Kratom: A Conversation Worth Having

What is kratom?

Kratom (KRAY-tum) is a tree native to Southeast Asia. Its leaves are used to make products that are sold as powders, capsules, gummies, drinks, teas, liquid extracts and tablets. Kratom is often marketed as a natural way to improve mood, increase energy or relieve pain.

However, natural doesn't always mean safe. Kratom products are not approved by the U.S. Food and Drug Administration (FDA) to treat or prevent any medical condition, and products can vary widely in strength and ingredients.

Some products also contain 7-hydroxymitragynine (7-OH), a chemical found in kratom that is often sold on its own. These products can be much stronger than kratom itself and may increase the risk of harmful effects and addiction.

Many kratom and 7-OH products are sold in gas stations, convenience stores, smoke shops and online. Bright packaging, sweet flavors and social media marketing can make them seem harmless—especially to young people.

Why should parents know about kratom?

Young people are hearing more about kratom through social media, friends and online marketing. Because it is often promoted as "natural" or "herbal," many teens may assume it is safe.

Many youth may believe kratom is safe because it is:

  • Labeled as "natural" or "herbal"
  • Available for purchase in some places
  • Promoted online as a wellness or energy product

But products available on a shelf or online are not automatically safe for children and teens.

Kratom can:

  • Affect the developing brain
  • Be habit-forming and lead to dependence
  • Cause harmful side effects
  • Increase the risk of overdose, especially when combined with alcohol or other drugs
  • Contain unknown ingredients or contaminants due to limited regulation

Why are young people using kratom?

Understanding why young people may be interested in kratom can help parents have more meaningful conversations before use begins.

Young people may be drawn to kratom because it is marketed as a way to:

  • Increase energy or focus
  • Stay awake while studying
  • Manage stress or anxiety
  • Relieve physical discomfort or sports-related pain
  • Improve mood

When young people have healthy ways to manage stress, emotions and challenges—and have trusted adults they can talk to—they are better equipped to make healthy choices.

How does kratom affect the brain?

Kratom affects the brain differently depending on the amount used.

In smaller amounts, kratom may act like a stimulant, causing someone to feel more awake, energetic or focused.

In larger amounts, it can act more like an opioid, creating feelings of relaxation, pain relief or drowsiness.

The brain continues developing into a person's mid-20s. During adolescence, substances like kratom may interfere with healthy brain development and increase the risk of dependence. Over time, someone may need more of the substance to feel the same effects, making it harder to stop.

What are the risks?

Like many substances, kratom can affect both the body and the brain. Some effects happen soon after use, while others can develop over time with repeated use.

Possible short-term side effects include:

  • Fast heartbeat
  • Sweating
  • Nausea or vomiting
  • Dry mouth
  • Constipation
  • Drowsiness
  • Confusion
  • Dizziness

Long-term or frequent use may increase the risk of:

  • Dependence or addiction
  • Withdrawal symptoms when trying to stop
  • Liver problems
  • Heart-related concerns
  • Changes in mood, sleep or daily functioning

Because kratom products are not consistently regulated, some products may contain unknown ingredients, contaminants or higher amounts of active chemicals than expected.

Products containing 7-OH may carry additional concerns because they can be much more concentrated and may produce stronger effects than people realize.

Can someone overdose on kratom?

Yes. Kratom can cause or contribute to an overdose, especially when taken in large amounts or when combined with alcohol, opioids or other drugs.

Because many kratom products are not consistently regulated, it can be difficult to know exactly how much of the active ingredients someone is taking.

Signs of a possible kratom overdose include:

  • Trouble breathing or slow breathing
  • Extreme sleepiness or inability to wake up
  • Passing out
  • Confusion or loss of consciousness
  • Pinpoint pupils
  • Blue lips or fingernails
  • Choking, gurgling or unusual breathing sounds

If you think someone is experiencing an overdose:

  • Call 911 immediately.
  • Give naloxone (Narcan®) if it is available.
  • Place the person on their side.
  • Stay with them until emergency help arrives.

Knowing the signs of overdose and responding quickly can save a life.

What should I do if I think my child is using kratom?

If you're concerned your child may be using kratom, try to stay calm and approach the conversation with curiosity rather than judgment.

You can:

  • Ask open-ended questions and listen carefully.
  • Share what you know about the risks of kratom.
  • Avoid blaming or shaming your child.
  • Encourage healthy ways to cope with stress and emotions.
  • Reach out to your child's healthcare provider or connect with local behavioral health resources if you need additional support.

Early conversations and support can make a meaningful difference.

Talking with your child about kratom

You don't need to wait until you think your child is using kratom to start the conversation.

Just like alcohol, tobacco, nicotine, cannabis and other substances, young people are less likely to experiment when trusted adults provide honest information, talk about risks and keep conversations open over time.

You don't have to be an expert to make a difference. Honest, ongoing conversations help children feel comfortable asking questions and making healthy choices. Talking early—and talking often—can make a lasting impact.

Get naloxone. Be prepared.

Carrying naloxone is a simple step that can make a lifesaving difference. While kratom is not the same as traditional opioids, some concentrated kratom products, including 7-OH, may carry serious risks. Having naloxone available can help you respond quickly in an emergency.

Order Naloxone Now

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