How Long Does Kratom Withdrawal Last?

kratom withdrawal

Kratom withdrawal affects both the body and mind, producing symptoms similar to mild to moderate opioid detox. Clinical reports show symptoms typically begin 12 to 48 hours after the last dose, with severity and duration depending on dosage, frequency, and individual factors. Common effects include fatigue, muscle aches, gastrointestinal upset, anxiety, irritability, and intense cravings. While the worst symptoms usually last 3 to 10 days, some men experience post-acute withdrawal syndrome (PAWS) for weeks or months.

At Golden Gate Recovery in Novato, California, Marin County, kratom addiction and withdrawal are treated through a comprehensive, evidence-based approach. Services include medically supervised detox, individualized treatment planning, and therapy addressing both physical and psychological aspects of addiction. Combined with counseling, relapse prevention, and ongoing support, our integrated holistic approach helps clients navigate withdrawal safely and build a foundation for long-term recovery.

What Is Kratom?

Kratom, known scientifically as Mitragyna speciosa, is a tropical tree native to Southeast Asia. Its leaves contain two main psychoactive compounds: mitragynine and 7-hydroxymitragynine. These compounds bind to opioid receptors in the brain, acting like a stimulant at low doses and sedating at higher doses.

In the United States, kratom is sold as powder, capsules, concentrated extracts, and tea. Kratom is federally legal in many places, but state and local laws differ. In California, it remains legal in most areas. Traditionally used in Southeast Asia for pain and energy, kratom has become popular in the West, both recreationally and as a way some people try to manage opioid withdrawal on their own. As more people use it regularly, more are becoming dependent and facing real withdrawal when they stop.

Why Does Kratom Withdrawal Happen?

is it a hangover or alcohol withdrawal

Regular kratom use can lead to physical dependence, and withdrawal occurs when use stops. The brain adapts to kratom’s presence, with its active compounds binding to opioid receptors and altering neurotransmitter production. Over time, the body relies on kratom to function normally.

Key processes include:

  • Neuroadaptation: The brain adjusts to accommodate regular kratom use.
  • Tolerance: Increasing doses are needed to achieve the same effects.
  • Physical Dependence: The body relies on kratom to maintain normal function.

While kratom’s effects on opioid receptors are weaker than heroin or morphine, stopping use suddenly can trigger physical and emotional withdrawal symptoms. Daily use, high-potency extracts, or large doses significantly increase the risk, with the body reacting similarly to traditional opioid withdrawal, though often milder.

Common Kratom Withdrawal Symptoms

Kratom withdrawal often feels like a bad flu combined with intense anxiety and restlessness. Severity depends on usage history: heavier, long-term use leads to more intense symptoms. Kratom withdrawal often feels like a bad flu combined with intense anxiety and restlessness. Severity depends on usage history, as heavier, long-term use leads to more intense symptoms.

Physical Symptoms

Your body reacts immediately when kratom is removed. These symptoms can make daily functioning difficult. The physical toll of withdrawal is often compared to a severe case of the flu. Managing these symptoms is a critical first step in the detox process.

  • Gastrointestinal Distress: Nausea, vomiting, diarrhea, and stomach cramping.
  • Muscle and Joint Pain: Deep aches are often described as “flu-like.”
  • Restless Leg Syndrome (RLS): Uncontrollable urge to move legs, severely impacting sleep.
  • Autonomic Instability: Sweating, runny nose, watery eyes, and temperature fluctuations.
  • Sleep Issues: Severe insomnia or broken sleep patterns.

Psychological Symptoms

For many men, the mental and emotional toll is harder than physical symptoms. These can linger even after the body stabilizes. Psychological symptoms can significantly impact mood and cognitive function, making emotional support and therapy essential components of a comprehensive recovery plan.

  • Mood Disturbances: Profound sadness, depression, or emotional numbness.
  • Anxiety and Agitation: Feelings of panic, irritability, and inability to relax.
  • Cognitive Fog: Difficulty concentrating, confusion, and memory lapses.
  • Cravings: Intense, obsessive urges to use kratom.

