Last updated · How we write and source our guides
Step 1
What kratom and 7-OH are
Kratom comes from the leaves of a Southeast Asian tree. 7-OH is a compound related to kratom that is sold in concentrated products. The FDA has not approved kratom for any medical use, and in July 2025 it recommended that certain 7-OH products be placed under federal drug control because of their opioid-like risks.
Step 2
Why withdrawal can be hard
Addiction professionals report that people who use kratom or 7-OH products regularly may develop withdrawal symptoms that overlap with opioid withdrawal. Symptoms, timing, and severity vary from person to person.
- Tell any provider exactly which products you use and how often
- Mention other substances and medications too
- Ask a clinician before stopping or cutting back
- Call 911 for trouble breathing or loss of consciousness
Step 3
Why 7-OH is a growing concern in New York
Professional writing published through ISSUP describes 7-OH as an emerging opioid-like threat and raises concerns about how easily these products can be bought in New York smoke shops and convenience stores. Products may be labeled as kratom even when they contain concentrated 7-OH.
Step 4
Getting help on Long Island
A licensed detox or treatment program can assess withdrawal risk and plan care. New York's OASAS provider directory lists licensed programs. SAMHSA's National Helpline offers free, confidential referrals 24 hours a day. Ask any program whether it has experience supporting people who are stopping kratom or 7-OH products.
Step 5
If someone may be overdosing
Call 911 right away if a person is hard to wake, breathing slowly, or not breathing. If you or someone you know has thoughts of suicide, call or text 988.
What to share with a provider
- Product names, labels, and whether they list 7-OH
- How much and how often you use them
- Any other substances, alcohol, or medications
- Withdrawal symptoms you have had before
Related guides
Continue reading: compare withdrawal needs by substance · learn what medically supervised detox involves · find guidance for families and loved ones
Sources and further reading
- FDA takes steps to restrict 7-OH opioid products (July 2025) (FDA)
- FDA and kratom (FDA)
- OASAS treatment provider directory (NY OASAS)
- National Helpline (SAMHSA)
- What Is 7-OH? The Emerging Opioid Threat Addiction Professionals Need to Understand in 2026 (ISSUP)
- 7-OH Withdrawal: Symptoms, Timeline, and Treatment (ISSUP)
- The Dangers of 7-OH and Why Accessibility in New York Raises Concerns (ISSUP)
- 7-Hydroxymitragynine (7-OH) and Kratom Withdrawal (ISSUP)
Links are provided for education and do not imply endorsement of this site. Medical information should be reviewed with a qualified professional. See all authoritative sources.