The Mitra Project

Medical Disclaimer

Educational purposes only. Not medical advice. Consult a healthcare provider before combining any substances. This tool summarizes published research — it does not replace clinical judgment. If you are experiencing a medical emergency, call 911.

Drug Interaction Checker

Known interactions between kratom alkaloids and other substances. Every entry is sourced from peer-reviewed literature. 3 major and 0 moderate interactions documented.

major interaction
Established

Benzodiazepines

Also: alprazolam, Xanax, diazepam, Valium, lorazepam, Ativan

Combining kratom with benzodiazepines significantly increases the risk of excessive sedation, respiratory depression, and loss of consciousness.

Recommended Action

Avoid combining.

Reviewed 2026-03-12
major interaction
Established

Full Opioid Agonists

Also: morphine, oxycodone, fentanyl, heroin

Combining kratom with full opioid agonists creates dangerous additive respiratory depression.

Recommended Action

Avoid combining.

Reviewed 2026-03-12
major interaction
Established

Alcohol

Also: ethanol, beer, wine, spirits

Alcohol and kratom together significantly increase sedation, impair motor coordination, and raise the risk of respiratory depression.

Recommended Action

Avoid combining.

Reviewed 2026-03-12

This database covers known kratom–drug interactions from published research. Absence of a listing does not guarantee safety. Always disclose all substance use to your healthcare provider.