Rezolv Health — Telehealth Addiction & Mental Health Care

Physician-supervised treatment for Kratom dependence — medical management of withdrawal symptoms, tapering support, and a structured plan toward cessation. Available in California, Washington, and Nevada. New Mexico — Coming Soon. Care is delivered by secure video visit in most locations. In-person visits may be required in the Tacoma, WA and Reno, NV areas.

What is Kratom dependence?

Kratom is a plant-derived substance (Mitragyna speciosa) that contains active alkaloids — primarily mitragynine and 7-hydroxymitragynine (7-OH) — that interact with opioid receptors in the brain. At lower doses, Kratom produces stimulant-like effects. At higher doses, it produces opioid-like effects including sedation, euphoria, and pain relief.

Daily Kratom use produces physical dependence through the same mechanism as opioids. When use is stopped or reduced, withdrawal symptoms emerge — and they can be significant. Kratom withdrawal is not simply a matter of willpower. It is a physiological response to opioid receptor activity being suddenly reduced.

Despite its widespread use, Kratom dependence is frequently undertreated. Most addiction treatment programs are not equipped to manage it. Many patients have been told by physicians that they simply need to stop using — without acknowledgment of the physiological challenge involved or the availability of medical support.

Kratom withdrawal symptoms

Kratom withdrawal is opioid-like in character. Common symptoms include:

Muscle aches and joint pain
Insomnia and sleep disturbance
Anxiety, irritability, and restlessness
Nausea, vomiting, and diarrhea
Sweating and chills
Runny nose and watery eyes
Cravings and strong urges to use
Depression and low mood, often persisting beyond acute withdrawal

The acute withdrawal phase typically peaks within 24 to 48 hours of last use and can last one to two weeks. Post-acute symptoms — particularly anxiety, depression, insomnia, and low energy — can persist for weeks to months after stopping. The post-acute phase is often the most challenging aspect of Kratom cessation and is frequently the reason patients return to use after an initial period of abstinence.

Why medical treatment matters for Kratom cessation

The "just stop" approach fails most patients attempting Kratom cessation for the same reason it fails patients attempting unaided opioid withdrawal: the physiological symptoms are real, the post-acute phase is prolonged, and the return to use provides immediate relief. Without support, the cycle continues.

Medical management changes the equation. A physician who understands Kratom dependence can:

Provide medications that reduce acute withdrawal symptoms
Design a gradual tapering protocol that minimizes withdrawal severity
Address post-acute symptoms including anxiety, depression, and insomnia as they arise
Monitor your progress and adjust the plan based on your response
Provide a realistic framework for what cessation looks like and what to expect

This is what Rezolv Health provides. You are not alone in managing this, and you do not have to white-knuckle your way through it.

Our approach to Kratom treatment

Initial evaluation: A telehealth video visit with a physician covering your Kratom use history — how long you have been using, how much, how frequently, what you have tried before, what withdrawal has felt like when you have gone without it, and what your goals are.

Treatment plan options:

Tapering protocol: A gradual reduction in Kratom dose over a structured timeline, designed to minimize withdrawal severity. Your provider will guide the tapering schedule and adjust it based on your response.

Symptom management: Medications to address specific withdrawal symptoms — including sleep, anxiety, muscle pain, and gastrointestinal symptoms — during the active withdrawal phase.

Post-acute support: Ongoing management of post-acute withdrawal symptoms, particularly anxiety and depression, which often require clinical attention beyond the acute phase.

Buprenorphine: In some cases, low-dose buprenorphine may be used to stabilize patients with severe Kratom dependence and facilitate a more comfortable transition to cessation. Your provider will assess whether this is appropriate for your situation.

Follow-up: Monthly telehealth appointments to monitor progress, manage emerging symptoms, and adjust the plan. For patients in active cessation, more frequent contact may be appropriate initially.

Availability by state

State	Insurance	Availability
California	Private pay only — $249/month	Telehealth statewide
Washington	Commercial insurance, Apple Health (Medicaid), self-pay	Telehealth statewide + in-person University Place
Nevada	All insurance including Medicaid	Telehealth statewide + in-person Reno
New Mexico	—	Coming Soon

Frequently asked questions

Is Kratom addiction a real medical condition? Yes. Kratom dependence is a recognized clinical condition involving physiological changes to opioid receptor function. The withdrawal syndrome is well-documented in medical literature and produces genuine physical symptoms that can be severe. The fact that Kratom is legal and plant-derived does not make the dependence less real or the withdrawal less challenging.

Can Kratom withdrawal be dangerous? Kratom withdrawal itself is generally not life-threatening in the way that alcohol or benzodiazepine withdrawal can be. However, the symptoms can be severe and debilitating, and the prolonged post-acute phase creates significant risk of relapse. Some patients with high-dose, long-duration Kratom use have experienced more intense withdrawal. Medical supervision is advisable, particularly for heavy users.

What medications are used to treat Kratom withdrawal? There is no FDA-approved medication specifically for Kratom withdrawal. Physicians use medications that address specific symptoms — clonidine for anxiety and autonomic symptoms, non-opioid analgesics for muscle pain, anti-nausea medications, sleep aids, and in some cases low-dose buprenorphine to reduce opioid receptor distress during the acute phase. Your provider will design a regimen based on your specific symptoms and history.

Can I use buprenorphine (Suboxone) to treat Kratom dependence? In some cases, yes. Because Kratom's active alkaloids interact with opioid receptors, buprenorphine can be used to stabilize patients with severe Kratom dependence and facilitate cessation. This is not appropriate for all patients and involves a careful clinical assessment. Your provider will discuss whether this approach makes sense for your situation.

How long does Kratom withdrawal last? Acute withdrawal typically peaks within 24 to 72 hours and lasts one to two weeks for most patients. Post-acute withdrawal symptoms — particularly anxiety, depression, insomnia, and low motivation — can persist for weeks to months. The timeline varies based on how long you have been using, how much you have been using, and your individual physiology.

Does insurance cover Kratom addiction treatment? This varies. In Washington and Nevada, Rezolv Health bills commercial insurance or Medicaid for physician visits (New Mexico is coming soon). Whether your specific plan covers treatment for Kratom dependence may depend on how the condition is coded. In California, Rezolv Health is private pay — $249/month covers all appointments and prescription management.

I have tried to stop on my own multiple times. Can Rezolv Health actually help? Yes. Multiple failed attempts at unassisted cessation are common among patients with Kratom dependence, and they are not a sign of weakness or lack of motivation. They are a sign that the physiological component of your dependence requires medical support. With a structured tapering protocol, symptom management, and ongoing physician monitoring, cessation is achievable for patients who have not been able to do it alone.

What if I am also using other substances? Your intake form and initial evaluation will cover your full substance use history. If you are using other substances alongside Kratom — including opioids, alcohol, or cannabis — your provider will factor this into the treatment plan. Complex polysubstance situations may affect the approach, but they do not disqualify you from treatment.