Kratom & 7-OH Addiction Treatment

Kratom is a tropical tree with leaves that contain compounds that can have psychotropic effects. 7-OH is a concentrated kratom extract that can lead to more serious health effects.

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Clinically Reviewed By Dr. Jeremy Dubin

Understanding Kratom Addiction

Kratom's popularity in the West has surged in recent years. Its accessibility, often being sold in stores as a supplement or natural remedy, and its legal status in many regions have facilitated a sharp rise in its popularity. However, this trend also carries inherent risks, as the potential for misuse and dependency can lead to a full-fledged addiction, with significant health conditions and effects on mental wellness and daily functioning.

What is Kratom?

Kratom, scientifically known as Mitragyna speciosa, is a tropical tree indigenous to the lush rainforests of Southeast Asia. Its leaves are rich in alkaloids, particularly mitragynine, and 7-hydroxymitragynine (7-OH), which can produce varying psychotropic effects, from stimulation at lower doses to sedation at higher amounts. Kratom has garnered attention due to its opioid-like effects, offering pain relief and mood enhancement, which makes it subject to controversy and varying regulations worldwide.

Although not classified as an illegal substance in many countries, kratom's legal status is often in flux, and it's readily available online, typically marketed as a 'botanical supplement'. Frequently encountered as a green powder, it's discreetly packaged with disclaimers such as “not for human consumption” to navigate regulatory grey areas. Additionally, kratom can be found in forms like extracts and gums, offering users a range of ways to consume it.

Kratom is known by multiple street names such as Biak, Ketum, Kakuam, Ithang, 7-OH, and Thom, reflecting its widespread use and cultural integration in various parts of the world.

What is 7-OH?

The landscape of kratom products has become increasingly complex with the emergence of concentrated 7-hydroxymitragynine (7-OH) products. These substances, often marketed as "7-OH," "7-Hydro," or even "legal morphine," represent a significant shift from traditional kratom products and carry substantially higher risks for addiction and serious health complications.

7-hydroxymitragynine, commonly referred to as 7-OH, is one of the naturally occurring compounds found in kratom leaves. However, while traditional kratom contains only trace amounts of 7-OH (typically less than 0.05% of the leaf), concentrated products now flood the market with dramatically higher concentrations.

These concentrated 7-OH products are not the same as traditional kratom. They are typically synthetic or semi-synthetic preparations that contain 7-OH levels that can exceed 40% purity. This concentration makes them 30-40 times more potent at opioid receptors than the primary kratom alkaloid, mitragynine, according to research published in medical journals.

Why 7-OH Products Are More Dangerous

The surge in concentrated 7-OH products has raised serious concerns among medical professionals and addiction specialists. Unlike traditional kratom, these products produce:

Rapid-Onset Effects

Immediate euphoria similar to prescription opioids
Fast-acting pain relief
Quick development of tolerance

Higher Addiction Potential

Studies show 7-OH has significantly higher abuse potential than traditional kratom
Creates strong physical dependence more quickly
May increase cravings for other opioids, as documented in National Institute on Drug Abuse research

Severe Withdrawal Symptoms

Classic opioid-type withdrawal that can be more intense than traditional kratom
Potential for respiratory depression risk
Potential for life-threatening complications, similar to other opioid substances as outlined by the CDC

The Marketing Deception

Many 7-OH products are deceptively labeled and marketed as "kratom extract" or "enhanced kratom." However, products containing more than 2% 7-OH are fundamentally different substances with opioid-like effects and risks. The Drug Enforcement Administration continues to monitor these substances as they evaluate their scheduling status. Some concerning marketing tactics include:

Labeling as "legal morphine"
Packaging that downplays addiction risks
Sales through convenience stores and online vendors
Marketing to individuals seeking alternatives to prescription opioids

Health Risks and FDA Warnings

The FDA has issued warnings about specific 7-OH products after linking them to serious adverse events, including:

Seizures and liver toxicity
One reported death
Cases of severe substance use disorder
Neonatal abstinence syndrome in newborns, when used during pregnancy, is similar to other opioid exposure as documented by the National Institute of Child Health and Human Development

Recent independent lab testing has revealed that some products marketed as kratom actually contain extremely high concentrations of 7-OH, putting users at risk without their knowledge.

Treatment Challenges with 7-OH Use

People who use concentrated 7-OH products often face more complex treatment needs than those using traditional kratom. Common challenges include:

Severe Physical Dependence Many individuals require the same evidence-based medications used for opioid use disorder, including buprenorphine (Suboxone, Sublocade) and naltrexone (Vivitrol). These treatments are supported by extensive research from the Substance Abuse and Mental Health Services Administration.

