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Kratom - Uses, Side Effects, and More
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The Kratomic Bomb:
https://www.jacc.org/doi/10.1016/j.jaccas.2024.103110
https://cbs12.com/news/local/fda-issues-new-advisory-about-kratom
7-OH (7-hydroxymitragynine) is a powerful psychoactive compound found in the kratom plant, and it is of major concern to toxicologists, researchers, and regulators. Below is a summary of what 7-OH is, why it’s dangerous, and links to studies and articles showing how it’s harming people.
🧪 What Is 7-OH?
• Full Name: 7-hydroxymitragynine
• Origin: It’s either naturally occurring in very small amounts in kratom leaves OR synthetically increased during processing.
• Potency: It is estimated to be 13x more potent than morphine in animal models (source below).
• Main Concern: Even if raw kratom leaves are low in 7-OH, many commercial products are manipulated to concentrate it — dramatically increasing overdose risk.
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⚠️ Why 7-OH Is Harmful
1. Respiratory Depression Risk
• High levels of 7-OH can suppress breathing — like heroin or fentanyl.
• Some deaths involving kratom have only mitragynine and/or 7-OH in the toxicology report.
2. Addiction & Dependence
• 7-OH has strong opioid-like effects, contributing to:
• Cravings
• Withdrawal symptoms
• Physical dependence
3. Product Manipulation
• Some vendors alter kratom to convert mitragynine into 7-OH.
• This is not disclosed to consumers.
• Products with high 7-OH are marketed as “extra strong,” “fast-acting,” or “enhanced.”
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📚 Scientific & News Sources
🔬 Peer-Reviewed Research
1. Kruegel & Grundmann, 2017
• 7-OH is “a more efficacious and potent mu-opioid receptor agonist than mitragynine.”
• PubMed Abstract
• Summary: This is the compound responsible for opioid-like dangers in kratom.
2. Hemby et al., 2019
• 7-OH produces morphine-like behavioral effects in rats.
• ScienceDirect Link
3. Obeng et al., 2020
• Elevated 7-OH levels linked to fatal kratom-involved overdoses.
• Toxicological Sciences
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📰 Investigative Reports
1. Rolling Stone (2023)
“The Dirty Secrets of the Kratom Industry”
• Revealed tampering and extraction of 7-OH to make stronger products.
• Read Article
2. ABC News Investigates
“Behind the Label: What’s Really in Your Kratom?”
• Found that some products had 7-OH levels up to 40x higher than raw leaf.
• [Search for updated links or request full PDF version]
3. FDA Statement on Kratom (2018)
• “[7-OH] has opioid properties and contributes to the abuse potential of kratom.”
• FDA Public Health Advisory
📚 Sources for 7-OH in Kratom Fact Sheet
🔬 Peer-Reviewed Studies
1. Kruegel, A.C., & Grundmann, O. (2017). The medicinal chemistry and neuropharmacology of kratom: A preliminary discussion of a promising medicinal plant and analysis of its potential for abuse. Neuropharmacology, 134(Pt A), 108-120.
https://pubmed.ncbi.nlm.nih.gov/28613303/
2. Hemby, S.E., McIntosh, S., Leon, F., Cutler, S.J., & McCurdy, C.R. (2019). Abuse liability and therapeutic potential of the kratom alkaloids mitragynine and 7-hydroxymitragynine. Addiction Biology, 24(5), 874–884.
https://www.sciencedirect.com/science/article/abs/pii/S0091305718311202
3. Obeng, S., Kamble, S.H., Reeves, M.E., Restrepo, L.F., Patel, A., Beasley, A., & Sharma, A. (2020). Pharmacology, abuse potential, and toxicity of mitragynine and 7-hydroxymitragynine: An emerging problem. Toxicological Sciences, 176(1), 167–176.
https://pubmed.ncbi.nlm.nih.gov/31675083/
🏛️ Government Warnings
4. U.S. Food and Drug Administration (2018). FDA warns about serious risks of using kratom.
https://www.fda.gov/news-events/press-announcements/fda-issues-advisory-warns-consumers-about-risks-kratom
📰 Investigative Journalism
5. Rolling Stone (2023). The Dirty Secrets of the Kratom Industry. Exposé on tampered products and 7-OH enhancement.
https://www.rollingstone.com/culture/culture-features/kratom-dangers-overdose-death-addiction-1234718232/
6. ABC News (2023). Behind the Label: What’s Really in Your Kratom?
[Link to be added – may require subscription or local file copy]
RESOURCES
THE MISGUIDED COMPARISON: KRATOM, COFFEE, AND CHOCOLATE:
MAYO CLINIC:
In recent years, the debate surrounding the safety and effects of kratom has become increasingly polarized. Various advocacy groups (you likely know which ones} have contributed to a landscape of misinformation and misrepresentation. One particularly pervasive argument made by kratom proponents is the comparison of kratom’s opioid prosperities to those of common substances like coffee and chocolate. This comparison is fundamentally flawed and scientifically inaccurate, and we really shouldn’t even be required to say this. This post aims to explain the reasons why it is improper to equate the opioid prosperities of kratom with those of coffee and chocolate.
