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We Keep Our Kids Safe at School. Down the Street, They’re Selling Them Opioids.

Kratom opioids are products sold as kratom that contain a concentrated opioid similar to fentanyl and heroin. Here is what it looks like, what to look for on the label, and how strong it can be.1 3

For Parents

This Is What It Looks Like

Every product below is sold as kratom. Each one contains an opioid. It looks like candy, and it sits near the register.

  • Ice cream cones sold as a 7-OH product
    Looks likeIce cream conesSold as kratom
  • 7-OH gummies
    Looks likeGummy candySold as kratom
  • Tropic Thunder 7-OH shot
    Looks likeAn energy shotSold as kratom
As easily as buying candy.The FDA, on how kids can buy these products3

Real products sold under the kratom name, photographed by the FDA or shown in its consumer guide.3 11

Know the Names

Read the Label

Kratom opioids are concentrated or lab-made versions of compounds found in the kratom leaf. If you see one of these names on a package, it contains an opioid.3 4

Check the Package For

Name on the labelWhat it is

7-OHOpioid
“7-Hydroxy”“7-hydroxymitragynine”
MGPIOpioid
“Pseudo”“Pseudoindoxyl”
Also a red flagWords
“Potent”“Fast-acting”

On shots, tablets and gummies sold near the register. New kratom opioids keep appearing, and these are only the latest.4

7-OH

Also printed as 7-Hydroxy

About 13 times as potent as morphine in one lab test. The DEA has moved to place it in Schedule I, alongside heroin.3 4

MGPI

Also printed as Pseudo

About 100 times as potent as kratom’s main compound in animal studies. Placed in Schedule I in August 2026. The DEA plans to replace that order with a limit on how much a product can contain.4

How Strong

How Strong Can It Be?

One example: 7-OH compared with morphine, in a lab test cited by the FDA. Each square is one dose of morphine’s strength.

Like fentanyl and heroin, kratom opioids can slow or stop breathing.3 4

Source: U.S. Food and Drug Administration3
Why It Kills

One Receptor. Three Opioids.

Fentanyl, heroin and kratom opioids all lock onto the brain's mu-opioid receptors, the switches that control pain and breathing. Too much shuts breathing down. That is how opioid overdoses kill.

FENTANYL HEROIN KRATOM OPIOIDS THE SAME MU-OPIOID RECEPTOR IN THE BRAIN Sources: National Institute on Drug Abuse; U.S. Food and Drug Administration1 3
Questions

What Parents Ask

The questions we hear most, and what to know if you’re worried someone you love is using.

What Is Kratom Use Disorder?

Signs and treatment

It is when someone keeps using kratom even though it is causing problems, and finds it hard to cut back or stop. It is not listed separately in the DSM-5, the manual clinicians use to diagnose, but because kratom acts on opioid receptors, it can be diagnosed and treated as an opioid use disorder.1

Signs it may be more than occasional use
  • Needing more to feel the same effect
  • Withdrawal when stopping: irritability, aches, sweating, trouble sleeping, cravings1
  • Using it to get through the day, or to feel normal
  • Spending more money and time getting it
  • Trouble at school, work or home, or hiding use
There is hope.Kratom use disorder is treatable. There is no medication made specifically for it, but it is often treated like other opioid use disorders, including with buprenorphine, a medicine also used to treat fentanyl addiction. A doctor or addiction specialist can help you find the right care.

Frequently Asked Questions

12 questions
What is kratom?

Kratom comes from the leaves of a Southeast Asian tree, Mitragyna speciosa. It contains compounds, including mitragynine and 7-hydroxymitragynine (7-OH), that act on mu-opioid receptors in the brain. It is sold as powders, capsules, teas, shots, tablets and gummies.1 2

What are kratom opioids?

Our name for concentrated and lab-made opioids sold under the kratom name. The best known are concentrated 7-OH, which occurs naturally in only tiny amounts in the leaf, and MGPI (mitragynine pseudoindoxyl), which is made in a lab. In one lab test cited by the FDA, 7-OH was about 13 times as potent as morphine; in animal studies, MGPI was about 100 times as potent as kratom’s main compound. Both can slow or stop breathing like other opioids, and both are often marketed simply as kratom, so read labels closely.3 4

Is UAF trying to ban all kratom?

No. Our focus is protecting kids. We oppose sales to minors; sales in gas stations, vape shops and liquor stores; and kratom opioids like concentrated 7-OH and MGPI. We support strengthening and passing the End Gas Station Heroin Act (S. 5383 / H.R. 10272) with science-based potency controls, independent research on kratom's risks, and treatment for anyone who needs it.

Why is it called Kratom Watch?

Because "kratom" is the word parents recognize, and watching is the job: knowing what is sold near your kids and what it looks like. Behind the name is a focused goal: keep kratom opioids away from kids.

Doesn't kratom help some people?

Some adults report using kratom to ease opioid withdrawal, pain or anxiety, and NIH-funded scientists are studying it.8 But there is no FDA-approved kratom product, and products vary widely in strength and purity.2 Traditional kratom leaf isn’t risk-free either: regular use can lead to dependence and withdrawal.1 If you or someone you love is using kratom to manage withdrawal, talk with a doctor: FDA-approved medications for opioid use disorder are safe and effective.1

Is kratom legal?

