Primary care providers need to help their patients make informed decisions about kratom, and even then, for many other parameters, they can encourage patients to think twice before recommending said product, especially for opioid addiction.

Advice to patients

If a patient uses or wishes to use kratom, providers should inform them of the risks and benefits, as with any other herbal product. For more information about kratom, please visit

Provider-Patient Discussion

First, ask the patient why they want to use it. If it is for recreational use, advise against it because the benefits are very small.
If he wants to take kratom for chronic pain, ask him what other medications he has tried and what kind of pain he is experiencing. If he has had bad experiences with prescription opioids, opioids or kratom as treatment options, then introduce kratom into the discussion.

A few experts' opinions

Griffin, an associate professor of criminal justice, co-authored a study published in the Journal of Psychoactive Drugs, in which laboratory tests were conducted on 15 different products advertised on the Internet as kratom or appearing in a search for the term "kratom."
He and his colleagues found that all of the products contained the stimulant mitragynine on their labels, but that the narcotic 7-hydroxymitragynine was not present. However, they also noted that previous studies have shown that the small amounts of this chemical in kratom can make it difficult to identify.
People who buy kratom and are considered kratom may not know what they are buying. "If you have a patient who is going to insist on taking kratom, advise them to be careful and use a reputable brand," he said. - By Janel Miller.