If taken responsibly, and by itself, Kratom is extremely safe. In case over used, Kratom may become habit forming, and because of this, it is best to use it occasionally, rather than daily. When first taking Kratom, it is recommended that do not use it more than once a week, preferably only once or twice a month. This is to ensure that taking Kratom does not become a habit.
If you consume Kratom sensibly, it is unlikely that you will experience any health issues. In Thailand, where some people consume large quantities of Kratom every day, those dependent on it have lost weight, developed dark pigmentation of the face, and if they quit abruptly, have experienced withdrawal symptoms, which may include; muscle aches, runny nose, diarrhea, muscle aches and jerking, irritability, and uncontrollable crying. As with almost any substance, many people may find that they have an allergic or other reaction to Kratom, even if they use it responsibly.
It is recommended that Kratom not be mixed with stimulant type substances or drugs such as; coffee, amphetamines, yohimbine, and any illegal medicines because of the risk of over-stimulation or increased blood pressure. It is also recommended that you don’t take Kratom with large amounts of alcohol, benzodiazepines, opiates, or any other type of drug that affects the nervous system. This is because there is a possibility that combining these may cause over-sedation and possibly respiratory distress. You should also not combine Kratom with any type of MAO inhibitors, because serious and even fatal reactions can occur when mixing these with monoamine medications, and Kratom contains monoamne alkaloids.
There are some combinations which users have claimed to be both pleasant and safe. You can combine Red Maeng Da Kratom along with regular black tea, and many have mixed it together with tea made from red poppy flowers, and tea made from blue lotus. It has also been combined safely with small amounts of alcohol; however Kratom and large amounts of alcohol should be avoided. Many people enjoy smoking tobacco, or herbal smoke while under the influence of Kratom, but when doing this you should make sure that you don’t fall asleep and drop lit materials.