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What is kratom, the 'gas station heroin' alarming officials in the US - BBC News

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What is kratom, the herbal supplement alarming officials in the US

Overview

Kratom, an herbal product with opioid-like effects native to South East Asia, has grown in popularity in the US, where it is sold over the counter as a supplement. While some users take it for chronic pain or anxiety, officials and experts have raised concerns due to a lack of federal regulation, high potential for addiction, withdrawal symptoms, and severe risks such as central nervous system depression. Kratom is currently banned in 11 US states and several countries, while other regions continue to debate its legality.

Key points

  • Kratom is a tree native to South East Asia whose leaves have stimulant and opioid-like properties.
  • In the US, kratom is typically sold over the counter in convenience stores, petrol stations, and vape shops as pills, powder, or liquids.
  • It is marketed as a natural supplement for pain management, anxiety, and depression, but it is not federally regulated by the FDA.
  • Higher doses can cause euphoria, hallucinations, and dangerous side effects like central nervous system depression, which can lead to respiratory failure.
  • Users can develop a high tolerance, leading to addiction and difficult withdrawal symptoms.
  • Kratom is illegal in 11 US states, various international countries including the UK, and specific local jurisdictions.
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