Intensive Withdrawal Management 7-OH withdrawal often mirrors prescription opioid withdrawal and may require medical supervision and support medications.

Higher Risk of Relapse The intense cravings associated with 7-OH use can make maintaining recovery more challenging without proper treatment support.

How Do People Use Kratom?

The consumption of kratom varies widely, reflecting the diverse preferences and cultural practices surrounding this botanical. Here are a few methods of consumption:

Kratom pills and capsules: Offer a precise, discreet way to consume kratom without its natural taste.
Kratom extracts: Concentrated forms provide potent effects in smaller doses.
Chewing kratom leaves: A traditional method allowing for immediate release of alkaloids.
Kratom tea: Brewed from dried or powdered leaves for ease of ingestion and a soothing experience.
Smoking kratom: Less common, with the effectiveness subject to debate within the kratom community.
Kratom in food: Used to mask the taste by adding leaves or powder into recipes.

It's essential for users to be aware of the strength and possible effects of each method, as well as the legal and health considerations tied to kratom use in their locality.

How Does Kratom Affect The Brain?

Kratom's active components, mitragynine, and 7-hydroxymitragynine, have a dual nature in their brain interactions. These compounds bind to opioid receptors, which can lead to sedation, a sense of well-being, and pain relief, particularly at higher doses. This opioid-like effect is what often leads individuals to seek kratom for self-medication, potentially leading to dependence or addiction.

Conversely, in smaller amounts, mitragynine acts on additional brain receptors, resulting in stimulant-like effects—boosting energy, enhancing sociability, and increasing alertness. Despite seemingly positive effects, kratom use carries risks; side effects range from mild discomfort to severe complications.

What Are the Health Effects of Kratom?

Although not technically illegal in many places, kratom has been linked to a range of health issues. It is crucial for users to recognize these potential risks and seek medical advice if they experience any of the following symptoms:

Nausea
Itching
Sweating
Dry mouth
Increased urination
Loss of appetite
Seizures
Hallucinations
Psychotic symptoms
Constipation

Porch Light Health offers resources and support for those dealing with the effects of kratom abuse.

If you or a loved one is experiencing adverse health impacts from kratom or drug abuse, contact us today at 866-394-6123 and take the first step toward healing.

Can a Person Overdose on Kratom?

While instances of overdose from kratom alone are uncommon, there have been reported fatalities linked to its use. Data collected by the National Poison Data System from 2011 to 2017 show that among 11 kratom-related deaths, most involved the presence of other substances like alcohol, prescription drugs, or caffeine, which may increase the risk of complications.

The Food and Drug Administration (FDA) has identified at least 44 fatalities that were related to kratom, some of which were due to using kratom products that were tainted or mixed with other potent drugs, both prescribed and illicit, as well as over-the-counter medications. These incidents raise concerns about the purity of kratom products and the dangers of consuming contaminated or mixed substances.

Given these potential risks, it's crucial for anyone using kratom to speak with healthcare professionals, particularly when considering combining it with other medications or substances. This essential step can help mitigate the risk of adverse and potentially serious outcomes.

Signs of Kratom Addiction

Recognizing the signs of kratom addiction is pivotal for timely intervention and treatment. At Porch Light Health, we emphasize the importance of awareness regarding the potential for addiction and the associated indicators.

Increased tolerance: requiring more kratom to achieve the same effects.
Withdrawal symptoms: experiencing physical or psychological discomfort when not using kratom.
Compulsive use: continued use of kratom despite harmful consequences to one's health, work, or social life.
Cravings: strong desire to use kratom that can be hard to control.
Sleep disturbances: trouble sleeping, including insomnia or disturbed sleep patterns.
Weight loss: unintended weight loss, which may be due to changes in appetite or metabolism.

These signs can manifest differently in individuals and may not always be immediately apparent. Increased tolerance and withdrawal symptoms are often early warning signs and can escalate to more severe physical and psychological issues.

Kratom Withdrawal

Withdrawal is a concern for users when considering kratom detox, as it can significantly impact daily life. Understanding these symptoms is the first step in preparing for a successful detoxification.

Kratom withdrawal symptoms may include:

Irritability: quick to anger or frustration.
Muscle pain: aching or soreness in the muscles.
Aggression: increased hostility or combative behavior.
Emotional changes: rapid mood swings or emotional instability.

Experiencing withdrawal from kratom is a clear indication that the body has become accustomed to the substance, and ceasing use can disrupt its physiological balance. These symptoms can range from mild to severe and affect mental and physical well-being.

