The FDA says the incidents “underscore the serious and sometimes deadly risks” of kratom, but the list contains a number of events in which kratom played an uncertain role, including a case in which a teenager hanged himself, and another in which a drug overdose victim tested positive for nine different substances.
As a whole, the data suggests the FDA is basing its warnings about kratom’s fatal harms on a patchwork of loosely sourced anecdotal reports that say very little about how the drug is responsible for the fatalities ― or even whether it is at all.