7-Hydroxymitragynine: A Growing Concern in North Carolina 

Published On: September 2, 2025|Categories: Addiction, Addiction Treatment|499 words|2.5 min read|

In recent months, North Carolina has seen an alarming rise in the use of 7-hydroxymitragynine (7-OH), a powerful synthetic derivative of the kratom plant. While natural kratom contains only trace amounts of 7-OH, the synthetic for ms available today are highly concentrated—up to 13 times more potent than morphine. Marketed as “natural” or “legal” alternatives for energy, mood enhancement or pain relief, these products are increasingly found in convenience stores, smoke shops and online platforms. 

Despite their legal or “natural” labeling, synthetic 7-OH carries serious risks. Its high potency makes it extremely addictive, and users may experience severe withdrawal, nausea, dizziness, confusion, mood swings and even heart complications. Because it is not FDA-approved for use in dietary supplements or conventional foods, the Food and Drug Administration has identified 7-OH as an emerging public health threat. 

Recognizing the Signs of 7-OH Misuse 

Identifying misuse of 7-OH can be challenging because it is often hidden in over-the-counter products or sold under misleading labels. Some warning signs include: 

  • Needing higher doses to achieve the same effect 
  • Physical symptoms such as nausea, dizziness or confusion 
  • Mood changes, anxiety or irritability 
  • Experiencing withdrawal symptoms when not using the substance 

If you or someone you know is showing any of these signs, it’s important to seek professional help immediately. Early intervention can prevent serious health complications and improve the chances of long-term recovery. 

How 7-OH Misuse Impacts Mental and Physical Health 

Beyond the immediate physical risks, 7-OH misuse can significantly affect mental health. Individuals may experience heightened anxiety, depression or difficulty managing daily responsibilities. The drug’s strong addictive potential can make it challenging to stop using without professional support, creating cycles of dependency that affect work, school, relationships and overall well-being. 

How Pyramid Healthcare Can Help 

At Pyramid Healthcare, we provide specialized treatment for individuals struggling with substance use disorders, including those related to synthetic substances like 7-OH. Our centers in North Carolina offer a comprehensive, compassionate approach to recovery. 

Some of the ways we support clients include: 

  • Evidence-based therapies: We utilize clinically proven therapies to help individuals address addiction and underlying mental health challenges. 
  • Supportive environment: Pyramid Healthcare provides a safe and understanding setting where clients can focus on healing. 

Our goal is to help individuals break the cycle of addiction and develop long-term coping strategies for sustained recovery. 

Taking the First Step 

If you or a loved one is struggling with 7-OH misuse or any substance use disorder, Pyramid Healthcare is ready to provide guidance and care. Our dedicated team will help you understand your options, develop a personalized treatment plan and provide the support necessary to regain control of your life. 

Recovery from 7-OH or other substances is possible, and seeking help is the first step toward a safer, healthier future. Contact Pyramid Healthcare today to begin your journey to recovery. 

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