Pain relief (analgesic)
Reduced anxiety
Increased metabolism
Increased sexual performance and desire
Calming of opiate withdrawal
Control of blood sugar levels
Lowered blood pressure
Anti-oxidant cell protection
Anti-viral protection
Anti-bacterial protection
Overall immunity boost
There is no evidence to support most of these and it sounds like someone flat out made a couple of them up. Some of them are even laughable; for instance, opioids (including kratom) lower the male sex drive not increase.
I understand that Kratom is an opioid but it seems to have distinct characteristics from other opioids. For example, what opioids do you know that acts like a genuine psychostimulant in low doses? Some synthetic ones perhaps, but their effects are variable, making one person sleepy and another awake. With Kratom however, it seems that the general consensus is that it acts as a stimulant in everybody/nearly everybody at low doses. I’d imagine there are other stimulant-like alkaloids present in the leaf, perhaps being overridden by the opioid alkaloids at higher doses?
Regardless, Kratom is still considered a drug of abuse, with a side effect profile similar to opioids, a decent abuse potential and horrendous withdrawal symptoms:
BACKGROUND:
Kratom (Mitragyna speciosa) preparations have been traditionally used in Southeast Asia for its medicinal properties. Lately, Kratom use has spread to Europe and the US, where abuse potential and health hazards increasingly emerge. This study is the first to measure systematically Kratom dependence, withdrawal symptoms, and drug craving in regular Kratom users in Malaysia.
METHODS:
A cross-sectional survey of 293 regular Kratom users was conducted in the community across three northern peninsular states of Malaysia. The Leeds Dependence Questionnaire, Marijuana Withdrawal Checklist, and Marijuana Craving Questionnaire-Short Form were used to measure Kratom dependence, withdrawal and craving.
RESULTS:
More than half of the regular users (>6 month of use) developed severe Kratom dependence problems, while 45% showed a moderate Kratom dependence. Physical withdrawal symptoms commonly experienced include muscle spasms and pain, sleeping difficulty, watery eyes/nose, hot flashes, fever, decreased appetite, and diarrhoea. Psychological withdrawal symptoms commonly reported were restlessness, tension, anger, sadness, and nervousness. The average amount of the psychoactive compound, mitragynine, in a single dose of a Kratom drink was 79mg, suggesting an average daily intake of 276.5mg. Regular users who consumed ≥3 glasses Kratom per day, had higher odds of developing severe Kratom dependence, withdrawal symptoms, and inability to control Kratom craving.
CONCLUSIONS:
The findings from this study show that regular Kratom use is associated with drug dependency, development of withdrawal symptoms, and craving. These symptoms become more severe with prolonged use and suggest a stronger control of the drug.
Source: http://www.ncbi.nlm.nih.gov/pubmed/24698080
One drug user I used to know put it best, “Kratom is hydrocodone in leaf form”
Similar to hydrocodone, I’d imagine Kratom would be useful for managing severe chronic pain as an healthier alternative to prescription opioids(Because of it’s antioxidant content). I would also assume that Kratom would probably be highly effective for anxiety, depression and anhedonia in the short term, again like hydrocodone.
I just want to remind everybody what this herb really is; It’s natural hydrocodone. Don't fool yourself into believing it is safe and natural and will never hurt you. That is how addiction begins. If people feel the need to use it recreationally(ie as a replacement for alcohol) on special occasions then feel free to do so, as it is still technically legal in North America. Just be very careful, opioids have a tendency of being “The best drug in the world that cures everything and feels amazing”, which is why they are so hard to quit, and so hard to restrain yourself from taking them everyday. In terms of longevity, Kratom doesn’t seem to play very nice with the liver(https://www.erowid.org/experiences/exp.php?ID=88678, https://www.erowid.org/experiences/exp.php?ID=51161, https://www.erowid.org/experiences/exp.php?ID=95669, https://www.erowid.o...p.php?ID=96857)With many users reporting severe hepatotoxicity from use:
A few months ago I purchased 15x extract after reading of the opium-like quality of this legal (in the U.S.) plant. I depleted the whole baggie within two weeks time, taking a strong dosage usually every other or third night. The effects were incredible at first: euphoria, warmth, bliss, everything you read in these forums. By the fourth dosage, everything went wrong. Within hours, I felt an intense, steadily increasing pain in my abdomen. The pain became so great that I was eventually curled up in a ball on my couch, vomiting helplessly on the floor. At the time, I figured I simply ate a dinner contaminated with some microbe. The next day however, I felt chills, my urine was the color of black tea, and I experienced an intense nausea. This condition would not go away. By the fifth day, I figured this was not a regular food contamination problem. By the fifth day, my whole body and eyes were a dark yellow color...jaundice had set in.
