Can you take Kratom with Suboxone? Exploring the Risks and Considerations12 min read

Are you curious about the potential interactions between Kratom and Suboxone? In this article, we will delve into the subject to provide you with a comprehensive understanding of the risks and considerations associated with combining these substances. Before making any decisions, it’s crucial to be well-informed, so let’s dive in.

  • Effects of Kratom and Suboxone on the Body: Learn about the individual effects of Kratom and Suboxone and how they might interact when taken together.
  • Potential Risks and Dangers: Explore the possible risks and dangers of combining Kratom with Suboxone, including respiratory depression and increased sedation.
  • Expert Opinions: Find out what healthcare professionals and experts have to say about the safety of using Kratom and Suboxone concurrently.
  • Research Studies and Findings: Discover the existing scientific research and studies that shed light on the interactions and effects of Kratom and Suboxone.
  • Alternatives to Kratom: If combining Kratom with Suboxone is not recommended, explore alternative options for managing pain and discomfort.
  • Practical Recommendations: Get actionable advice on how to proceed if you are considering using Kratom while on Suboxone treatment.

Understanding Kratom

Kratom, scientifically known as Mitragyna speciosa, is a tropical tree native to Southeast Asia. Its leaves contain active compounds that have both stimulant and sedative effects, making it popular for recreational and medicinal purposes. In traditional practices, Kratom has been used to alleviate pain, boost energy, and promote relaxation.

Effects of Kratom on the Body

The effects of Kratom largely depend on the dosage and strain. At lower doses, it acts as a stimulant, leading to increased energy, alertness, and sociability. However, at higher doses, Kratom exhibits sedative effects, causing relaxation and a sense of euphoria. Some users also claim it helps manage chronic pain and opioid withdrawal symptoms.

Potential Risks and Dangers of Kratom Use

  • Dependency and Addiction: Regular and prolonged use of Kratom can lead to dependence and addiction, especially at higher doses.
  • Gastrointestinal Distress: Kratom consumption may result in nausea, vomiting, or constipation.
  • Interactions with Medications: Kratom might interact with certain medications, affecting their effectiveness or safety.

Understanding Suboxone

Suboxone is a prescription medication used in opioid addiction treatment. It contains buprenorphine and naloxone, which work together to alleviate withdrawal symptoms and reduce cravings for opioids. Suboxone is typically administered as a sublingual film or tablet.

Uses and Benefits of Suboxone

Suboxone plays a crucial role in opioid addiction treatment. It helps individuals reduce or stop their use of opioids while minimizing withdrawal discomfort. The controlled and supervised use of Suboxone can be instrumental in supporting individuals on their journey to recovery.

Precautions and Considerations with Suboxone

  • Prescription Only: Suboxone is available by prescription only and should be used under medical supervision.
  • Possible Side Effects: Suboxone may cause side effects such as headache, dizziness, or sleep disturbances.
  • Combining with Other Substances: Suboxone can interact with certain medications or substances, so it’s essential to disclose all current drug use to healthcare providers.

Interactions between Kratom and Suboxone

Kratom and Suboxone have different mechanisms of action in the body, which may lead to potential interactions when taken together. Kratom contains alkaloids that act on opioid receptors, while Suboxone contains buprenorphine, a partial opioid agonist. When used simultaneously, there is a risk of pharmacological interference, potentially reducing the efficacy of Suboxone or leading to unpredictable effects.

Potential Risks of Combined Use

The most concerning risk of taking Kratom with Suboxone is the possibility of respiratory depression, a potentially life-threatening condition where breathing becomes dangerously slow or shallow. Both substances can depress the central nervous system, and combining them may increase the risk of respiratory suppression.

Considerations for Use

  • Medical Supervision: If a healthcare provider deems it necessary to use Kratom alongside Suboxone, it should only be under strict medical supervision.
  • Individual Differences: The potential interactions can vary from person to person based on factors such as metabolism, tolerance, and overall health.
  • Dosage Adjustment: If Kratom use is approved, the Suboxone dosage might need to be adjusted to minimize risks.

Expert Opinions on Kratom and Suboxone Combination

Medical professionals and addiction specialists have differing opinions regarding the simultaneous use of Kratom and Suboxone. Some argue that the potential risks outweigh any perceived benefits, while others acknowledge that certain individuals may find relief from Kratom. However, there is a consensus that using both substances together requires careful monitoring and should only be considered in unique situations.

Research Studies and Findings

While some studies have explored the individual effects of Kratom and Suboxone, limited research focuses specifically on their combined use. As a result, there is a lack of robust scientific evidence to definitively determine the safety or efficacy of this combination.

