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Haddow said while it’s hard to get a “good read” on legislative consensus, the AKA is hoping for passage of regulation rules this year. “Unfortunately, the reality is with opioids these days and despite the excellent treatments that we have, a lot of patients don’t want those treatments,” said Hill. “We have three excellent medications for opioid use disorder,” he said, referring to buprenorphine, methadone, and naltrexone. “Kratom is really dangerous and harmful and there are case reports of people dying from it,” said Wakeman. “It is sometimes astonishing amounts that people are ingesting thinking that they are doing something that is better because they’re not using methamphetamines,” she said. She added that if those patients don’t work on their substance use disorder, they can “continue to elevate the amount that they take.”

"We cannot continue sending mixed messages to our youth by normalizing intoxicating substances in the name of raising tax revenue while avoiding honest conversations about addiction, mental health, trauma, healing and the long-term impact these substances have on them and their communities," Cummings said. "When people buy these products, they have no way of knowing what's really in them, or if the dose is right or true, or if there are other harmful contaminants," said Osterhoudt, a toxicologist and emergency medicine physician. Synthetic products derived from hemp, such as Delta-8, can be highly-concentrated and intoxicating. Drug Enforcement Administration has listed it as a "drug and chemical of concern" due to its potential for addiction. Kratom, an herbal supplement that appears in many forms, including as the potent 7-hydroxymitragynine, or 7-OH, sold in vape shops, convenience stores and online, is unregulated at the federal level and in Pennsylvania — even though the U.S. These kratom consumer protection acts dictate how the product is made, how it is marketed, and who is eligible to purchase.

FDA commissioner Martin Makary spoke alongside Kennedy while announcing their plan to initiate the process to have 7-OH scheduled as an illicit substance. "It comes from a little bit of that world − not from the illicit drug, underground, cartel world that's seen as much more seedy." A father says his addiction drove him $50,000 into debt and tanked his credit score into the 500s.

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I respectfully ask you to protect the community and support a ban on kratom.” She said her daughter didn’t use kratom extracts, only the loose leaf, and it still took her life. One individual from Meridian said her 23-year-old daughter died in Bonneville County in March 2025, from an overdose of mitragynine — the primary psychoactive alkaloid found in kratom. The ban does not prohibit the possession of kratom, only the sale.

• Within the industry, manufacturers of products made from the leaf regularly spar with the makers of synthetic versions like 7-OH over how kratom should be regulated.
• “I never heard of kratom until the day we lost him,” said Karen Davenport, a mother from Chattanooga who is advocating against the substance, working with lawmakers to get the bill passed.
• One former college wrestler called kratom a lifesaver that allowed him to compete without taking prescription pain medications for his neck and back injuries.
• A woman in California says she maxed out at least two credit cards to fuel her addiction − and now she doesn’t know what the future holds for herself or her 9-year-old son.

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As her husband's addiction worsened, Kupihea began noticing the cost. He also said there's a lack of clarity for both kratom users and care providers. "If you were to come across someone who had overdosed on kratom, they would have shallow or no breathing, and they would not be very responsive," Meals said.

Food and Drug Administration and the Centers for Disease Control and Prevention have maintained a generally negative stance on kratom and have not approved it for any medical use. A petition circulating online includes testimonials from some of the estimated hundreds of thousands of kratom users in Tennessee, who say Kratom Farms they use it to help with issues like arthritis, back pain and Sciatica. There remains ongoing debate over whether natural kratom is safe or beneficial. “What he didn’t know was there’s an exhaustive list of more than 250 drug interactions that can cause a lethal reaction with kratom,” she said. “I never heard of kratom until the day we lost him,” said Karen Davenport, a mother from Chattanooga who is advocating against the substance, working with lawmakers to get the bill passed.

To some, kratom offers relief from pain or opioid addiction. "Obviously, there are people who can pick up substances and put them down and be fine. But I don't think kratom is a miracle drug by any means. It's hippie heroin. That's all it is." Though kratom isn't as well known as other substances, addiction to it affects more people than many may realize.

“Kratom is the one thing that has kept me from using opiates and other illegal substances. That’s primarily how it’s used today around the world. In preclinical studies on animals, researchers said several doses of mitragynine did not raise any significant safety concerns. Ahealthierphilly also reserves the right to temporarily or permanently discontinue this website, any page or any functionality at any time and without any notice.

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• The Ohio State Pharmacy Board is now considering additional rules that could further restrict 7-OH—and potentially natural kratom—in the state.
• Just weeks prior to his death, Brandon Clarke was arrested for possession of kratom.
• According to recent news, Florida’s AG Attorney General banned concentrated 7-OH products, although kratom remains mostly legal.
• The order directs the Ohio State Pharmacy Board to hold hearings within six months on whether to classify 7-OH as a controlled substance — a move that would make it illegal to manufacture, sell, possess, or use in the state.
• Reports of death have been linked to kratom products as well in combination with other substances.

The U.S. Drug Enforcement Administration has listed kratom as a "drug of concern." They cite a 2024 FDA study where 40 participants were given increasing doses of kratom leaf powder. Now, a company that claims to sell an all-natural form of kratom is getting a lot of scrutiny on social media. LOS ANGELES (KABC) — The FDA is investigating the dangers of a synthetic compound in some popular kratom-containing supplements. Side effects of kratom and 7-OH include withdrawal symptoms, insomnia and anxiety, seizures and fatal respiratory depression. While these products are sometimes marketed as natural remedies, they are dangerous and can result in fatal overdoses,” said Dr. Erica Pan, CDPH Director and State Public Health Officer.

7-Hydroxymitragynine is a potent kratom alkaloid designed for controlled, targeted effects for more experienced kratom users. “It’d be healthy, not just for the long line of constituents of Boston, but also helping the state look at overall what folks are saying and taking the proper action to do a statewide ban on synthetic kratom.” The chemical is naturally found in low concentrations in kratom, but when manufactured, 7-OH is exponentially more potent, binding to the body’s opioid receptors. City Councilor John FitzGerald told GBH News he’s particularly concerned about synthetic kratom containing high concentrations of a psychoactive chemical called 7-hydroxymitragynine, or 7-OH. It’s uncommon for kratom to cause major toxic effects, but when people ingest large amounts or combine it with other drugs, they may experience hallucinogenic reactions, convulsions, coma and, in rare cases, death, Clark warned.