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Many use kratom to quit opioids; others just want to get high. There’s a push to regulate the plant-derived drug—but experts disagree on its safety.

Two weeks later, she was off the drug. She has not relapsed since. Now, Day devotes her life and career to kratom. She’s no back-alley pusher—her goal is get kratom out of head shops, gas stations, and dark street corners and into the safe, legal light of day.

Day’s is one of only two kratom businesses licensed by the Department of Agriculture in the entire country. If you ignored the sign, her Oregon storefront, Clean Kratom Portland, could be a coffee shop or a trendy marijuana dispensary. The air is sweet and spicy with incense, the walls bright white and pale green, the plants plentiful, the bar wood, and the binders of lab tests numerous. Day greeted me at the door, along with a giant, exuberant husky named Max. She is wearing a long cardigan and a careful smile. Every visible expanse of skin is tattooed—hands, chest, neck, face. As they travel upward, the tattoos turn from birds and dots to the structural formulas of chemical compounds found in kratom. The arc of hexagons above her left eyebrow is speciogynine, thought to be a smooth muscle relaxer. She credits it with stopping awful withdrawal convulsions.

Day started her kratom business in Denver, and she’s in Portland for one reason only: Google Trends. Of all the people in the US, it’s Portlanders who search for kratom the most per capita. It’s hard to say why that might be—the reasons people give for using kratom vary widely. It’s equally fruitless to try to stereotype an average American kratom user. Many are trying to quit opioids or alcohol. Others are trying to manage chronic pain, improve their eyesight, clear up their skin, boost their immune systems, or just have fun and get high. “A third of our clientele are looking for a caffeine-free alternative to get them through their day,” Day says. “I’m talking soccer moms.”

The image of wealthy moms slurping kratom tea in lieu of a cappuccino, or trendy Bay Area residents popping kratom pills socially just for its mild, mellow body high, cuts strangely against the dire tone of most government reports on kratom. The US Food and Drug Administration warns consumers to avoid kratom, noting that it appears to affect “the same opioid brain receptors as morphine” and may come with the same risks of dependence. The CDC has reported 91 kratom-involved overdose deaths and found the drug in the systems of 61 other overdose deaths.

Just about the only thing everyone agrees on is that kratom is a plant, a tropical evergreen tree that grows wild in Malaysia, Thailand, Indonesia, Myanmar, and Papua New Guinea. It’s a relative of the coffee tree. Within its native range, it’s been used for centuries (at least) as an herbal remedy, especially among day laborers who would chew the leaves for a mild stimulant effect. At the end of a hard day’s work, people might then brew the leaves into a tea, extracting different compounds purported to have a calming and pain-relieving effect.

It’s still used that way in Southeast Asia. According to Darshan Singh, a researcher at the University of Science, Malaysia’s Center for Drug Research, contemporary Malaysian kratom users fall into four categories: old folks practicing traditional medicine, manual laborers, people trying to get off opioids, and people who use kratom in lieu of other illicit drugs, sometimes mixed with cough syrup. (He notes that all categories do tend to share a gender. “Due to societal discrimation,” he says, “kratom use among females is not widespread.”) So far, there have been no kratom-linked deaths in Malaysia, despite its long history and ubiquity. “It is seen that kratom use has become [more of] a major issue in the US than in its local context in Southeast Asia,” Singh says. In Thailand, kratom is on the brink of total legalization.

Southeast Asia is a long way from Portland, and it took kratom a long while to get there. Kratom was described by a Dutch colonial botanist in 1839, but according to Oliver Grundmann, who studies the effects of herbal products on the central nervous system at the University of Florida, interest in the US and Europe didn’t become widespread until the mid-2000s and 2010s. (Though it’s difficult to draw causal links, that does roughly correlate to the rise of the opioid epidemic.)

Most of what Grundmann knows about today’s American kratom use has come from online surveys. He acknowledges that there are biases inherent in that kind of self-reported study, but outside of head shops and Portland convenience stores declaring “Kratom Sold Here,” online is where kratom culture lives. It’s where Day sold her products when she first got started. It was also the scene of the drug’s largest scandal. Last year, a seller in Michigan was forced to forfeit $1 million he’d made hawking kratom online because he was claiming it cured medical conditions like Lyme disease. Facebook is home to dozens of dedicated kratom groups; there are multiple kratom subreddits. Kratom supplements, much like CBD, have become a frequently promoted product in the Instagram economy, especially among fitness influencers claiming it helps with recovery after tough workouts. Once you scroll past a few scary articles from the DEA, FDA, and the Mayo Clinic, kratom’s online presence is somewhat chic.

