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Can You Mix Kratom and Alcohol?

Kratom and alcohol are legal for sale and use in much of the United States. With the exception of six states, people over 18 are free to purchase kratom from smoke shops or other locations, and alcohol is widely available throughout the country to people over the age of 21.

These substances are legal– but is it safe to use them at the same time? Kratom is relatively new on the market in the United States, and more research needs to be done to study its safety and the effects of mixing it with other substances. While some people report mixing kratom and alcohol without complications, there have been reports of kratom-related overdoses and deaths.

Many substance abuse and addiction specialists believe that mixing two or more substances, including kratom and alcohol, could put users at increased risk of severe or even life-threatening complications. This article will explore the potential dangers and effects of mixing kratom and alcohol and how to seek treatment for substance abuse.

Contact the Mandala Healing Center staff to learn about our holistic approach to substance abuse treatment and Recovery. Our evidence-based treatments integrate innovative therapies and proven methods to help people overcome addiction and embrace a healthier, sober future.

What is Kratom?

Kratom is a supplement derived from the leaves of an evergreen tree found in Southeast Asia.   Users may chew kratom leaves, take them orally in pill form, or Brew them in tea. Kratom extract can also be found in a liquid form,  which is advertised as a treatment for muscle pain, cramps, and diarrhea and as an appetite suppressant. Some people believe that kratom may also be effective at treating panic attacks, but little evidence supports this claim.

While the effectiveness and dangers of kratom are still under review, researchers believe kratom binds to opioid receptors and works in different ways depending on the dose. In a low dose, kratom may act as a stimulant. Users may experience more energy and wakefulness.

At a higher dose, users may experience euphoria, which is a rush of warmth and intense pleasure or feelings of well-being. It may also relieve pain. People who take a very high dose may experience sedative effects, such as sleepiness or a calm sensation.

Some users may believe that because kratom comes from a plant, it is safe to use in any dose. However, it is almost impossible to determine the amount of kratom you consume because concentration levels vary widely from plant to plant. The user’s health can also increase the risk of complications or unwanted side effects.

The Effects of Kratom

Users may experience kratom’s effects Within just 5 to 10 minutes, and effects can last for up to 5 hours. The effects of kratom use include:

  • Weight loss
  • Dry mouth
  • Chills
  • Nausea
  • Vomiting
  • Constipation
  • Urinary problems
  • Muscle pain
  • Dizziness
  • Hallucinations
  • Depression
  • Delusions
  • Suppressed breathing
  • Seizure
  • Coma
  • Death

Kratom’s effects become more intense at higher doses. Some animal studies show that kratom is more potent than morphine, and other research suggests that kratom can be transferred through breast milk.  However, more research is needed on both the effects and risks of kratom.

The Dangers of Mixing Kratom and Alcohol

Alcohol suppresses activity in the central nervous system (CNS), causing feelings of relaxation and social ease. People who use kratom in high doses for its relaxing effects may wonder about using kratom and alcohol simultaneously. Will the sedating, soothing effects be enhanced by mixing the two substances?

Simply put, mixing kratom and alcohol is not safe. While these substances have similar effects, they work differently in the body. People who use kratom and alcohol simultaneously may face unwanted, sometimes dangerous, complications.

Here are some of the most significant risks of mixing kratom and alcohol.

Liver, kidney, and cardiovascular damage

Kratom and alcohol are both hard on your liver, kidneys, and cardiovascular system. Combining these substances puts users at increased risk of damage to these essential systems.

Excessive sedation

People who use kratom and alcohol may want to enhance the effects of these substances by using the other–but this is a dangerous idea. Combining kratom and alcohol can lead to excessive sedation and other problems, such as:

  • Loss of coordination
  • Dizziness
  • Muscle weakness
  • Nausea


Kratom and alcohol are diuretics, meaning they cause your body to eliminate fluids faster. People who combine these substances may experience frequent urination that can quickly lead to dehydration. 

Additional Considerations

It’s important to ask yourself why you’re interested in mixing kratom and alcohol. Do you feel like you need to use more or more potent substances to get the “buzz” you want, or are you using these substances to manage stress or other uncomfortable emotions?

If you find that you need more of a substance–or need to mix it with other substances–to get the effects you want, it could be a sign that you need substance abuse treatment. Don’t wait for the help you need. Reach out for help, beginning with a substance abuse evaluation. 

Find Help Now

If you or someone you love mixes kratom and alcohol or other substances, you are not alone. Effective, compassionate treatment is just a phone call away. Reach out to the Mandala Healing Center specialists now to learn about our holistic treatment programs and get started toward a healthier future.