Pediatria pre prax 4/2026

Approaches to the early detection of kratom use in pediatric primary care and clinical management of suspected risky use

Kratom is a plant-derived psychoactive substance that has been used for centuries in traditional medicine in Southeast Asia and as an alternative to other addictive substances. During the past 15 years, its use has increased substantially, particularly among adolescents and young adults. Kratom use may be associated with significant health risks, including the development of dependence. This article aims to provide an overview of key information on kratom and to focus on strategies for early identification in pediatric primary care, including recommended clinical responses to suspected risky or dependent use.

Keywords: kratom, adolescents, risky use, screening tools, CRAFFT