Odds and ends of withdrawal symptoms

• No withdrawal symptoms

Withdrawal symptoms are only caused by the development of an appropriate tolerance and that generally happens VERY slowly, with any type of "normal" opioids too btw.

• Delayed onset of withdrawal symptoms

Although this is probably not very common, this possibility exists. I had eg a forum buddy whose withdrawl symptoms always only kicked in after 7 days of no Kratom use. Maybe because of the "inadequate P450 metabolic activity in 8-10% and the reduced metabolic activity in 12 to 15% of people", or if you are using medications that affect P450.

• Mania after the withdrawal

This has also been reported regularly. The reasons for this are unclear: https://old.reddit.com/r/quittingkratom/comments/yb39g8/anyone_else_feel_so_good_when_you_stop/itehmfj/

• Opioid withdrawal symptoms vs "antidepressant-like" withdrawal symptoms

I had extremely slowly, extremely long tapered off kratom, even down to about only 0,2 grams (after 6,5 years of daily use). After that I still experienced a little shitstorm of new symptoms. Perhaps the "antidepressant-like" wd symptoms start when kratom is completely out of the body. Maybe this might look like PAWS if you go CT. I would advise anyone not to use Kratom indefinitely with the reason that a painless tapering is always possible. In my case that wasn't possible at all.