Kratom is not a federally controlled substance, though the DEA lists it as a "drug of concern."1 No federal law sets a minimum age or otherwise regulates kratom products, and as of January 2026, 20 states did not control or regulate kratom in any way.6 MGPI, a related lab-made opioid, has been temporarily in Schedule I since August 2026. On October 14, 2026, the DEA proposed new limits covering both concentrated 7-OH and MGPI; that order may publish on or after November 13, but that date is not guaranteed.4 The End Gas Station Heroin Act (S. 5383 / H.R. 10272) would write those controls into law.7

Is kratom addictive?

It can be. Kratom acts on opioid receptors, and people who use it regularly can develop withdrawal and a use disorder.1 Kratom opioids carry the dependence risks of other opioids.3 The good news: it is treatable. A doctor, or the SAMHSA Helpline at 1-800-662-4357, can help you find care.

Can someone overdose on kratom?

Yes, especially with kratom opioids, which can slow or stop breathing like other opioids.3 CDC data show 5,208 overdose deaths involving kratom from 2020 to 2024 in the jurisdictions that report, and DEA toxicology testing has found 7-OH in 55 overdose deaths since 2019.4 12 Many kratom-related deaths also involve other substances: 79% of those reported to U.S. poison centers from 2015 to 2025, according to the Centers for Disease Control and Prevention.5 If someone is hard to wake or breathing slowly, call 911 and give naloxone if you have it.

Is kratom tested like medicine?

No. The FDA says kratom cannot be lawfully sold as a drug, a dietary supplement or a food additive, and warns the public against using it.2 No federal law regulates what is inside. Testing has found heavy metals and harmful bacteria in kratom products.1

How would I know if my child is using kratom?

Look for gummies, tablets, shots or powders labeled "kratom," "7-OH," "7-Hydroxy," "Pseudo" or "extract." You might notice drowsiness, pinpoint pupils, nausea, mood swings, frequent gas-station trips or missing money.3 Call 911 if your child is unconscious, very drowsy or hard to wake.

How do I talk with my child about kratom?

Start early and stay calm. Ask what they have heard, share the facts, and explain that "natural" does not mean safe and that store products are not checked like medicine. Keep the door open so they come to you with questions.

What if my child swallowed a kratom product?

Call Poison Help at 1-800-222-1222 right away, even if your child seems fine. If they are hard to wake or breathing slowly, call 911.

Now You Know

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Sources

  1. National Institute on Drug Abuse. Kratom. National Institutes of Health. Updated March 2026. Accessed October 21, 2026. https://nida.nih.gov/research-topics/kratom
  2. US Food and Drug Administration. FDA and kratom. Accessed October 21, 2026. https://www.fda.gov/news-events/public-health-focus/fda-and-kratom
  3. US Food and Drug Administration. Hiding in plain sight: 7-OH products (includes the FDA 7-OH report and consumer guide). Updated October 12, 2026. https://www.fda.gov/news-events/public-health-focus/hiding-plain-sight-7-oh-products
  4. Drug Enforcement Administration. Schedules of controlled substances: temporary placement of 7-hydroxymitragynine and mitragynine pseudoindoxyl above a specified threshold in schedule I. Fed Regist. 2026;91(197). Published October 14, 2026. federalregister.gov
  5. Towers EB, Thomas YT, Holstege CP, Farah R. Increases in kratom-related reports to poison centers: National Poison Data System, United States, 2015-2025. MMWR Morb Mortal Wkly Rep. 2026;75(11). Centers for Disease Control and Prevention. https://www.cdc.gov/mmwr/volumes/75/wr/pdfs/mm7511a1-H.pdf
  6. Legislative Analysis and Public Policy Association. Kratom: Summary of State Laws. Research current as of January 2026. legislativeanalysis.org
  7. End Gas Station Heroin Act, S 5383 and HR 10272, 119th Cong (2026). https://www.congress.gov/bill/119th-congress/senate-bill/5383; https://www.congress.gov/bill/119th-congress/house-bill/10272
  8. National Institutes of Health. RePORTER: NIH-funded kratom research projects. Accessed October 21, 2026. reporter.nih.gov
  9. Vince Sanders: Founder & Entrepreneur (founder of CBD American Shaman). Accessed October 28, 2026. https://vincesanders.com/
  10. Morris H. The Chemistry of 7-OH. YouTube. Accessed October 28, 2026. https://www.youtube.com/watch?v=p3e1aFyw6v4
  11. US Food and Drug Administration. 7-Hydroxymitragynine (7-OH) Products [photo album]. Flickr. July 2025. United States government work. flickr.com/photos/fdaphotos
  12. Centers for Disease Control and Prevention. State Unintentional Drug Overdose Reporting System (SUDORS), CDC WONDER: overdose deaths involving kratom, 2020 to 2024 (33 to 43 reporting jurisdictions per year). Accessed October 29, 2026. Data come from death certificates, medical examiner and coroner reports, and postmortem toxicology results. wonder.cdc.gov
Kratom Watch

United Against Fentanyl is a nonpartisan, nonprofit organization that interrupts the use of illicit fentanyl through innovative, bold, and effective initiatives. Kratom Watch is a UAF campaign focused on kratom opioids, the concentrated and lab-made opioids sold under the kratom name, because keeping kids from their first opioid is part of the same fight.

General information, not medical advice. In an emergency, call 911.