This page is general information, not medical advice. Please don’t stop or change any medication or substance without talking to a doctor first.
What kratom is
Kratom comes from the leaves of a tree called Mitragyna speciosa. It is sold as powder, capsules, drinks and extracts. The National Institute on Drug Abuse (NIDA) says there are no uses for kratom approved by the FDA, and that the FDA has warned consumers not to use kratom products because of possible harmful effects.
NIDA says kratom is not on the federal list of controlled substances, but the U.S. Drug Enforcement Administration lists it as a “drug of concern.”
What Florida law says
Under the Florida Kratom Consumer Protection Act (Florida Statutes section 500.92), it is unlawful to sell or give any kratom product to a person under 21. Laws about kratom and kratom extracts can change, and some local rules may differ, so check current rules before relying on them.
Signs a family may notice
Signs of a problem
- Using kratom several times a day, every day
- Spending more and more on it
- Feeling unable to get through work or the day without it
- Using it to manage opioid withdrawal on their own
When they stop or cut back
- Aches, restlessness or trouble sleeping
- Irritability, low mood or anxiety
- Strong cravings
- Going back to use just to feel normal
Some people use kratom to self-treat opioid withdrawal. If your loved one also uses opioids, keep naloxone (Narcan) at home and talk to a doctor about proven medications.
Withdrawal and why medical advice matters
NIDA says withdrawal and substance use disorder symptoms related to kratom have not been studied much, but some people who use kratom report having them. There is no specific kratom diagnosis in the main psychiatric manual (the DSM-5), though researchers have described patterns similar to other substance use disorders.
Kratom products also vary a lot. Powders, capsules, drinks and concentrated extracts can differ in strength, and labels may not tell the whole story. That makes it hard to know how much someone is really taking.
Because so little is known, a doctor’s guidance matters. Your loved one should talk to a doctor before stopping, especially if they use a lot, use extracts, or also use opioids, alcohol or other drugs.
Treatment options
NIDA says there are currently no approved medical therapies for kratom withdrawal or kratom-related substance use disorder. Researchers have reported trying some medications in limited cases, but NIDA says stronger studies are still needed.
In practice, care often looks like treatment for other substances:
- A medical assessment to check overall health and any other substances
- Counseling, such as cognitive behavioral therapy (CBT), to manage cravings and stress
- Treatment for opioid use disorder if your loved one started kratom to cope with opioid withdrawal. See our medication-assisted treatment guide.
- Mental health care for anxiety, pain or depression that kratom may have been covering up
Which level of care usually fits
| Often a fit when… | Learn more | |
|---|---|---|
| Outpatient care | Use is moderate and they’re stable at home | Outpatient care |
| Detox with a doctor | Heavy daily use, extracts, or other substances too | Detox |
| IOP | They need more structure while living at home | IOP |
Outpatient programs near Jacksonville
Free listings, checked against Florida DCF. Ask each program whether it has treated kratom use before.
ACE Medical
6428 Beach Blvd, Jacksonville
Chemical Dependency Counseling (Green Cove Springs)
21 North Orange Avenue, Green Cove Springs
Chemical Dependency Counseling (Southpoint)
4237 Salisbury Road North Suite 308, Jacksonville
Chemical Dependency Counseling (Westside)
6983 103rd Street Suite 2A, Jacksonville
Clay Behavioral Health Center (Loch Rane)
2141 Loch Rane Boulevard Ste 120-121, Orange Park
Community Rehabilitation Center (Beechwood)
623 Beechwood Street Suite 623, Jacksonville
CRC Crossroads Health and Wellness Center
5206-A Pearl Street, Jacksonville
Design Recovery
3000 3rd St S, Jacksonville Beach
Dupont Counseling Group
8540 Baycenter Road, Jacksonville
Duval Family Health Center (Downtown Clinic)
611 E. Adams St, Jacksonville
EPIC Behavioral Healthcare (Central Campus)
1400 Old Dixie Highway Suite C, St. Augustine
EPIC Behavioral Healthcare (North Campus)
3910 Lewis Speedway, St. Augustine
EPIC Behavioral Healthcare (Palencia)
352 Paseo Reyes Dr, St. Augustine
EPIC Recovery Center
3574 US 1 South Suite 107 and 111, St. Augustine
FreshMinistries Outpatient Counseling (Weaver Center)
616 A. Philip Randolph Blvd, Jacksonville
Gateway Community Services
555 Stockton St, Jacksonville
Gateway Community Services (Broadway)
2133 Broadway Avenue, Jacksonville
Groups Recover Together (Orange Park)
2020 Kingsley Ave Suite 3, Orange Park
Inspire to Rise (Westside)
5927 Old Timuquana Road, Jacksonville
Lakeview Health Outpatient
4496 Southside Blvd, Jacksonville
Mental Health Resource Center (North)
3333 W. 20th Street, Jacksonville
Mental Health Resource Center (South)
11820 Beach Blvd, Jacksonville
Meridian Healthcare (Putnam County Clinic)
3314 Crill Avenue, Palatka
New Life Counseling and Educational Services
4124 Boulevard Center Drive, Jacksonville
Northwest Behavioral Health Services (Adult Services)
2392 North Edgewood Ave, Jacksonville
Recovery Counseling and More
4570 St Johns Ave Suite B, Jacksonville
Ron Cipriano & Associates Counseling
9471 Bay Meadows Rd Suite 301, Jacksonville
SMA Healthcare (Palatka Outpatient)
330 Kay Larkin Dr, Palatka
SMA Healthcare (St. Augustine Outpatient)
1880 San Sebastian View Suite 4201, St. Augustine
Sophros Recovery
2511 Saint Johns Bluff Rd S Suite 105/106, Jacksonville
Kratom: common questions
Is kratom legal in Florida?
Florida’s Kratom Consumer Protection Act makes it unlawful to sell or give kratom products to anyone under 21. Rules can change, so check current state and local law. Legal to buy does not mean safe, and the FDA has warned consumers not to use kratom.
Is kratom an opioid?
Kratom is not a federally controlled substance, and it isn’t the same as prescription opioids or fentanyl. NIDA is still studying how it works in the brain. Some people use it to manage opioid withdrawal, which is one reason to talk to a doctor.
Is there a medication for kratom withdrawal?
NIDA says there are no approved medical therapies for kratom withdrawal yet. A doctor can still help manage symptoms and look at the bigger health picture.
My loved one uses kratom to stay off opioids. Is that okay?
That is a question for a doctor. There are FDA-approved medications for opioid use disorder, like buprenorphine and methadone, with strong research behind them. Read our opioid treatment page.
Who can I call?
In an emergency, call 911. For a crisis, call or text 988. SAMHSA’s free National Helpline is 1-800-662-HELP (4357).
