Overdose or emergency? Call now Hotlines · US 911 · UK 999 · EU 112 · AU 000 · IN 112 · 988 (US crisis) Hotlines
7
Opioids

7-Hydroxymitragynine (7-OH)

Street names: 7-OH, 7-hydroxy, Concentrated kratom, Tabz, 7-OH shots

⚡What it does

  • Opioid-like analgesia and warmth at low doses
  • Euphoria and heavy sedation at higher doses
  • Onset within minutes for shots/tablets — much faster than kratom tea

⚠Key risks

  • Dependence forms fast — often within 1–2 weeks of daily use
  • Withdrawal is opioid-type (restless legs, cramps, insomnia, diarrhea) and can be severe; users report it's harder to quit than kratom leaf
  • Respiratory depression, especially mixed with alcohol, benzos or other opioids
  • Seizures reported; rare liver injury
  • Products are unregulated — labeled strengths routinely fail third-party testing, sometimes by a factor of 10

✚Overdose signs

  • Pinpoint pupils
  • Slow, shallow breathing; gurgling sounds
  • Unresponsiveness; blue lips or fingertips

Category comparison — Opioids

SubstanceClassTop risksStreet price
7-Hydroxymitragynine (7-OH)FDA recommended Schedule IDependence forms fast — often within 1–2 weeks of daily use; Withdrawal is opioid-type (restless legs, cramps, insomnia, diarrhea) and can be severe; users report it's harder to quit than kratom leaf~$10–$40 per bottle of shots or pack of tablets
HeroinSchedule IExtremely addictive — physical dependence in weeks; Overdose: breathing slows or stops~$10–$40 per bag
FentanylSchedule IIRespiratory depression; Addiction in days~$20–$40 per counterfeit pill
Fentanyl HCl (powder)Schedule II / analogue prosecutionsLab-purity powder is far stronger than street mixes; Weighing errors are fatal~$60–$120/gram wholesale equivalent
AcetylfentanylSchedule I~5–15× weaker than fentanyl but still deadly at gram-level mistakes; Frequent cause of cluster overdoses~$25–$60/g where found
Furanylfentanyl (Fu-F)Schedule ILinked to hundreds of fatal overdoses 2016–2018; Potency similar to fentanyl~$20–$50/g
Street prices are regional estimates. Potency and cuts vary constantly.

?Frequently asked questions

What does 7-Hydroxymitragynine (7-OH) look like?

Tablets, pellets, gummies and concentrated 'shots' sold at gas stations, vape shops and online — far stronger than kratom leaf per dose

What are the signs of a 7-Hydroxymitragynine (7-OH) overdose?

Pinpoint pupils; Slow, shallow breathing; gurgling sounds; Unresponsiveness; blue lips or fingertips Call emergency services immediately and give naloxone if available — it reverses opioid overdoses.

How addictive is it?

Dependence forms fast — often within 1–2 weeks of daily use Dependence can develop with regular use.

🔗Sources & further reading

Facts on this page are compiled from these primary sources. External links open in a new tab.