Case Studies and User Experiences

  • Positive Outcomes: Some individuals claim to have experienced benefits from using Kratom alongside Suboxone, such as better pain relief or reduced withdrawal symptoms.
  • Negative Outcomes: On the other hand, there are also reports of adverse effects, including heightened sedation and potential exacerbation of opioid dependence.
  • Individual Variability: The experiences with Kratom and Suboxone can differ significantly between users, making it challenging to draw definitive conclusions.

Alternatives to Kratom for Pain Management

Considering the potential risks of combining Kratom with Suboxone, it is crucial to explore alternative methods for managing pain.

Natural Pain Relief Options

Numerous natural remedies and therapies can help alleviate pain, including herbal supplements, acupuncture, and physical therapy. These alternatives may provide safer and more sustainable solutions without the risks associated with Kratom.

Non-Opioid Medications

  • Over-the-Counter Pain Relievers: Nonsteroidal anti-inflammatory drugs (NSAIDs) can be effective for mild to moderate pain relief.
  • Prescription Medications: Some non-opioid prescription drugs, such as gabapentin or certain antidepressants, can be beneficial for managing certain types of chronic pain.

Managing Pain and Discomfort without Kratom

For individuals on Suboxone treatment seeking pain relief, it is essential to explore alternative approaches that do not involve Kratom.

Lifestyle Changes for Pain Management

Implementing certain lifestyle modifications can significantly improve pain management and overall well-being. Regular exercise, proper nutrition, and stress reduction techniques can help alleviate pain and promote a healthier lifestyle.

Therapeutic Interventions

  • Physical Therapy: Working with a physical therapist can provide personalized exercises and treatments to target specific pain areas and improve mobility.
  • Cognitive Behavioral Therapy (CBT): CBT can help individuals develop coping strategies and change negative thought patterns related to pain perception.
  • Mindfulness and Meditation: Mindfulness practices and meditation can reduce pain intensity and improve overall quality of life.

Expert Recommendations for Kratom and Suboxone Users

Considering the complex nature of combining Kratom with Suboxone, it is crucial for individuals seeking relief to follow expert recommendations.

Medical Guidance and Supervision

If a healthcare provider suggests using Kratom alongside Suboxone, it is vital to follow their guidance and adhere to the prescribed dosages. Regular check-ins and monitoring are necessary to ensure safety and effectiveness.

Supportive Resources

  • Addiction Counseling: For individuals with a history of opioid dependence, addiction counseling can provide valuable support and coping strategies.
  • Support Groups: Joining support groups can offer a sense of community and understanding for those facing similar challenges.
  • Education and Awareness: Staying informed about Kratom, Suboxone, and potential interactions is key to making informed decisions.


The combination of Kratom and Suboxone is a complex and potentially risky subject. While some individuals may claim benefits from using Kratom alongside Suboxone, the potential risks, including respiratory depression, cannot be ignored. Medical supervision and expert advice are essential for those considering this combination, and exploring alternative pain management strategies is highly recommended.

Seeking Professional Guidance

Given the potential risks and complexities associated with combining Kratom and Suboxone, seeking professional guidance is crucial.

Consulting a Healthcare Provider

Individuals considering using Kratom while on Suboxone should consult their healthcare provider or addiction specialist. Openly discussing their concerns and goals will allow the healthcare professional to provide personalized advice and recommendations.

Being Honest about Substance Use

  • Complete Disclosure: It is essential to be honest about all substance use, including Kratom, to ensure the healthcare provider can make informed decisions.
  • Medication Review: The healthcare provider will review all current medications, including Suboxone, to assess potential interactions.
  • Risk-Benefit Assessment: Together with the healthcare provider, individuals can assess the potential risks and benefits of using Kratom while on Suboxone treatment.

Understanding Kratom Quality and Safety

For those who decide to use Kratom, understanding its quality and safety is crucial to minimize potential risks.

Choosing Reputable Vendors

Purchasing Kratom from reputable vendors is essential to ensure the product’s purity and authenticity. Reputable vendors provide lab-tested Kratom, which can guarantee its safety.

Reading Product Labels

  • Product Information: Reading product labels and understanding the Kratom strain, potency, and dosage recommendations is essential for responsible use.
  • Avoiding Contaminated Products: Checking for any indications of contamination or additives in Kratom products is crucial to ensure safety.
  • Starting with Low Doses: When trying a new batch or strain, it is advisable to start with a low dose to assess individual tolerance and effects.

Staying Informed about Kratom’s Legal Status

Kratom’s legal status varies from country to country and even within different regions of a country. Staying informed about the legal status of Kratom is essential to avoid any legal issues.

Researching Local Regulations

Before purchasing or using Kratom, individuals should research and understand the laws and regulations related to Kratom in their specific area.

Travel Considerations

  • International Travel: It’s important to note that Kratom may be illegal or regulated in some countries, so research is essential before traveling with it.
  • Domestic Travel: Even within a country, different states or regions may have varying regulations on Kratom, so awareness is critical for interstate travel.