After several blood tests, and doctor's visits I was diagnosed with cholestatic hepatitis (or cholestatic hepatitis), a non-infectious liver disorder where your gall-bladder essentially shuts down for some time. My liver-panel blood test showed elevated ALT, AST, Alkaline Phosphate (a marker for gall-bladder health), bilirubin (the chemical that causes the yellow color of jaundice), and serum albumin levels. There was essentially no treatment, besides taking Compazine for the nausea, which in itself is a horrible drug (used in psychiatric wards to mellow out and dumb down residents).
My condition lasted two weeks. This was by far the worst illness I've ever experienced in my whole life. At times, I literally thought I would die. I understand that I have punctuated my story with drama, but I feel it is necessary to give caution to those that want to try this substance. It very well could have been that the extract was tainted with lab chemicals.
Source: https://www.erowid.o...xp.php?ID=71949
Consuming food/drink or Gaviscon/antacids made this worse, and the pain would run in cycles of intensity, lasting about 15mins. At the worst times, I would just be writhing in agony, unable to speak or do anything. As the day progressed, a feverish sensation came on, accompanied by chills, and generally feeling very ill. My urine was very dark and difficult to pass. This continued into the night, with the pain eventually subsiding.
After a bit of sleep, I felt a lot better the following day, although feeling feverish and ill, with mild abdominal pain still. Wasn't back to normal till the next evening. Any doubts I had that this was caused by Kratom were silenced when I foolishly did some more Kratom two weeks later, with EXACTLY the same after effects, plus the added feeling of being a total moron for inflicting this on myself. Whether this was a contaminated batch of Kratom or something inherent to Kratom powders I don't know. The powder seemed hydrophobic and difficult to mix with anything; I can imagine it not doing any favours at all for the digestive system. It is worrying that there doesn't seem to be any real information on Kratom's toxic effects, either short or long term, except for vague anecdotal accounts, especially now this stuff is so readily available. Most of the vendors seem to be covering themselves, with the old 'not for human consumption' line, so they are obviously not too concerned about what is in these 'extracts'.
Source: https://www.erowid.org/experiences/exp.php?ID=51161
I will divide the experience into two. Day 1, took .25g and felt the regularly reported effects; euphoria, slight buzz... I felt good. The day after is when things got ugly: I developed a horrible stomach ache that radiated to my back, I could barely breath. I felt as if I had indigestion and constipation, in an effort to clear my painful intestines I downed some milk of magnesia. The pain had me unable to go to the gym for a week, I was almost bed ridden for these days.
Fast forward to day 2; 2 weeks later, I decide to give Kratom a try again since I didn't think that the pains and Kratom were related. Boy was I wrong. downed .25grams again and same as last time, I got the feeling of euphoria, light buzz and well being set in rather quickly (20 min). I enjoyed this for 3 hours and went to sleep sober at about 11pm. The real fun began at 3am when I was woken up by stomach pains. I woke up and went to the guest bedroom so as not to wake up my wife, and played some X-box waiting for this feeling to pass so I could get back to bed. That didn't happen; 45 minutes later I was on the floor of the bathroom in fetal position gasping for air, it was the same pain that I had two weeks ago, only stronger, it had radiated to my back and I could barely breathe. The pain would last for about 20 minutes, and suddenly go away... only to come back again 5 minutes later. I lasted in this roller coaster all of 5 hours, when I decided to drive myself to the ER.. the pain was so intense I was very worried about crashing on my way there, even if the ER is only 15 blocks away. if I pressed my hands around my gallbladder I felt I was being stabbed.
Source: https://www.erowid.org/experiences/exp.php?ID=93736
By the looks of it, Kratom is horrible for longevity. For normal healthy people, it seems Kratom will kill your liver. Though in people who have to take painkillers every day to function(In severe pain), Kratom may be worth looking into, assuming they don’t have any horrible liver reactions to it.
If anybody is planning on taking it, please look at all the other options before trying kratom. To birt, try taking some Kava or L-theanine before you jump right on to a powerful and hepatotoxic opioid.
To the OP, I recommend you really look over ALL of the evidence and determine if Kratom is really worth it for anxiety and knee pain treatment.
Edited by β-Endorphin, 24 February 2015 - 03:43 PM.