Kratom Withdrawal Symptoms Day by Day | Nashville Addiction Clinic

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On December 3, 2025

If you or someone you love is quitting kratom, you want to know what to expect — kratom withdrawal symptoms day by day can feel intense, scary, and unpredictable. At Nashville Addiction Clinic, we believe in giving you clear information and a safe path forward. We treat people aged 18 to 65 with compassion, experience, and respect — whether they live in Memphis, Chattanooga, Knoxville, Nashville, or Jackson, Tennessee.

Below, you’ll see a realistic day-by-day guide to kratom withdrawal, what makes it worse, and how to get professional help that avoids unnecessary suffering, especially if you’ve already struggled with opioid dependence.

What Is Kratom & Why Withdrawal Happens

Kratom is a plant from Southeast Asia whose active ingredients include mitragynine and 7-hydroxymitragynine (7-OH). (DEA)
These compounds act on opioid receptors in your brain—similar to prescription pain pills or heroin. (dig.pharmacy.uic.edu) Because of that, long-term or high-dose use of kratom can lead to kratom dependence and a withdrawal syndrome that resembles opioid withdrawal. (PMC)

Even though many people believe kratom is “safer” or “natural,” the FDA warns that kratom products are not approved for treating opioid addiction, and may carry risks of addiction, contamination, or misuse. In fact, the FDA has sent warning letters to companies marketing kratom as a treatment for withdrawal. (U.S. Food and Drug Administration)

Why “Day-by-Day” Withdrawal Info Matters

When you search for kratom withdrawal symptoms day by day, you’re trying to predict what happens hour to hour, day to day. That helps reduce fear, plan ahead, and know when you truly need medical care. Every body is different, but having a reference timeline helps you feel less alone.

Below is a generalized kratom withdrawal timeline. Use it to guide—but never replace—medical supervision.

Kratom Withdrawal Symptoms Day by Day

Note: This is a general guide. Your experience might differ depending on dose, how long you used, physical health, co-occurring disorders, and whether you used other substances (including opioids or benzodiazepines).

Day 0 to 6–12 Hours (Early / Prodromal Phase)

Cravings begin
Anxiety or restlessness
Mild sweating, chills
Runny nose, tearing (like a mild flu)
Yawning, lethargy
Minor muscle aches or stomach discomfort

At this stage, symptoms are usually mild — and many people relapse just to avoid going further.

Day 1–2 (Onset / Acute Phase Begins)

More intense muscle and bone pain
Nausea, stomach cramping, possibly vomiting or diarrhea
Headaches, light sensitivity
Shaking or tremor
Insomnia or disrupted sleep
Irritability, mood swings, anxiety, depression

Some begin to feel like they “have the flu.” This is when kratom detox symptoms peak for many.

Day 2–4 (Peak Acute Withdrawal)

Most intense physical symptoms
Sweating, chills alternate
Heart palpitations, elevated blood pressure
Strong kratom craving
Severe gastrointestinal distress
Emotional symptoms: panic, fear, tearfulness
Fatigue, weakness

This is often the hardest period.

Day 4–7 (Decline of Acute Symptoms / Subacute Phase)

Physical symptoms gradually recede: less pain, less GI upset
Continued fatigue
Sleep might still be disrupted
Psychological symptoms often persist or intensify: anxiety, depression
Cravings remain
Trouble focusing, irritability

This is still risky — relapse often happens during this period.

Days 7–10 and Beyond (Post-Acute / PAWS Phase)

Most physical symptoms are gone
Lingering psychological effects:
- Depression, mood swings, brain fog
- Sleep abnormalities
- Occasional cravings
- Low energy, fatigue
- Anxiety or panic episodes

This is part of post-acute withdrawal syndrome (PAWS). For some, these effects last weeks or even months.

Weeks to Months (Recovery / Healing Phase)

Psychological healing continues
Cravings fade (but may still flare)
You might have occasional triggers, emotional distress
You may benefit from counseling, behavioral therapy, healthy habits

Factors That Alter the Timeline

Your experience could be much shorter or longer depending on:

Dosage & frequency (higher dose → worse withdrawal)
Duration of use (months or years → longer timeline)
Polydrug use (if you also used opioids, benzodiazepines, etc.)
Underlying mental health (depression, anxiety, PTSD)
Physical health, nutrition, sleep, stress

Why Kratom Withdrawal & Opioid Withdrawal Are Interlinked

Because kratom acts on opioid receptors, the withdrawal can closely resemble opioid withdrawal. (PMC)
Many people who try kratom to avoid opioid withdrawal just trade one dependence for another.
For patients who already have an opioid use history, a careful transition to buprenorphine / Suboxone (with medical supervision) may alleviate both kratom and opioid withdrawal symptoms more safely. However, because clinical trials on kratom withdrawal are limited, experts urge caution when using opioid medications to treat it. (dig.pharmacy.uic.edu)

How Nashville Addiction Clinic Can Help

If you’re reading this from Murfreesboro, Clarksville, Franklin, Bristol, or Cookeville, know that you never have to travel to a clinic—we bring care to you.