The Importance of Supportive Networks

When navigating the complexities of using Kratom with Suboxone or exploring alternative pain management strategies, having a supportive network can make a significant difference.

Seeking Understanding and Empathy

Having friends, family members, or support groups who understand the challenges and potential risks can provide emotional support and reduce feelings of isolation.

Benefits of Support Groups

  • Shared Experiences: Support groups offer a safe space to share experiences, concerns, and successes related to Kratom use or pain management.
  • Practical Tips: Members can offer practical tips and strategies based on their own experiences to help others on a similar journey.
  • Motivation and Encouragement: Being part of a supportive network can provide motivation and encouragement during difficult times.

Educational Resources and Reliable Information

Staying informed about Kratom, Suboxone, and pain management options is vital for making informed decisions.

Utilizing Credible Sources

Ensuring that information is sourced from reputable websites, scientific journals, and healthcare providers can help individuals make educated choices.

Fact-Checking and Verifying Information

  • Multiple Sources: Cross-referencing information from multiple sources can help verify its accuracy and reliability.
  • Avoiding Misinformation: Being cautious of misinformation or anecdotal claims can prevent individuals from making ill-informed decisions.

Emphasizing Self-Care and Well-being

Prioritizing self-care and overall well-being can enhance the effectiveness of pain management strategies.

Importance of Healthy Habits

Maintaining a healthy lifestyle, including regular exercise, sufficient sleep, and a balanced diet, can contribute to better pain management outcomes.

Incorporating Mindfulness and Relaxation Techniques

  • Meditation: Practicing meditation and mindfulness can help individuals better cope with pain and stress.
  • Yoga: Engaging in gentle yoga can improve flexibility and ease tension in the body, potentially reducing pain.


While the desire for pain relief is understandable, the combination of Kratom with Suboxone can be risky due to potential interactions. It is essential for individuals to seek professional guidance, understand the quality and safety of Kratom products, and stay informed about the legal status of Kratom. Exploring alternative pain management strategies, seeking support from others, and prioritizing overall well-being are essential steps for making informed and responsible decisions.

Frequently Asked Questions (FAQs)

1. Can Kratom be used to manage opioid withdrawal symptoms while on Suboxone treatment?

Answer: It is not recommended to use Kratom for managing opioid withdrawal symptoms while on Suboxone treatment. Suboxone is specifically designed to alleviate withdrawal discomfort, and adding Kratom to the mix can increase the risk of adverse effects and interactions.

2. Are there any natural alternatives to Kratom for pain relief?

Answer: Yes, there are several natural alternatives to Kratom for pain relief. Some options include herbal supplements, such as turmeric and ginger, as well as practices like acupuncture and massage therapy.

3. Can I take Kratom on days when I’m not using Suboxone?

Answer: If you are on a Suboxone treatment plan, it is best to avoid using Kratom altogether. The potential risks and interactions still apply, regardless of whether you are taking Suboxone on a particular day or not.

4. Is it safe to consume alcohol while taking Kratom and Suboxone?

Answer: Combining Kratom, Suboxone, and alcohol can be dangerous as all three substances can depress the central nervous system. It is best to avoid alcohol consumption while on Suboxone or using Kratom.

5. Can Kratom interact with other medications I’m taking?

Answer: Yes, Kratom may interact with certain medications. It is crucial to inform your healthcare provider about all medications, including over-the-counter and herbal supplements, before considering Kratom use.

6. Is Kratom addictive like opioids?

Answer: Kratom contains alkaloids that act on opioid receptors, leading to the potential for dependence and addiction with regular and prolonged use. It is essential to approach Kratom with caution and under medical supervision if used at all.

7. Can Kratom help with anxiety or depression symptoms?

Answer: Some individuals claim that Kratom provides relief from anxiety or depression symptoms. However, self-medicating with Kratom for mental health conditions is not recommended, as it can lead to dependency and worsen existing issues.

8. How long does Kratom stay in the system?

Answer: The duration of Kratom’s effects and presence in the system can vary depending on factors such as dosage, frequency of use, and individual metabolism. Generally, Kratom’s effects last for a few hours, and traces of its alkaloids may be detectable in urine for up to several days.

9. Can Kratom be used for managing chronic pain in the long term?

Answer: Using Kratom for long-term chronic pain management is not recommended due to the potential risks of dependency and addiction. Safer and more sustainable alternatives, such as non-opioid medications and physical therapy, should be considered for long-term pain management.

10. How can I find reliable information about Kratom and Suboxone interactions?

Answer: To find reliable information about Kratom and Suboxone interactions, it is essential to consult reputable medical websites, scientific journals, and healthcare providers. Additionally, seeking advice from addiction specialists or pharmacists can provide valuable insights into potential risks and benefits.