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The Science Behind Kratom's Effects: A Deep Dive

Updated: Jun 30, 2023

Kratom is a plant native to Southeast Asia and has been used in traditional medicine for centuries. The plant's leaves contain active compounds, primarily mitragynine and 7-hydroxymitragynine, which are known to produce a range of effects, from pain relief to mood enhancement, driving a surge in interest and adoption throughout the West. This article looks into the science behind kratom's effects on the brain and body, shedding light on the mechanisms that underpin its increasing popularity among those seeking improved mood, sociability, and pain relief.


A woman analysing brain scan data from an MRI machine
Kratom's unique effects on brain receptors put it in a class of its own

Effects on the Brain and Body


Kratom's active compounds interact with opioid receptors in the brain, leading to effects such as pain relief, mood enhancement, and sedation. However, unlike opioids, kratom's compounds bind to opioid receptors in a unique way, leading to significantly reduced risks.


The interaction with the mu-opioid receptors is particularly significant. This receptor subtype is primarily responsible for the pain-relieving effects seen with traditional opioid drugs like morphine. However, kratom's interaction with these receptors is believed to be more complex and less intense, which may explain why it can provide pain relief without causing significant respiratory depression, a common side effect of traditional opioids.


While kratom interacts with opioid receptors, it is not an opioid itself. Its chemical structure and overall effects are distinct from those of opioid drugs. This is a key point of interest for researchers studying kratom, as it could potentially offer pain relief and other benefits without the high risk of addiction and other serious side effects associated with opioids.


Mitragynine, the primary active compound in kratom, also interacts with other receptor systems in the brain, including dopamine and serotonin receptors, which could potentially be used for treating depression, anxiety, and psychosis. Kratom impacts the body through influencing the nervous system and hormonal balance, with users consistently reporting pain relief and reduced inflammation.


Dual Nature: Stimulant and Sedative


Kratom can act as both a stimulant and a sedative, depending on the dose. Lower doses tend to produce stimulant effects, such as increased energy and alertness, while higher doses lead to sedative effects, such as relaxation and pain relief. This dual nature is due to the different types of opioid receptors that kratom's compounds interact with at varying doses.



Potential Risks and Misuse


Despite its potential benefits, kratom is not without risks, which vary depending on the individual and the dosage. Side effects can include psychiatric, cardiovascular, gastrointestinal, and respiratory problems (have a look at our FAQ section for a full run down). There is also a potential for misuse and dependency with long-term excessive use. However, compared to other substances like alcohol (which according to the WHO is the cause of 13.5% deaths of those aged 20-39), there have been few reported deaths linked to kratom. Those that have been linked typically involved other drugs or contaminants.


Final Thoughts


Kratom's popularity in the West is fuelled by its diverse effects on the brain and body. Its unique interaction with opioid receptors provides pain relief and mood enhancement without the risk of respiratory depression. Additionally, kratom's potential in treating depression, anxiety, and inflammation through its interaction with dopamine and serotonin receptors is promising. Its dual nature as a stimulant and sedative, depending on the dosage, further contributes to its appeal. While risks and misuse exist, the wonder plant has a considerably safe track record. Continued research is crucial to fully understand kratom's benefits and risks and ensure responsible use of this captivating plant from Southeast Asia.

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