Overview

• Kansas health authorities urged people to avoid 7‑hydroxymitragynine, warning that even small amounts can depress breathing and become deadly when combined with alcohol or sedatives.
• KDHE said many products contain synthetically concentrated 7‑OH marketed alongside kratom and sold as gummies, liquid shots, tablets, or powders in smoke shops, gas stations, convenience stores, and online.
• The agency advised that naloxone can help during a suspected 7‑OH overdose, though effects may not fully reverse if other substances are involved, and it urged calling 911 when needed.
• Michigan’s House Bill 4969 would license retailers, set a 21‑and‑over sales age, require labeling with alkaloid content and safety warnings, mandate lab testing, and ban synthetic alkaloids or products with 7‑OH exceeding 2% of the alkaloid fraction.
• Federal regulators have sent warning letters about 7‑OH products and the FDA has recommended that the DEA classify 7‑OH as a controlled substance.