If you or someone you know is experiencing symptoms of kratom withdrawal, you’re not alone. Contact us today at 866-394-6123 to take the first step toward recovery.

Kratom & 7-OH Addiction Treatment Center in Colorado & New Mexico

Porch Light Health, with its 60 points of care across Colorado, remains committed to addressing the mounting issue of kratom addiction. Our expert team continually updates their knowledge and techniques to provide the best care.

Comprehensive Care

Our rehab process encompasses a blend of behavioral therapy, counseling, psychiatry services, medication, and community support. We prioritize a holistic and evidence-based approach, aiming to substance use alongside any co-occurring conditions or mental illness. Our programs are designed to treat not just the addiction but the individual as a whole.

Outpatient Treatment Customized for You

Every individual’s journey to addiction and recovery is unique. The substance abuse treatment program at Porch Light Health offers personalized treatment plans, ensuring that each person's specific needs are met.

Begin Your Recovery With Porch Light Health

Acknowledging the grip of addiction is a critical first step on the road to recovery. When you're ready to address your kratom addiction, Porch Light Health is here to provide professional support and comprehensive treatment options.

Kratom addiction presents unique challenges, and our team is equipped to address them head-on. With a dedicated focus on personalized kratom addiction rehab programs, our rehab center is here to ensure you have the support needed to achieve long-term recovery and a return to a life of wellness and balance.

Frequently Asked Questions

Is kratom legal everywhere?

Kratom's legal status is complex, varying internationally and within the US, and often changing as new legislation is introduced. Before using or purchasing kratom, it is vital to be informed by checking the most current local and federal regulations to ensure compliance.

What are the psychiatric effects of kratom?

Kratom can cause euphoria and mood enhancement at low doses, while higher doses may lead to sedation and lethargy. Some users experience anxiety, mood swings, and in severe cases, hallucinations or symptoms of psychosis. Psychiatric responses vary by individual, and long-term effects warrant further study. If adverse effects occur, consulting healthcare professionals is essential.

How is kratom addiction different from opioid addiction?

Kratom addiction can mimic opioid addiction in its behavioral patterns and withdrawal symptoms due to its opioid-like effects at higher doses, but chemically, kratom is distinct. Both require a thoughtful approach to treatment, which Porch Light Health's outpatient kratom addiction treatment programs are designed to provide.

Can kratom help with opioid withdrawal?

Individuals sometimes use kratom as a self-treatment for opioid withdrawal, but its efficacy and safety are not well-studied nor regulated. To ensure the best outcomes, it's imperative to seek advice from healthcare providers who can offer supervised, safe alternatives for managing withdrawal from opiates.

What options does Porch Light Health offer for treating kratom addiction?

Front Range Clinic is a network of outpatient treatment centers that addresses kratom addiction with a multi-faceted approach, including evidence-based treatment, personalized therapy sessions, group therapy, and support groups, all while considering the individual's unique journey toward stabilization and recovery.

How can I get started with Porch Light Health?

Starting your journey with Front Range Clinic is simply: contact us via the new patient form on our website or at 866-394-6123. Our team will assist you with the necessary steps to begin your tailored kratom addiction rehab program.

References

1. Prescription CNS Depressants DrugFacts | National Institute on Drug Abuse. (2022, March 22). National Institute on Drug Abuse. https://nida.nih.gov/publications/drugfacts/prescription-cns-depressants

2. Professional, C. C. M. (n.d.-b). Gamma-Aminobutyric Acid (GABA). Cleveland Clinic. https://my.clevelandclinic.org/health/articles/22857-gamma-aminobutyric-acid-gaba

3. Benzodiazepines. (n.d.-b). DEA. https://www.dea.gov/factsheets/benzodiazepines
4. Office of the Commissioner. (2019b). Taking Z-drugs for insomnia? Know the risks. U.S. Food And Drug Administration. https://www.fda.gov/consumers/consumer-updates/taking-z-drugs-insomnia-know-risks

5. Barbiturates. (n.d.). DEA. https://www.dea.gov/factsheets/barbiturates

6. Summary of misuse of prescription drugs. (2023, March 6). National Institute on Drug Abuse. https://nida.nih.gov/publications/research-reports/misuse-prescription-drugs/overview

7 .Schmitz, A. (2016). Benzodiazepine use, misuse, and abuse: A review. The Mental Health Clinician, 6(3), 120–126. https://doi.org/10.9740/mhc.2016.05.120

8. Pétursson, H. (1994). The benzodiazepine withdrawal syndrome. Addiction, 89(11), 1455–1459. https://doi.org/10.1111/j.1360-0443.1994.tb03743.x

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