The Texas Department of State Health Services has issued a warning advising the public not to use products containing 7-hydroxymitragynine (7-OH), a chemical found in the kratom plant. The department notes that while 7-OH occurs naturally in low levels in kratom, more concentrated forms have recently appeared for sale as liquid extracts, powders, and gummies.
According to data from the Texas Poison Center Network, there have been 192 reports so far this year involving exposures to kratom or other products containing 7-OH. This is an increase compared to 107 reports for all of 2024 and 122 for all of 2023. Of this year’s cases, 19 involved concentrated 7-OH products, with 11 resulting in health problems serious enough to require treatment at a healthcare facility.
Reported symptoms after using 7-OH include nausea and vomiting, agitation, confusion, sweating, rapid heart rate, high blood pressure, trouble breathing, sleepiness or loss of consciousness, and seizures.
The department states that kratom and 7-OH products are sometimes marketed as natural remedies for pain or anxiety or as aids for opioid withdrawal. However, neither kratom nor 7-OH has an FDA-approved medicinal use and their safety or effectiveness has not been proven.
Officials recommend avoiding all products containing 7-OH and advise consumers to examine packaging when buying candies and other treats. They also urge people to keep these substances away from children and pets and to talk with children and teens about their dangers. Consulting a doctor or pharmacist before using any supplements—especially those marketed for pain, energy or mood—is encouraged. Anyone needing help with opioid addiction or related issues should speak with a healthcare provider.
For concerns about exposure to 7-OH, people are advised to contact a healthcare provider or call the Poison Help Line at 1-800-222-1222. In emergencies where someone is unresponsive or needs urgent medical attention, calling 9-1-1 is recommended.
The full health alert can be found on the DSHS News & Alerts page.