Register for Suboxone Telemedicine using TennCare Medicaid
Register for virtual Suboxone treatment using commercial insurance
Register for online Suboxone therapy as a self-pay patient
Register as a returning patient
Apply for our Sliding-Scale Program
Kratom and 7-OH Addiction Explained
View insurance we accept and self-pay pricing
See how Suboxone Telemedicine Appointments Work
Read our 260+ five-star reviews on Google
Message us securely on the Spruce Health mobile app
Meet Our Team
We accept most commercial/employee health plans, such as BCBS, Cigna, Ambetter, and United Healthcare, as well as all TennCare Medicaid insurance: Amerigroup Community Care, BlueCare, United Healthcare Community Plan, and Wellpoint Community Care.
Experience a safe transition from hydrocodone, oxycodone/OxyContin, heroin, fentanyl, methadone, morphine, Kratom, 7-OH (7-Hydroxy-opioids), Tramadol, Opana, codeine, oxymorphone, Tramadol, Percocet, and other opioids.
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What makes us different:

We were the first clinic in Tennessee to receive a virtual medical license for treating addiction via telemedicine
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Accredited by The Joint Commission, giving you confidence in our standards
Our staff includes master’s-level counselors and clinicians who truly understand addiction
The clinic has been operating for 6+ years and has treated 1000+ Tennesseans
The owners are in active recovery themselves—they founded the clinic to build what they never got: kindness, dignity, and real help

What you can expect when you enroll:

Same-day prescription of Suboxone / buprenorphine
Your prescription can go to your local pharmacy or be delivered overnight
You never need to show up at a clinic — all care is virtual
You’ll receive counseling, psychiatric support, and a full care team
Your plan includes telemedicine-based medication-assisted treatment (TeleMAT) — the acronym we coined and helped popularize
If needed, we’ll help you with sliding-scale pricing or use your TennCare Medicaid or commercial insurance

You can register via:

Need help now? Call or text (615) 927-7802, or message us securely via the Spruce Health mobile app.

FAQs (Frequently Asked Questions)

Q: What is the kratom withdrawal timeline for most people?

A: For many, the acute phase lasts 4–7 days, with lingering psychological symptoms (PAWS) continuing for weeks or months. (The Summit Wellness Group)

Q: Can kratom withdrawal cause overdose or death?

A: Kratom alone rarely causes respiratory depression like classical opioids, but combined with other depressants or in potent formulations, risk increases. There have been reports of severe adverse effects, seizures, liver injury, and death with kratom use. (Wikipedia) Also note: opioid relapse carries real risk of overdose and death — treating opioid cravings safely is critical.

Q: Can Suboxone / buprenorphine be used for kratom withdrawal?

A: Some case reports show buprenorphine or buprenorphine-naloxone (Suboxone) alleviating withdrawal from kratom, especially for those with opioid history. (dig.pharmacy.uic.edu) But because research is limited, such treatments should be tailored and supervised.

Q: Will I have to come into a clinic?

A: No — at Nashville Addiction Clinic, you never need to step foot in a physical clinic. Every part of your treatment (assessment, prescriptions, counseling) is virtual through TeleMAT.

Q: Can people with Medicaid (TennCare) access this care?

A: Yes. We accept TennCare for Suboxone telemedicine appointments.

Q: How fast can I start treatment?

A: Often, same-day. After your initial virtual appointment, we can prescribe Suboxone and send it to your local pharmacy or deliver it overnight.

Q: What if I relapse during withdrawal?

A: It’s common and not a failure. Our clinicians design relapse prevention strategies, provide counseling, and adjust your care plan to support you through setbacks.

Why Treatment Is Safer Than Withdrawing Alone

Medical support dramatically reduces risk, discomfort, and relapse
Suboxone virtually eliminates opioid withdrawal symptoms and cravings when used correctly
Counseling helps resolve the triggers, emotional pain, and mental health issues underneath your substance use
A care team gives accountability, monitoring, and compassion
Especially for men and women aged 18–45 (but even up to 65), the difference can be life or death

Opioid addiction is serious. Overdose or death is a real possibility — especially during relapse. SAMHSA, the FDA, and DEA all emphasize that addiction treatment must be evidence-based and medically guided.

Take the Next Step

You don’t have to face kratom withdrawal symptoms day by day alone. You deserve care that understands your life, your struggles, your fear. Whether you’re in Memphis, Chattanooga, Knoxville, Nashville, or Bristol — we’re ready to walk with you.

Call or text (615) 927-7802, message us securely on the Spruce health app, or pick the appropriate registration link above to get started today.