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It's called Gas Station Heroin.

dark approach to a gas station at night
Illustration showing the liver converting mitragynine into 7-OH
Potency Comparison
13 Morphine Milligram Equivalent (MME)
1 Morphine Milligram Equivalent (MME)

Here's why: Kratom converts inside your liver into a compound that binds to the same brain receptor as morphine and heroin.

13 times MME more potent than morphine

See the FDA's Statement

Is Kratom Safe?

Photo of Dr. David A. Gorelick

Kratom use is associated with medical toxicity and death.

Dr. David A. Gorelick, M.D., Ph.D., Department of Psychiatry, University of Maryland School of Medicine
Photo of Alta DeRoo

Don't start kratom. It's like starting down a road of addiction with an opioid.

Alta DeRoo, MD, MBA, DFASAM, FACOG, Chief Medical Officer, Hazelden Betty Ford Foundation

5,208 kratom-involved overdose deaths , to .

That count excludes California, Texas, and Florida. Data reported by the CDC.

Ephedra vs. Kratom: The effectiveness of a ban
Measureephedra bottle on a drugstore shelf, labelled as an "extremely potent stimulent"Ephedrakratom bottle on a drugstore shelf, labelled as an "herbal supplement"Kratom
Regulatory statusBanned in 2004Still on the shelf
Deaths155 deaths5,208+ deaths
Photo of Dr. Tom Lewis

[Kratom] is very similar to opioids like fentanyl, like morphine. Over the last 15 years, we've really noticed about a 200% increase in overdose deaths.

Dr. Tom Lewis, EMS Medical Director, Mercy Hospital, Springfield, MO

Industry Talking Points Versus Reality

See What Other Experts Are Saying
U.S. Capitol

Kratom is now a multi-billion dollar industry with its own lobby.

They make it sound like a caffeine pill. Or a cup of green tea.

Dean and Sarah Francis with their son, Cameron
Dean Francis (R), his wife, Sarah, and their son Cameron in Midlothian, VA, on . Madalina Kilroy/The Epoch Times

We're the mothers, fathers, and friends of people whose lives were torn apart by kratom.

End Kratom Addiction is a national nonprofit built by families who were lied to. And refused to stay quiet.

See More Stories

Kratom is now banned in 12 states.

And in 265+ counties and towns.

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
Full ban (12)
This category includes states with broad statewide restrictions, emergency orders, or upcoming effective bans.
Near Ban (4)
This category is explicitly used for states with strict restrictions with minor exceptions. Examples: bans on retail sales (CA), bans on everything but powder (OH and UT), or states where it is unauthorized by the FDA (MD).
Local bans (21)
This category includes states in which at least one city has banned retail sales of kratom.
Little to no regulation (13)

Prohibited across the U.S. military

  • United States Army
  • United States Marine Corps
  • United States Navy Reserve
  • United States Coast Guard
  • United States Air Force
  • United States Space Force
  • United States Department of War

It's time to tell your representative kratom needs real regulation, not another decade of delay.

Quotes from Experts

Photo of Alta DeRoo

Don't start kratom. It's like starting down a road of addiction with an opioid. It may seem like some herbal supplement, but there's much more underlying sinister effects with it.

Alta DeRoo, MD, MBA, DFASAM, FACOG, Chief Medical Officer, Hazelden Betty Ford
Photo of Jennifer Gifford

As kratom's popularity continues to grow, so does the number of individuals struggling with dependence. At The Coleman Institute, approximately 75% of our patient intakes were linked to kratom addiction as of 2025.

Jennifer Gifford, Chief Executive Officer, The Coleman Institute for Addiction Medicine
Photo of Doctor Faried Banimahd, MD

The claim that kratom has no potential abuse and can do no harm is ludicrous. Until we truly understand how kratom interacts with other medications, promoting it as a safe herbal supplement puts lives at risk.

Dr. Faried Banimahd, MD, Board-Certified Addiction Physician, Coleman Clinic, Richmond, VA
Photo of Doctor Kate Gibson

More than half of the patients presented to me for detox do so because of kratom derivatives. It is distressing to watch these readily available substances—marketed as herbal dietary supplements—cause such profound harm in our community.

