Is Kratom Addictive? The Truth About 7OH and Dependency

Kratom has become increasingly popular in recent years, often marketed as a natural alternative to prescription medications for pain, anxiety, or opioid withdrawal. But despite its herbal origins, kratom is not without risk—especially when it comes to addiction.

At the heart of kratom’s effects is a powerful alkaloid called 7-hydroxymitragynine (7OH). This compound interacts with the brain’s opioid receptors, creating effects that can lead to physical dependence and addiction. So, is kratom addictive? The answer is yes—and understanding why is the first step toward getting help.

What Is Kratom?

Kratom is a plant native to Southeast Asia, where its leaves have been used for centuries as a stimulant and pain reliever. In small doses, kratom can produce increased energy or focus. In larger doses, it acts more like an opioid, creating feelings of euphoria and sedation.

Because kratom is legal in many parts of the U.S. and sold in smoke shops, gas stations, or online, it’s often perceived as safe. But regular use can lead to serious health consequences, especially when users develop a dependence on 7OH.

What Is 7OH and Why Does It Matter?

7-hydroxymitragynine (7OH) is one of the most active and potent alkaloids found in kratom. It binds to the same receptors in the brain as traditional opioids like morphine or oxycodone. While some users turn to kratom as a “safer” option for pain relief or opioid withdrawal, 7OH carries its own risk of addiction.

In fact, 7OH has been shown in some studies to be significantly more potent than morphine. This high potency contributes to both the desired effects and the risks associated with regular use.

Is Kratom Physically Addictive?

Yes, kratom can cause physical dependence. Over time, the body adapts to the presence of 7OH, leading to tolerance—meaning higher doses are needed to feel the same effect. When someone tries to stop using kratom after regular use, they may experience withdrawal symptoms such as:

• Anxiety or irritability
• Insomnia
• Muscle aches
• Nausea and vomiting
• Diarrhea
• Depression or mood swings

These symptoms can be intense and long-lasting, often driving individuals to resume use just to feel “normal” again.

The Psychological Side of Kratom Dependency

Like other addictive substances, kratom can lead to psychological dependence. This includes cravings, compulsive use, and using the drug as a way to cope with emotional or mental health issues. Some people find themselves taking kratom multiple times a day just to function, even when they want to stop.

Psychological addiction is one of the biggest barriers to recovery—and it’s often overlooked by those who assume kratom is harmless.

Who Is Most at Risk for Kratom Addiction?

While anyone can develop a kratom addiction, certain groups may be more vulnerable:

• People using kratom to manage chronic pain or anxiety
• Those with a history of opioid use or substance use disorder
• Individuals self-medicating without medical guidance
• Young adults experimenting with legal highs

Regular use—especially at high doses—increases the likelihood of developing a dependence on 7OH.

What to Do If You Think You’re Addicted to Kratom

If you’re noticing withdrawal symptoms, increased tolerance, or difficulty cutting back on kratom, you’re not alone—and help is available. The first step is to talk to a medical or addiction treatment professional. Quitting kratom cold turkey can be difficult and even dangerous for some people, especially those who have been using it heavily or for long periods.

At Massachusetts Center for Addiction, we offer comprehensive kratom addiction treatment, including medical detox referrals, comprehensive treatment programs, therapy, and long-term recovery support.

Get Help for Kratom Addiction at MCA

Our team understands the unique challenges of kratom dependency. We provide a safe, nonjudgmental environment where you can detox comfortably and build a plan for lasting recovery. Whether you need inpatient support or flexible outpatient care, we’ll help you find a treatment path that works.

Call us at 844-486-0671 or visit our Kratom Addiction Treatment page to learn more.