How do you counsel patients who are interested in using kratom for chronic pain management?

I am not a pain management expert, but would recommend against use for chronic pain management. Risks outweigh in a significant order.

It's not FDA-approved for any form of pain treatment. There is no dosage reference to use. The pain control one gets may be too low compared to the addictive risks, ...

The problem with Kratom/Mitragynine (a plant native to Southeast Asia) is similar to the major problem with THC products in the US: potency.

7-OH-Mitragynine is the psychoactive substance in Mitragynine mostly responsible for the euphoric and analgesic effects. It constitutes roughly 1% of the overa...

I agree with the answer. Kratom has an abuse potential, and withdrawal symptoms are severe.

It is not an FDA-approved medication.

I now have about five or six patients who were severely dependent on Kratom and 7-OH. They are now stable on Suboxone. Kratom and its concentrated form, called 7-OH, are huge problems. You can buy 7-OH at gas stations. I have patients who were spending $100/day on 7-OH. It’s unbelievable!