How Long Does Kratom Last? Doses and Effects

Medical Providers:
Dr. Randy Gelow, MD, FASAM
Ray Hamilton, DNP, PMHNP-BC, FNP-C
Last Updated: November 10, 2025

With an estimated 1.7 million people in the United States using kratom and the market projected to reach $7.80 billion by 2032, this botanical continues to rise in popularity despite growing regulation concerns. Research shows that 29.5% of regular users meet DSM-5 criteria for kratom use disorder, and 78–83% relapse within three months of quitting. Yet kratom’s effects usually last only two to six hours, creating a complex contrast between short-term effects and long-term dependence risks.

Understanding how long kratom lasts, how it interacts with opioid receptors, and how long kratom withdrawal lasts is essential for anyone using it or supporting a loved one.

Our Kratom Addiction Treatment Centers

Struggling with kratom use? You don’t have to face it alone.

How Long Does Kratom Effects Last?

Kratom’s effects generally last two to six hours, depending on kratom doses and effects, strain type, and individual metabolism.

Strain duration:

  • White vein: stimulating, lasts around 5 hours
  • Red vein: sedating, lasts up to 6 hours
  • Green vein: balanced effects, about 4 hours

Onset & peak:

  • Onset: 10–30 minutes
  • Peak effects: 1–2 hours after ingestion

Dose-dependent effects:

  • Low doses (1–5g): stimulant-like, similar to caffeine
  • Moderate–high doses (5–15g): opioid-like pain relief, sedation, and prolonged duration

Kratom binds to mu-opioid receptors, which explains why people experience euphoria, mood changes, and pain relief—even though the effects of kratom are brief.

Can’t quit kratom? Help is here.

How Long Does Kratom Stay in Your System?

Even though the effects fade quickly, kratom stays in your system much longer. Mitragynine, the primary compound, has a half-life of 3.85 to 23.24 hours, meaning full elimination typically takes 1–2 days. However, in some individuals it can take up to 8–9 days to eliminate kratom fully.

Your liver processes kratom through the CYP3A4 enzyme, converting mitragynine into 7-hydroxymitragynine, which is even more potent. Because these alkaloids bind to fat cells, body composition and metabolism strongly affect how long kratom stays detectable.

Factors that influence detection time include:

  •  Age and activity level
  • Faster metabolism vs. slower metabolism
  • Dose frequency and duration of use
  • Liver function
  • Hydration and diet
  • Body fat percentage

Many people search for how to clear kratom from system, but there is no proven shortcut. Hydration, avoiding additional doses, and allowing time for your body to metabolize and excrete the substance naturally are the only reliable methods.

Kratom withdrawal hitting hard? Get support fast

How Long Does Kratom Withdrawal Last?

Kratom withdrawal typically lasts 3–10 days, with some psychological symptoms lasting longer, especially for heavy, long-term users. Because kratom interacts with opioid receptors, the experience may resemble opioid withdrawal, though it is usually milder.

Timeline overview:

Early Withdrawal (6–24 hours)

  • Anxiety
  • Restlessness
  • Irritability
  • Muscle aches
  • Sweating
  • Strong cravings

Acute Phase (24–72 hours)

Most intense period

  • Severe muscle/bone aches
  • Nausea & vomiting
  • Insomnia
  • Depression & anxiety
  • Sweating
  • Fatigue

Subacute Phase (Days 4–7)

  • Gradual improvement
  • Persistent insomnia
  • Mild aches
  • Low mood

Protracted Symptoms (1–2 weeks or more)

  • Anxiety
  • Depression
  • Fatigue

These kratom withdrawal symptoms can disrupt daily functioning and often require professional support.

Ready to quit kratom? Start today

Does Kratom Show Up on Drug Tests?

Standard 5-panel drug tests do NOT detect kratom. However, specialized tests can identify its alkaloids.

Urine Tests:

  • Detect kratom 6 hours after use
  • Detection window: up to 5–9 days

Blood Tests:

  • Most accurate within the first 24 hours
  • May detect kratom for 2–9 days

Hair Tests:

  • Longest window
  • May detect kratom for up to 90 days

Specialized 10-, 12-, or 16-panel tests are the most likely to detect kratom—not standard employment screens.

What Is Kratom Addiction Risk?

Nearly 30% of regular users develop kratom addiction, and more than half develop physical dependence. Importantly, frequency of use increases dependence risk more than dosage alone.

Kratom activates mu-, delta-, and kappa-opioid receptors, resulting in pain relief, sedation, and mood elevation. Many users rely on kratom for chronic pain, unknowingly developing dependency. While kratom may not depress breathing like traditional opioids, it can still lead to serious withdrawal symptoms and compulsive use.

Stuck in kratom use? We can help

Finding Professional Support

If kratom withdrawal is preventing you from stopping, or if physical dependence has developed, professional treatment offers the safest path to recovery.

Hart Rehab in Scottsdale, Arizona specializes in comprehensive addiction treatment for young adults, including kratom dependence and co-occurring mental health disorders.

Our approach includes:

With an intimate residential setting capped at about 10 clients, Hart Rehab provides 24/7 care from master’s-level clinicians and fully individualized treatment plans. Whether you’re dealing with kratom withdrawal, opioid misuse, or co-occurring anxiety or depression, Hart Rehab offers 30–90 day programs tailored to your needs.

Get Help for Kratom Dependence Today

If you or someone you care about is struggling with kratom misuse, withdrawal, or the fear of facing symptoms alone, professional help can make recovery safer and more achievable. Hart Rehab provides a supportive, structured, and compassionate environment where true healing can begin.

Our team is here to answer your questions, explain treatment options, and help you take the next step. Whether you’re dealing with kratom dependence, opioid misuse, anxiety, depression, or all the above, our 30–90 day residential programs offer personalized, evidence-based care.

Call Hart Rehab at (480) 351-5146 to speak with an admissions specialist and start your path toward lasting change.

Need kratom help? Recovery starts now