Public Health Alert: Warning Against 7-OH Products

TX Health Services News & Alerts

Published September 2nd, 2025

Detected February 13th, 2026

Summary

Texas health officials have issued a warning against the use of products containing 7-hydroxymitragynine (7-OH), a chemical found in kratom. The alert highlights a significant increase in reported exposures and serious health issues linked to concentrated 7-OH products, urging the public to avoid them.

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What changed

The Texas Department of State Health Services (DSHS) has issued a health alert warning the public against using products containing 7-hydroxymitragynine (7-OH), a chemical found in kratom. The alert notes a substantial rise in reported exposures to kratom and 7-OH products this year, with 192 reports to the Texas Poison Center Network compared to 107 in all of 2024. Of particular concern are concentrated 7-OH products, which have led to 11 instances requiring healthcare facility treatment this year.

While these products are sometimes marketed for pain, anxiety, or opioid withdrawal, DSHS emphasizes they have no FDA-approved medicinal use and have not been proven safe or effective. The alert details severe symptoms associated with 7-OH use, including nausea, vomiting, agitation, confusion, breathing difficulties, and seizures. Regulated entities, particularly those in the food and supplement industries, should be aware of this public health warning and ensure their products do not contain unapproved or unsafe ingredients. Consumers are advised to avoid all 7-OH products, check labels carefully, and consult healthcare providers for legitimate health concerns.

What to do next

Review product formulations to ensure absence of 7-OH.
Update consumer-facing materials to reflect public health warnings regarding 7-OH.
Consult with legal and regulatory counsel regarding potential state-level restrictions on kratom derivatives.

Source document (simplified)

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Public health officials warn people not to use 7-OH products

News Release September 2, 2025 The Texas Department of State Health Services today issued a health alert advising people not use products containing 7-hydroxymitragynine (7-OH), a chemical found in the kratom plant. While 7-OH is found in low levels in kratom, concentrated forms of the chemical have been popping up for sale as a liquid extract, as a powder, and in gummies.

So far this year, the Texas Poison Center Network has received 192 reports of exposures involving kratom or other products containing 7-OH. In comparison, there were 107 reports for all of 2024 and 122 for all of 2023. Of the reports this year, 19 involved concentrated 7-OH products, 11 of which resulted in health problems serious enough to be treated at a healthcare facility.

Symptoms reported after 7-OH use include nausea and vomiting, agitation, confusion, sweating, rapid heart rate, high blood pressure, trouble breathing, sleepiness or loss of consciousness, and seizures.

Kratom and 7-OH products are sometimes marketed as natural remedies for pain, anxiety or to help with opioid withdrawal. Kratom and 7-OH do not have an FDA-approved medicinal use, and products containing 7-OH have not been proven to be safe or effective.

People should:

Avoid all products containing 7-OH, including products that claim to treat a health ailment.
Examine the packaging and label when buying candies and other treats.
Keep kratom and 7-OH products away from children and pets.
Talk to children and teens about the dangers of 7-OH and kratom products.
Consult a doctor or pharmacist before using any supplements, especially ones marketed for pain, energy or mood.
Talk to a health care provider if help is needed with opioid addiction, anxiety, mood disorders, pain or other ailments.
Contact a health care provider or call the Poison Help Line at 1-800-222-1222 regarding concerns about 7-OH.
Call 9-1-1 immediately, if someone is unresponsive or needs urgent medical attention. The health alert is available on the DSHS News & Alerts page at dshs.texas.gov/news-alerts.

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(News Media Contact:** pressofficer@dshs.texas.gov )

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