policy-making in addressing America's pain management and addiction challenges.

How Do Kratom and Opioids Compare in Terms of Safety?

Kratom may lead to dependence and withdrawal symptoms but generally presents fewer and less severe risks than opioids.

Kratom is often touted as a safer alternative to opioids for those dealing with pain or trying to combat opioid addiction. The reality is that while kratom does indeed pose its own set of risks, including potential dependence and withdrawal symptoms, it generally comes with fewer and less severe hazards than traditional opioids.

So, why does this matter? For starters, kratom acts on the opioid receptors in the brain, similar to opioids, but it doesn't lead to the same high level of addiction or risk of fatal overdose that opioids do. This is crucial because it offers a glimmer of hope for those seeking pain relief or a way out of opioid dependency without the high stakes associated with opioid use. A 2019 study examining kratom users found that while dependence and withdrawal symptoms were present, they were notably less severe than those experienced from traditional opioids.

However, it's not all clear sailing with kratom. Regular users can develop a dependence, experiencing withdrawal symptoms and cravings akin to opioid withdrawal, but generally to a lesser degree. For example, a survey of over 2,700 self-reported kratom users revealed that about 9% reported withdrawal symptoms after cessation. Yet, when you compare this to the gravity of opioid withdrawal symptoms, kratom's effects are milder, highlighting its potential as a less dangerous option.

Another point of comparison is the risk of overdose. With opioids, there's a well-documented crisis of fatal overdoses sweeping across many countries. Kratom, on the other hand, does not exhibit the same level of overdose potential. This doesn't mean that kratom is without its risks, but the severity and frequency of overdose are significantly less than with opioids.

The legal status of kratom adds another layer to this discussion. Unlike opioids, which are strictly regulated across the globe, kratom's legal status is a patchwork, with it being a controlled substance in some places while remaining legal in others. This disparity affects accessibility and potentially the safety of the product, as less regulation can lead to variability in product quality and purity.

What's important to understand is that while kratom isn't without its problems, it presents an alternative for those seeking relief from pain or opioid addiction with a potentially lower risk profile. However, as with any supplement, quality matters. This is where platforms like the ProveIt app become invaluable, offering users a way to compare brands and check for third-party testing verification to ensure they're getting a safe, high-quality product.

In summary, kratom might not be free from risks, but when comparing its safety profile to that of opioids, it's evident that kratom could offer a viable, less harmful option for some people. Always ensure you're getting your supplements from reputable sources to minimize risks.

What Are the Statistics on Kratom-Related Overdoses?

While kratom-related overdoses are reported, they are less documented than those involving opioids.

Kratom-related overdoses are indeed occurring but are less frequently documented compared to those from traditional opioids. This difference in documentation partly stems from kratom's complex legal status and its varied use as an alternative for pain management or substance use disorder treatment. Despite its growing popularity, there are significant concerns regarding its safety and efficacy, along with evidence of dependence and withdrawal symptoms among regular users.

According to a report from the Centers for Disease Control and Prevention (CDC), between 2016 and 2017, kratom was detected in the toxicology reports of 152 overdose deaths across the United States. This number, while not insignificant, pales in comparison to the tens of thousands of annual opioid-related overdose deaths. However, it's crucial to note that in many of these cases, other substances were also present, complicating the determination of kratom's sole impact on these fatalities.

Calls to poison control centers have also shed light on the potential risks associated with kratom use. Between 2011 and 2017, there was a notable uptick in calls related to kratom, with a 2019 study highlighting over 1,800 calls within this period. These calls ranged from reports of minor side effects to more severe cases requiring medical attention, including symptoms of toxicity and withdrawal.

Clinically speaking, the comparison of kratom to opioids is instructive. Kratom acts on the brain's opioid receptors, but unlike traditional opioids, its alkaloids (mitragynine and 7-hydroxymitragynine) have a more complex mechanism of action. This complexity might explain why some users experience opioid-like effects at lower doses, with less severe withdrawal symptoms reported. However, this doesn't apply universally, as the severity of withdrawal and dependence can vary widely among individuals.

The legal variability of kratom is another layer to consider. While some countries and states classify kratom as a controlled substance, others have not imposed such regulations. This inconsistency affects the availability of reliable data on kratom's safety profile and its contribution to overdose statistics.

Understanding these nuances is important because they highlight the need for more comprehensive research and standardized regulation. For those considering kratom as an alternative to traditional pain management or as a means to address substance use disorder, the current landscape suggests proceeding with caution. Evaluating the quality of kratom products is challenging due to the lack of regulation, but resources like the ProveIt app can help users compare brands and check for third-party testing, ensuring a safer and more informed decision-making process.

Kratom-Related Overdose Statistics
YearReported CasesNotes
2016-201791 deathsKratom detected in toxicology
2010-2015Increase in calls to poison centers10-fold increase, indicating growing use/concern

What is the Legal Status of Kratom Compared to Opioids?

Kratom's legal status varies by region, unlike opioids, which are strictly regulated globally.

Kratom's legal status is a patchwork, differing widely from one region to another, in stark contrast to opioids, which are tightly controlled worldwide. While opioids are classified as controlled substances due to their high potential for addiction and dependence, kratom sits in a legal gray area.

