What is 7-OH?
7-Hydroxymitragynine (often called 7-OH) is a chemical found naturally in the kratom plant. While only a very small amount is present in natural kratom, manufacturers are now producing and selling concentrated 7-OH products on their own.
These products are often sold as tablets, capsules, gummies or drink mixes and may be advertised as stronger, faster-acting or more effective than kratom.
Kratom
- Made from the leaves of the kratom plant.
- Contains many naturally occurring compounds.
- Effects can vary depending on the product.
- May cause dependence and other health risks.
7-OH
- A concentrated compound found in very small amounts in kratom.
- Contains a much higher amount of one active compound.
- Typically much more potent than natural kratom.
- May carry an even greater risk of addiction, overdose and serious side effects.
Why Are Experts Concerned?
Because 7-OH products are much more concentrated than what occurs naturally in kratom, they may have stronger effects on the brain and body.
Potential risks include:
- Addiction and dependence
- Withdrawal symptoms when use is stopped
- Drowsiness and impaired judgment
- Nausea and vomiting
- Trouble breathing, especially when combined with other substances
- Increased risk of overdose
Many 7-OH products are sold online, in vape shops and convenience stores. They may be marketed as "natural" or "legal," but that does not mean they are safe.
Why Parents Should Know About 7-OH
Young people may not realize that 7-OH is different from traditional kratom. Products are often marketed with appealing packaging and may be promoted on social media as a legal alternative to other substances.
Talk with your child about:
- Reading beyond marketing claims.
- Understanding that "natural" does not always mean safe.
- Avoiding products that promise stronger or faster effects.
- Asking questions before trying any substance.
When to Be Concerned
If you notice sudden changes in your child's behavior, mood or health after using kratom or a product labeled "7-OH," seek medical advice right away.
Signs may include:
- Extreme drowsiness
- Confusion
- Trouble breathing
- Loss of consciousness
In an emergency, call 911 immediately.
Find Help
Professionals, youth and families can use the Behavioral Health Directory to find services that meet your needs. Connecting families with the right support early can help improve outcomes.