Dr. Kate Gibson, DNP, APRN, PMHNP, CPRS, Addiction Medicine Nurse Practitioner, Richmond, VA
Photo of Jill Cichowicz

I work alongside hundreds of addiction treatment professionals in Virginia, who all attest to a growing crisis tied to kratom addiction. Many clinicians report that kratom withdrawal and recovery can be as severe as heroin or worse. HB360’s straightforward measure to move kratom products behind the counter will prompt consumers to pause, ask questions, and understand this substance is not harmless, helping prevent addiction and save lives.

Jill Cichowicz, Founder & CEO of 2 End the Stigma
Photo of Hilary Tesluck

Kratom addiction is real, and so is the pain and suffering that goes with it. Tens of thousands of people, and all their families, are facing a crisis that never should have happened. This industry chose to side-step safeguards to maximize a profit, and now attempts to blame the users. It was preventable then, and it is preventable now.

Hilary Tesluck, Executive Director of End Kratom Addiction
Photo of Dr. Michael Sucher

Calling something plant-based doesn't make it safe. Cocaine comes from a plant. Opium is a plant. Natural doesn't mean it's safe or non-addictive. The patients we see with kratom addiction are exactly like those that we see with fentanyl or heroin or other opioid addictions.

Dr. Michael Sucher, MD, DFASAM, Executive Medical Director at Meadows Behavioral Healthcare
Portrait of Dr. Joshua Smith, Henry Ford

This is now becoming a real crisis because our building is full of people addicted to this. They just thought this was a safe or organic product that they picked up from wherever they buy their cigarettes.

Dr. Joshua Smith, MD, Family & Addiction Medicine, Henry Ford Health System
Photo of Doctor John Downs

The biggest misconception is that 'natural means safe.' Kratom and 7-OH are not harmless herbal supplements…People using these substances can have the same detrimental effects seen with opioids.

Dr. John Downs, MD, MPH, FACP, FACOEM, Director of Virginia Poison Center, VCU
Photo of Dr. Chris Holstege

We want the public to be aware that these products contain chemicals of varying concentrations such as mitragynine and 7-hydroxymitragynine that have complex pharmacological actions and can cause drug interactions and adverse consequences in humans.

Dr. Chris Holstege, Chief of Medical Toxicology at University of Virginia, and Blue Ridge Poison Control Director
Photo of Doctor Ronald Mejzak

Traditional kratom preparations have been associated for years with tolerance, withdrawal, and compulsive use, demonstrating inherent addictive potential. Kratom marketed as 'safe' or 'non-addictive' is contributing to a growing population struggling with dependence and withdrawal.

Dr. Ronald Mejzak, Director of Addiction Services and Medical Staff President at Virginia Beach Psychiatric Center
Portrait of Dr. Eliza Hutchinson, MD, FASAM

We are seeing patients walking into my clinic who’ve used it for about two weeks, and are absolutely addicted, meaning their body is physiologically dependent. They’re spending hours and hours of their day trying to acquire the product.

Dr. Eliza Hutchinson, MD, FASAM, University of Michigan, Family and Addiction Medicine Physician
Photo of Dr Andrew Kolodny

Years ago, most of my patients' addiction stories began with an opioid prescription. Today, most all start with kratom—it’s fueling a rise in opioid use disorder itself.

Dr. Andrew Kolodny, Opioid Research Director at Brandeis University and Addiction Psychiatrist
Photo of Kimberly and Michael Tillem

Kratom presents like an opioid when using it. It's addictive and deadly. I see the effects everyday. People come in all strung out on it, and the damage it leaves behind in their bodies is devastating.

Michael Tillem, Journey House Addiction Recovery, Richmond, VA
Portrait of Dr. Sean Esteban McCabe, PhD

Policy changes regarding kratom and 7-OH products are needed in all states if we are serious about protecting our children. Five million people is more than the entire population of the six smallest states in the U.S. combined: Wyoming, Vermont, Alaska, South Dakota, North Dakota and Delaware.

Dr. Sean Esteban McCabe, PhD, University of Michigan, Department of Health Behavior and Clinical Sciences
Photo of Mark K. Smith

…if you’re using it (kratom) for therapeutic things, it can lead to dependency and can lead to death. Everybody has different tolerance levels. Studies have shown that. So, what may be fine and therapeutic for you might actually be fatal for me.

Mark K. Smith, Coroner of Carbon County, PA
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