Kratom contains alkaloids including mitragynine and 7-hydroxymitragynine that produce opioid-like effects at higher doses. Use has grown significantly, and the substance is not detected by standard opiate screens. LC-MS/MS testing specifically identifies kratom alkaloids.
This test is used in addiction medicine, pain management, and toxicology to identify kratom use, particularly important because kratom can cause dependence, withdrawal, and overdose. Sample type is urine.