How Long Does Kratom Withdrawal Last?

hangover vs withdrawal

Kratom withdrawal varies, but usually follows a similar pattern. Acute symptoms typically last between 3 and 10 days. Some people experience post-acute withdrawal syndrome (PAWS), stretching symptoms for weeks or months.

Kratom Withdrawal Timeline

Most people start feeling withdrawal symptoms 12 to 24 hours after their last dose. Intensity ramps up quickly, peaking within the first few days before gradually tapering.

Early Kratom Withdrawal Symptoms (First 24–48 Hours)

In the first day or two, your body starts clearing remaining kratom compounds. This initial phase is marked by the first signs of physical and psychological discomfort.

  • Onset: Symptoms usually start 12–24 hours post-use.
  • Primary Sensations: Anxiety, restlessness, and watery eyes/nose.
  • Progression: Mild muscle aches and insomnia begin.

Peak Kratom Withdrawal Symptoms (2–5 days)

This is usually the hardest part of detox. During this period, both physical and psychological symptoms reach their maximum intensity, making it a critical time for support.

Intensity: Symptoms reach maximum severity.

  • Physical Effects: Nausea, diarrhea, and muscle pain at their worst.
  • Psychological Effects: Anxiety and irritability peak; cravings become very strong.
  • Management: Medical support helps manage discomfort and reduces relapse risk.

Late or Post-Acute Kratom Withdrawal Symptoms (7-10 days)

After physical symptoms fade (around day 7 to 10), some men enter the post-acute phase. This stage involves lingering symptoms that are primarily psychological and emotional.

  • Duration: Can persist for weeks or months.
  • Characteristics: Lingering depression, anxiety, fatigue, and sleep disturbances.
  • Research Insight: Case studies document PAWS symptoms lasting six weeks or longer.

What Factors Affect the Duration of Kratom Withdrawal?

gabapentin withdrawal

Everyone’s detox experience differs. How long withdrawal lasts depends on several biological and behavioral factors.

Frequency and Duration

How long you've been using kratom significantly affects withdrawal severity. Chronic use leads to more profound changes in brain chemistry, which take longer to normalize.

  • Daily Use: Dosing multiple times daily creates stronger dependence than occasional use.
  • Long-term Use: Years of use cause deeper brain chemistry changes that take longer to reverse.

Dosage and Potency

How much mitragynine you consume matters. Research suggests withdrawal is reliably triggered by high doses (more than 3 grams of leaf material taken multiple times daily). Concentrated extracts cause withdrawal to hit faster and harder due to their potency.

Individual Health and Metabolism

Your body's unique chemistry affects how quickly you process kratom. Factors like metabolic rate and overall organ health play a crucial role in the detox timeline.

  • Metabolism: Faster metabolism means quicker kratom clearance, so symptoms may start sooner.
  • Organ Function: Liver and kidney health are crucial for metabolizing kratom alkaloids.
  • Age: Older adults often process substances more slowly, extending detox timelines.

Co-Occurring Mental Health or Substance Use Disorders

Mental health conditions and kratom addiction often co-occur, creating a cycle that complicates recovery. Withdrawal can worsen symptoms of anxiety, depression, or other disorders, while using kratom alongside substances such as alcohol, opioids, or benzodiazepines can further intensify mental health challenges.

At Golden Gate Recovery, integrated care effectively diagnoses and treats co-occurring mental health disorders. Our dual diagnosis treatment approach addresses both substance use and mental health conditions simultaneously, ensuring that underlying factors are not overlooked, resulting in more successful, long-term recovery. 

Risks of Detoxing From Kratom Without Medical Support

hangover vs withdrawal symptoms

Detoxing from kratom without professional guidance can be dangerous and unpredictable. Kratom withdrawal itself is uncomfortable but rarely life-threatening; complications can be dangerous.

