Khat vs. Kratom: A Comparison Chart
The following chart gives a quick look at some of the most critical aspects of the two plants.
|Active Ingredients||Cathine and Cathinone||Mitragynine, 7-Hydroxymitragynine, & Others|
|Origin||Middle East, East Africa||Southeast Asia|
|Main Benefits||Reduced appetite, improved concentration, euphoria||Helps with pain, anxiety, depression, addiction, and energy|
|Pain Support||Believed to provide a low level of pain support.||Believed to provide a moderate-to-high level of pain support|
|Mood Support||May produce an energetic feeling||May produce a sense of wellbeing and peace|
|Level of Safety||Moderate risk||Low to moderate risk|
|Dose||100 grams to 300 grams of fresh leaves||2 grams to 12 grams|
|Legality||Cathinone is a Schedule 1 Drug||Federally legal; state laws vary|
What is Khat?
Khat is a flowering plant that comes from parts of Africa and the Middle East. In its native areas, khat consumption has gone on for thousands of years. Its two main alkaloids, cathine, and cathinone, make it similar to ephedrine.
Khat is extremely popular in Yemen; as many as 90 percent of men, 73 percent of women, and even 15-20 percent of children partake regularly.
It makes up approximately 30 percent of Yemen’s groundwater usage and represents up to 50 percent of each household’s purchases.
People traditionally use khat for multiple reasons. In Harar, for example, users chew it for entertainment, religion, and work . There is evidence that the people of Harar started chewing khat before the 19th century.
Unfortunately, khat can be addictive, especially if used regularly. Those who become addicted to khat have high morbidity. Its use comes with high economic and societal costs.
What is Kratom?
Kratom is a close relative of the coffee family. The leaves of kratom plants grow in Southeast Asia. Since the early 19th century, workers have chewed the leaves to avoid burnout. Its alkaloid content varies and is what gives the strains their unique effects. Mitragynine and 7-hydroxymitragynine are the two dominant alkaloids and give kratom its energizing and sedative effects.
Kratom has a strong taste that most people don’t like. Many users make it into a tea or take it in capsule format to avoid the bitter taste.
There are many different kratom strains with varying effects, giving you greater control over the impact you feel.
Kratom strains fall into three categories.
- Red Vein Kratom Strains — the most sedative and analgesic strains.
- White Vein Kratom Strains — the most euphoric and energy-boosting strains.
- Green Vein Kratom Strains — a middle-ground between the red and white strains.
Kratom usage is cultural, too, and can come with similar societal problems. The biggest difference is in the strength of the addiction. Kratom addiction is less severe and easier to break; in fact, it can help ease the symptoms of opioid withdrawal.
It also helps with many issues that usually require prescription drugs, like depression, anxiety, chronic pain, and insomnia. While kratom isn’t a cure, it’s often the thing that nudges users into a more normal life.
Pain Management: Khat vs. Kratom
Kratom has a long history of helping people manage pain.
Khat offers less pain management, but it has similar benefits to ibuprofen and amphetamines .
Mood Support: Khat vs. Kratom
Khat typically provides a boost of energy when taken, similar to other ephedrines. However, shortly after the effects wear off, reactive depression symptoms occur. Khat could make symptoms worse in those with pre-existing psychiatric diseases. 
Kratom enhances mood, but the effects don’t last. It’s powerfully euphoric while you’re on kratom. Afterward, the effect wears off and puts you back to square one.
Benefits & Side Effects: Khat vs. Kratom
Kratom is safer and has only been linked to deaths when mixed with other substances. Kratom can be addictive, though this takes long-term use and withdrawal symptoms are less severe than with opiates.
The overall risk of death from khat and kratom is low, but khat has a higher risk of severe side effects and death.
Why do people take these in the first place? They both come with some attractive benefits. Unfortunately, these benefits can lead to addiction, especially when it comes to khat.
When you first chew khat, it causes many acute effects, including the following:
- Increased wellbeing
- Energy boost
- Increased mental alertness
- Increased concentration
- Appetite suppression
- Increased imagination
- Libido boost
- Boosted work performance
- Increased locomotor activity
- Increased heart rate and blood pressure
- Increased inhibition
Kratom also has several benefits. These vary based on the strain and dose you take but may include:
- Increased focus
- Energy boost
- Increased focus
- Clarity of mind
- Pain relief
- Addiction management
- Helps you sleep
- Relieves anxiety
- Reduces high blood pressure
Using any substance long-term can cause problems. Sometimes the benefits outweigh the risks, but not always. Here’s a look at the side effects you could face from the extended use of khat or kratom.
Khat’s Side Effects
Khat comes with several safety risks and is addictive. It can increase the risk of cardiovascular, gastrointestinal, central nervous system, obstetric, and genitourinary diseases. It’s also believed to cause cancer in some cases. 
Khat’s risk of death is relatively low, but it does happen. For instance, 13 people in the UK died due to taking khat from 2004-2009 .
Numerous potential side effects seem to point out that khat isn’t safe . These include:
- Elevated blood pressure
- Elevated heart rate
- Acute myocardial infarction
- Lack of concentration
- Periodontal disease
Taking khat on a regular basis (defined as at least three times per week), or suffering from khat withdrawal, can lead to:
- Lack of concentration
- Hypnagogic hallucinations
- Loss of appetite
- Low Mood
- Manic behavior
- Suicidal thoughts
Kratom’s Side Effects
Most side effects become noticeable after two to eight weeks of regular usage. These include:
- Poor appetite
- Low blood pressure
- Loss of muscle coordination
- Itchy skin
Kratom can be addictive with long-term usage. Fortunately, it’s much less addictive than opioids.
Kratom also has signs of continued usage and withdrawal, though these are usually less severe:
- High blood pressure
- Muscle pain
- High blood pressure
Legality: Khat vs. Kratom
Khat itself is not illegal, but its main compounds are. Cathinone is federally a Schedule I Drug, and cathine is a Schedule IV Drug. States can choose to make contradictory laws, though.
On the other hand, kratom is federally legal though some states have banned it.
Kratom is easily accessible online or in local shops if it’s legal where you live.
Key Takeaways: Khat vs. Kratom
Khat and kratom both have pros and cons.
If you’re looking for a way to deal with the withdrawal symptoms of opioid addiction, kratom is definitely the best choice. Kratom is also generally safer to take than khat and has fewer symptoms when you decide to stop taking it.
Another big bonus for kratom is that it’s legal throughout most of the US Khat is illegal in the US and has been since 1993.
No matter which one you choose to take, be careful of any potential side effects. Overall, though, kratom is believed to be safer, making it the better choice.
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- Hassan, N. A., Gunaid, A. A., El-Khally, F. M., & Murray-Lyon, I. M. (2002). The effect of chewing khat leaves on human mood. Neurosciences Journal, 7(3), 184-187.
- Malasevskaia, I., Al-Awadhi, A. A., & Mohammed, L. (2020). Tea in the Morning and Khat Afternoon: Health Threats Due to Khat Chewing. Cureus, 12(12).
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- Ageely, H. M. (2008). Health and socio-economic hazards associated with khat consumption. Journal of family & community medicine, 15(1), 3.
- Gudata, Z. G. (2020). Khat culture and economic wellbeing: Comparison of a chewer and non-chewer families in Harar city. Cogent Social Sciences, 6(1), 1848501.