Image courtesy KDHE

The Kansas Department of Health and Environment (KDHE) and the U.S. Food and Drug Administration (FDA) are warning residents about the dangers of 7-hydroxymitragynine (7-OH). While 7-OH occurs naturally in small amounts in kratom, the products being sold contain synthetic versions at much higher and more dangerous levels.

7-OH is often sold in smoke shops, gas stations, convenience stores, and online. It comes as gummies, liquid shots, powders, or tablets and is sometimes marketed as kratom. However, it is not the same—7-OH is stronger, more addictive, and especially dangerous when mixed with alcohol or other sedatives. Overuse can cause severe breathing problems and even death.

Because 7-OH is unregulated, potency and safety vary widely. Reported side effects include addiction, anxiety, seizures, gastrointestinal issues, and withdrawal symptoms.

Since 7-OH acts on opioid receptors, overdoses can be treated with naloxone, though effectiveness is reduced if other substances are involved. Anyone suspecting an overdose should call 911 immediately and use naloxone if available.

KDHE urges Kansans to avoid 7-OH, talk with children and teens about the risks, and keep naloxone on hand. Free naloxone kits are available through DCCCA’s online order form. For help, call the Poison Help Line at 1-800-222-1222.