UNDERSTANDING KRATOM AND ITS OPIOID PROPERTIES
Kratom contains psychoactive compounds primarily mitragynine and 7- hydroxymitragynine. These compounds interact with opioid receptors in the brain, particularly the mu-opioid receptors, which are the same receptors activated by opioid drugs such as morphine and hydrocodone. This interaction produces effects ranging from pain relief and euphoria to sedation and, at higher doses, potentially respiratory depression.
The pharmacological profile of kratom is complex. Mitragynine, the most abundant alkaloid in kratom, acts as a partial agonist at mu-opioid receptors and as an antagonist at the kappa and delta-opioid receptors. This results in both opioid-like effects, and some stimulant properties at lower doses. 7-OH, though present in smaller quantities, and a metabolic product of the metabolization of mitragynine in humans, is significantly more potent and is a full agonist at mu-opioid receptors, contributing to the overall opioid effect, and addictiveness of kratom.
THE CHEMISTRY OF COFFEE AND CHOCOLATE
Coffee and chocolate, while often cited in casual comparisons with kratom, have markedly different chemical compositions and mechanisms of action. The primary active in compound in coffee is caffeine, a central nervous system stimulant that works primarily through antagonism of adenosine receptors. This leads to increased levels of neurotransmitters such as dopamine and norepinephrine, which contributes to the wakefulness and alertness associated with caffeine consumption.
Chocolate, derived from cacao beans, contains several psychoactive substances, including caffeine, theobromine {a milder stimulant than caffeine}, and trace amounts of anandamide, which can bind to cannabinoid receptors. While chocolate can produce mild psychoactive effects, such as improved mood and alertness, these effects are primarily due to to its stimulant properties and not because of any interaction with opioid receptors.
KEY DIFFERNCES IN PHARMACOLOGICAL ACTION
Receptor Interaction:
* Kratom: directly interacts with opioid receptors (mu,kappa, and delta) leading to significant opioid-like effects.
* Coffee:Primarily affects adenosine receptors, with downstream effects on dopamine and norephimephine systems, resulting in stimulation rather than opioid-like sedation or pain relief.
* Chocolate: Influences a variety of neurotransmitter systems. mainly through mild stimulation by caffeine and theobromine, without significant interaction with opioid receptors.
Addictive Potential and Dependency:
* Kratom: can lead to dependency and withdrawal symptoms similar to those of other opioids. Users may experience cravings, tolerance, and physical dependence.
* Coffee: While caffeine can lead to dependency and withdrawal (e.g., headaches, irritability), its effects are far milder compared to opioids and do not involve severe physical withdrawal symptoms. For those that have experienced severe acute withdrawals from kratom, this comparison is actually rather insulting.
* Chocolate: Generally not associated with dependency or withdrawal. The psychoactive effects are mild, and the potential for addiction is primarily behavorial rather than physiological. Again, also an insulting comparison to those that have experienced the negative ramifications of kratom consumption.
Health Risks:
* Kratom: High doses can lead to severe health issues, including respiratory depression, seizures, and liver toxicity. Long-term use is associated with significant health risks due to its opioid, and adrenergic activity.
* Coffee: Generally safe in moderate amounts, but excessive consumption can leas to insomnia, anxiety, and cardiovascular issues. However, it does pose the same acute overdose risks as opioids.
* Chocolate: Safe for most people when consumed in moderation. Excessive consumption may lead to weight gain and health related issues, but does not carry the same acute health risks as kratom or opioids.
Conclusion:
The consumption of kratom’s opioid properties to those of coffee and chocolate is not only scientifically unfounded but also dangerously misleading. While kratom interacts directly with opioid receptors, producing effects similar to those of opioids, coffee and chocolate exert their effects through entirely different mechanisms. Coffee acts primarily as a stimulant through adenosine receptor antagonism, and chocolate has a mild stimulating effect with no significant interaction with opioid receptors. The potential for addiction, dependency, and severe health risks associated with kratom further distinguishes it from these common substances.
It is essential for both advocates and critics of kratom to rely on accurate scientific information and to avoid oversimplified comparisons that can obscure the true nature of the substance and its effects. It harms everyone when falsehoods from advocacy groups are repeated without giving them the slightest bit of critical thought.
Have you come across kratom products being sold unlawfully online? From shots, to powders, to seltzers, these products sold with kratom and flavorings, and/or making health claims are breaking federal law. Your voice can make a difference! 🛑🌐
If you spot any suspicious products containing kratom, please take a moment to alert the FDA. It's quick, easy, and helps protect everyone from potential risks associated with unapproved and unsafe products.
📢 Report Unlawful Sales of Medical Products on the Internet 📢
🔗 Link to Report: https://www.fda.gov/safety/report-problem-fda
Together, we can ensure that our community stays informed and safe. The more we report these types of unlawful products, the the more likely the FDA may be to take action. Thank you for your support! 🙏💪