Self-detoxing can lead to serious complications, including severe dehydration, electrolyte imbalances, or cardiovascular issues. In extreme cases, unsupervised detox can result in coma or death, particularly when combined with other substances or underlying medical conditions.

Dehydration and Electrolyte Imbalance

Severe diarrhea and vomiting cause rapid fluid loss, potentially affecting heart function and blood pressure.

Psychological Distress

Severe depression and anxiety can lead to suicidal thoughts, especially without professional support.

Relapse Risk

Withdrawal discomfort drives most relapses. Professional detox removes easy access to kratom, helping you through the hardest days.

Professional medically supervised detox at Golden Gate Recovery provides monitoring, supportive care, and interventions to manage symptoms safely and reduce these risks. 

Can Kratom Withdrawal Lead to Relapse?

Yes. Relapse risk is highest during withdrawal and immediately after, especially during PAWS when emotional distress lingers. What drives relapse:

  • Unmanaged Cravings: Obsessive thoughts about using again.
  • Stress Sensitivity: Small everyday stresses feel overwhelming during withdrawal.
  • Insomnia: Chronic sleep deprivation wears you down, making it harder to resist cravings.

Professional treatment reduces these risks through coping strategies, medication, and ongoing support.

When to Seek Professional Help for Kratom Withdrawal
delirium tremens

Knowing when to seek help isn’t a weakness; it’s a strength. Professional help is essential if you experience severe withdrawal symptoms, including intense cravings, uncontrollable nausea or vomiting, rapid heart rate, high blood pressure, or extreme anxiety and depression.

Individuals with co-occurring mental health disorders or a history of substance use are at higher risk for complications.

Immediate Concerns

  • Suicidal thoughts: Depression is becoming overwhelming.
  • Severe dehydration: Inability to keep fluids down.
  • Cardiac symptoms: Rapid heartbeat or chest palpitations.

Practical Indicators

  • Failed attempts: Previous unsuccessful quit attempts.
  • Impact on function: Withdrawal prevents work, parenting, or self-care.

Medical Factors

  • Co-occurring conditions: History of heart conditions, seizure disorders, or severe mental health diagnoses.
  • Medication interactions: Prescription medications that could interact during detox.

Seeking guidance ensures safe detox, reduces the risk of relapse, and provides support for both physical and psychological recovery.

Kratom Withdrawal Treatment at Golden Gate Recovery

Golden Gate Recovery specializes in helping men in Novato, CA, recover from kratom dependence and addiction. We offer comprehensive care addressing the physical, emotional, and social sides of addiction and mental disorders.

Treatment starts with a thorough assessment to determine the care level. Our outpatient programs utilize evidence-based protocols to manage withdrawal symptoms safely, prioritizing client comfort and dignity.

Medical Detox

Our medical detox program provides 24/7 clinical supervision.
  • Symptom management: Medications such as clonidine (for physical symptoms) and hydroxyzine (for anxiety) as needed.
  • Safety monitoring: Continuous oversight addresses complications immediately.
  • Supportive care: Nutritional support and hydration help the body heal.

Outpatient Treatment (PHP, IOP)

Following detox, clients transition to outpatient programs for long-term sobriety skills.

  • Partial Hospitalization Program (PHP): Daily treatment with high support during early recovery weeks.
  • Intensive Outpatient Program (IOP): More flexible schedule allowing reintegration into work and family life.
  • Therapeutic Modalities: Our programs integrate behavioral therapies such as individual therapy, group therapy, and holistic practices, including CBT and DBT.

Begin Treatment For Kratom Addiction

what to do when someone overdoses

​​Kratom withdrawal can be challenging, but you don’t have to face it alone. Golden Gate Recovery offers a peer-led, evidence-based program designed specifically for men, combining medical support, practical tools, and community connection to make lasting recovery achievable.

If you or a loved one is struggling with kratom dependence, the admissions team can help verify insurance coverage and explore financial assistance options. Taking the first step toward a substance-free life is possible, and help is available. For more information, contact us today.

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