Malaysian Study: Kratom as Alcohol Substitute Shows Rapid Abstinence and No Relapse

Why it matters

Qualitative study demonstrates kratom was used successfully as alcohol substitute with participants achieving rapid abstinence in 1-3 months and zero relapse, suggesting potential harm reduction applications.

The big picture

In Southeast Asia, kratom has traditionally been used for self-treatment. This study explores its potential role in managing alcohol use disorder through direct comparison with alcohol.

Key findings

• All 16 participants (mean age 58.6) used kratom to substitute for alcohol
• Pronounced reduction in frequency and quantity of alcohol use after kratom initiation
• Complete alcohol abstinence achieved in 1-3 months in all cases
• Zero relapse to alcohol use after starting kratom
• No participant developed kratom dependence despite regular use
• Kratom did not negatively affect social functioning, unlike alcohol

What they say

Researchers: Kratom was consumed as substitute for alcohol and suggests potential utility to reduce or cease alcohol consumption. However, further longitudinal studies needed.

Bottom line

Kratom showed promise as alcohol substitute with rapid abstinence and no relapse in this Malaysian study, though larger trials needed.