Kratom is a tree native to Southeast Asia (Thailand, Malaysia, Indonesia, Borneo, etc.). Its botanical name isMitragyna speciosa. Kratom is in the same family as the coffee tree (Rubiaceae). The leaves of kratom have been used as an herbal drug from time immemorial by peoples of Southeast Asia. It is used in folk medicine as a stimulant (at low doses), sedative (at high doses), recreational drug, pain killer, medicine for diarrhea, and treatment for opiate addiction. Many people report that kratom is an effective treatment for arthritis, restless legs syndrome (RLS), and fibromyalgia.
What are the effects?
Kratom is a rather unique drug in that a low to moderate dose will usually (but not always) be stimulating, while a high dose is almost always quite sedating. This is apparently because the active alkaloids have both stimulant and sedative effects. Which predominates probably depends both on dosage and individual differences between users. Many people report that the effects are very similar to opiate drugs. From a pharmacological perspective this is not surprising because kratom contains alkaloids that act as opiate receptor agonists. Interestingly, although kratom has a similar mechanism of action as many opiate pain medications it does not appear to be nearly as addictive. In fact many people use kratom to overcome opiate addiction.
The stimulant level: At the stimulant level, the mind is more alert, physical energy (and sometimes sexual energy) is increased, one feels more motivated to get things done, ability to do hard, monotonous physical work may be improved, there is an elevation of mood (it has an antidepressant effect), one is more talkative, friendly, and sociable. The stimulant effects of kratom are different from typical CNS stimulants, such as caffeine or amphetamine drugs. Kratom is more of a cognitive stimulant tnan a physical stimulant.
The sedative-euphoric-analgesic level: At this dosage you will be less sensitive to physical or emotional pain, feel and look calm, have a general feeling of comfortable pleasure, and may enter a pleasant dreamy reverie. You may experience some itching or sweating. Your pupils may be constricted (small). It is possible you may feel nauseated, but if you lie down and relax the nausea should quickly subside. You may find your appreciation of music is increased. It will be very pleasant to lie down on your back in a semi-darkened room, with eyes closed, and just listen to your favorite music. If you do this you may be fortunate enough to enter the delightful mixed-state of ‘waking-dreaming’ where you have one foot in dreamland and the other foot in the real world. This state was much prized by the 19th century Romantic writers, who, lacking knowledge of kratom, resorted to the much more habit-forming narcotic, opium, to achieve it.
Is kratom an effective pain medication?
Yes, kratom is an effective pain medication (analgesic). In fact, except for opium, kratom is probably the most effective herbal analgesic available. Many people use kratom to alleviate aches and pains, and to help manage painful conditions such as arthritis and fibromyalgia.