So, are these some 15 million Americans using the opioid-adjacent killer the DEA fears? Grundmann sees the fact that a highly purified, injectable form of kratom does not exist as evidence that the DEA may have overstated its similarity to opiates: “If kratom were really so powerful, why don’t we see anything like that, despite having a sophisticated underground machinery that could easily come up with extraction techniques if they wanted to?” Grundmann says. “Instead, we see fentanyl and its derivatives contributing to the opioid crisis.” Swogger concurs, as do many other scientists. The compounds in kratom require a great deal of further study to determine what exact effects they do have, but while some bind to the same chemical receptors as opioids, they do so quite differently. Kratom is triggering the same part of your brain’s reward system, but in a way that is (perhaps, hypothetically) less addictive. “When millions of people say they’re using kratom, and it’s helping them with conditions that are really difficult to help people with, we have to listen,” Swogger says. “I’m not convinced that a single death has been the result of kratom.”

A person takes notes next to a pile of plastic bags filled with kratom leaves.
By some scientists’ count, there are between 10 million and 15 million kratom users in the US alone.PHOTOGRAPH: DIMAS ARDIAN/BLOOMBERG/GETTY IMAGES

Thing is, people are dying, and that’s not even the only reason to take issue with kratom’s rising trendiness. The likeliest reason for the fatalities, Day thinks, is less kratom than the substances being used to adulterate it. Shortly after she started posting about her own experiences with kratom online, a man who ran a head shop in Colorado began messaging her, and they became romantically involved. “It turned out to be a bad situation,” she says. “I got trapped inside of an apartment for six months and didn’t have anything else to do but work with him and watch this person making assloads of money selling kratom in a really inappropriate manner.”

Some sellers add just about anything to kratom: potato starch, matcha, flour. Others don’t pay much attention to what’s already in it. Day has seen kratom sold clumpy with mold and dirt. “Someone died using at his store,” Day says of her ex. “So, out of this traumatic experience, I realized I didn’t want to be homeless anymore and maybe I could make a business for myself doing this the right way.” She called labs every day until they started testing kratom for contaminates. Today, she takes pride in offering customers evidence that her products are tested. This has also earned her many enemies. Just because kratom culture is stretching toward the mainstream doesn’t mean it can’t also get nasty when someone threatens the status quo: “I’ve been very vocal that I think kratom should be regulated like marijuana,” Day says. “So much so that … I’ve gotten death threats from kratom users online. There’s a lot of wild stuff on the internet. I try not to focus on it.”

Even if there aren’t contaminants in the kratom you’re ingesting, the manner in which it’s sold presents other dangers. That guy who got busted for claiming that kratom cured Lyme disease? He’s not alone. “We’ve done mystery shopping, and some of the interactions I’ve had are just insane. I wanted to jump across the counter,” Day recalls. “One guy said it will get you high like morphine. Another said it would cure cancer.” To be clear, it doesn’t. Some preliminary studies have suggested certain compounds found in kratom might have possible anticancer effects. Even if that’s true, at this point it’d be a bit like saying blueberries cure cancer because they’re high in antioxidants.

Like many high-value crops (especially semi-illicit ones), the kratom industry is also built on frequently exploitative labor practices, mostly in remote, rural areas in Indonesia. According to Day, who imports her kratom from the country, Indonesia’s drug enforcement agency, the BNN, has been under pressure from the US to ban kratom production by 2022, imperiling the kratom farmers’ livelihoods.

So the DEA and FDA’s worries aren’t unwarranted. “They are rightly concerned about any substance that they have very little control over that patients and consumers are using to self-treat medical conditions,” the University of Florida’s Grundmann says. “When you talk about withdrawal, depression, anxiety—that usually belongs in the hands of a medical professional.” Few seem to think that calls for a ban, though. “If we completely cut off any legal way for those consumers to get kratom, then we don’t have any oversight left.”

Instead, it might be more helpful to consider what kratom’s widespread use says about where our culture around drugs and medicine is now. “Many kratom users I’ve talked to don’t feel comfortable interacting with doctors, which is to their detriment,” the University of Rochester’s Swogger says. “But we can’t pretend like the medicines we’re providing are getting to everyone. They’re not.” While not everyone who takes a kratom supplement has a story as dramatic as Day’s—from homeless substance abuser to business owner and mother—it’s clearly filling a need for millions of people. The need to regulate, but not ban, kratom use is already being acknowledged on the state level: The Kratom Consumer Protection Act has been passed in Arizona, Georgia, and Utah, and is pending in Oregon.

“If it was as dangerous as the media says, I don’t think that would be happening. Nobody’s passing a heroin consumer protection bill,” Day adds. “It’s just weird.” You probably know how Portland feels about weird. The place plans on keeping it.


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