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Kratom Education

Kratom Side Effects

Kratom can cause mild side effects at low doses and serious problems with heavy or long-term use, especially with concentrated 7-OH products.
Published: June 23, 2026
6 min read
BZ

Written by

Benjamin Zohar, NCACIP

Nationally Certified Advanced Clinical Intervention Professional

BM

Medically Reviewed by

Brandon McNally, RN

Registered Nurse specializing in addiction medicine

Published: June 23, 2026

Key Takeaways

  • Common short-term effects: nausea, constipation, dizziness, sweating, and dry mouth.
  • Heavier or long-term use is linked to dependence, liver injury, and mood changes.
  • Kratom can interact dangerously with opioids, benzodiazepines, alcohol, and some prescriptions.
  • Contamination is a real concern because kratom products are not FDA-regulated.

Short-Term Side Effects

  • Nausea, vomiting, constipation
  • Dry mouth, sweating, itching
  • Dizziness, drowsiness
  • Increased heart rate or blood pressure (low doses)
  • Slowed breathing (high doses or 7-OH)

Long-Term Effects

Reported long-term effects include tolerance and dependence, withdrawal on stopping, liver enzyme elevations and rare cases of hepatotoxicity, weight loss, and mood or sleep disruption.

Drug Interactions

Combining kratom with opioids, benzodiazepines, alcohol, sleep aids, or some antidepressants raises the risk of sedation, respiratory depression, and serotonergic effects. Always tell your prescriber if you use kratom.

Frequently Asked Questions

Need to talk to someone on Long Island?

The Long Island Rehab Helpline offers confidential, judgment-free guidance for kratom, 7-OH, and opioid use disorders across Nassau and Suffolk County.

Call 844-338-6969

See related resources: Kratom addiction treatment · 7-OH treatment · What is kratom?

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