Kratom, a plant native to Southeast Asia, has become increasingly popular in Western countries for its potential in pain management and substance use disorder treatment. This is partly because it acts on the same brain receptors as opioids, but with a twist. The primary compounds in kratom, mitragynine and 7-hydroxymitragynine, interact with opioid receptors, but they don't elicit the same high level of addictive behaviors. That said, it's not without its risks. A study indicated that regular kratom users can experience dependence, withdrawal symptoms, and cravings, albeit generally less severe than those associated with opioids.

When comparing kratom to opioids in legal terms, it's important to note the distinct paths they've taken. Opioids, despite their medical uses, have been the focus of stringent regulations due to the opioid crisis. This has led to a tight control over their prescription and distribution. Kratom, however, has dodged such sweeping regulations for several reasons. Its perceived lower risk of addiction, along with its use as a natural alternative for pain relief and opioid withdrawal management, has made it a controversial subject. As of now, kratom is a controlled substance in several countries and in some states within the U.S., but it remains legal and accessible in others.

Why does this matter? This legal variability reflects the ongoing debate about kratom's safety and efficacy. While opioids have a well-documented track record of both therapeutic benefits and potential for harm, kratom's profile is still being studied. A 2023 survey of 1,200 kratom users found that many turn to the substance as an alternative to traditional opioids, motivated by a desire to manage pain or addiction with something they perceive as safer or more natural.

This differing legal status is critical for consumers to understand, especially those seeking alternatives to opioids for pain management or addiction recovery. Knowing where kratom stands legally can help inform decisions and avoid unintended legal issues. Plus, for anyone considering kratom, it underscores the importance of conducting thorough research and possibly consulting healthcare professionals. For those looking to dive deeper into the quality and credibility of kratom products, the ProveIt app offers a reliable resource for comparing brands and scrutinizing supplement quality, steering users towards safer choices in an uncertain regulatory landscape.

What are the Potential Benefits and Uses of Kratom?

Kratom is sought for its analgesic properties and as an aid for opioid withdrawal, though research is ongoing.

Kratom is increasingly popular for its potential to manage pain and help with opioid withdrawal. This natural supplement, derived from a plant native to Southeast Asia, has caught the attention of many seeking an alternative to traditional opioid medications. But what exactly does the research say about kratom's benefits and uses?

First off, studies have pointed out that kratom acts on opioid receptors in the brain, which explains its pain-relieving properties and why it’s considered by some as an alternative to opioids for managing pain. For instance, a survey involving over 2,700 self-reported users of kratom found that many turn to kratom to alleviate chronic pain, with a significant number reporting relief. This is critical because it offers a potential non-opioid alternative for the millions suffering from chronic pain, especially in contexts where opioid addiction has become a public health crisis.

Kratom is also being researched for its role in easing opioid withdrawal symptoms. The alkaloids in kratom, primarily mitragynine and 7-hydroxymitragynine, interact with the same brain receptors as opioids, but with reportedly less addictive potential. A 2018 study highlighted that kratom might reduce opioid withdrawal symptoms, including cravings, without the severe dependencies associated with opioids. This finding is important as it opens the door to potentially safer approaches to managing opioid dependence, though it's clear that more research is needed to fully understand the implications.

However, it's not all clear sailing. Regular kratom use is associated with its own set of withdrawal symptoms and cravings, albeit less severe than those from opioids. This similarity signals a cautionary note for those considering kratom as a harmless substitute. Plus, kratom's legal status is a bit of a patchwork globally, being a controlled substance in some places while legal in others, which complicates access and research.

Another point to consider is that, unlike well-regulated pharmaceuticals, the kratom available to consumers can vary widely in quality and purity. This variability underscores the importance of sourcing kratom from reputable suppliers. Tools like the ProveIt app can be handy in comparing brands and checking supplement quality to ensure what you're getting is tested and verified.

In summary, kratom offers intriguing potential benefits for pain management and opioid withdrawal relief, backed by its unique action on the brain's opioid receptors. Yet, the need for more comprehensive research is evident, especially to understand the long-term effects and to navigate the challenges posed by its legal and regulatory status. As always, consulting healthcare providers before starting any new supplement, including kratom, is advisable to weigh the benefits against possible risks.

References

  1. Opioid Basics - Understanding the Epidemic (government, 2022) - View Source(article)
  2. National Institute on Drug Abuse (NIDA) - Kratom (government, 2022) - View Source(article)
  3. Drug Enforcement Administration (DEA): Kratom (government, 2021) - View Source(article)
  4. Review of Kratom-related Deaths: A Systematic Review of the Literature (academic, 2020) - View Source(article)
  5. Kratom (Mitragyna speciosa) dependence, withdrawal symptoms and craving in regular users (academic, 2017) - View Source(article)
  6. Mitragynine ('Kratom') - An emerging drug of abuse (academic, 2015) - View Source(article)
  7. Kratom: Unsafe and ineffective (industry, 2021) - View Source(article)

About the Author

Sarah Mitchell
Sarah Mitchell

Medical Expert & Sports Nutrition

Board-certified physician with over 15 years of experience in sports medicine and nutritional science. Specializes in evidence-based supplement recommendations for athletes and fitness enthusiasts. Published researcher in several peer-reviewed journals on performance nutrition.

View all articles by Sarah →

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice. Always consult with a healthcare provider before making changes to your supplement routine or if you have specific health concerns.