The spread of kratom-derived products, often referred to as ‘gas station opioids,’ has caught the attention of federal authorities and lawmakers due to its potential risks. These products, derived from the kratom plant, contain high concentrations of certain compounds that have raised concerns.
The Drug Enforcement Administration (DEA) has expressed increased alarm regarding these kratom-derived extracts. Earlier this year, the agency announced plans to temporarily ban products containing concentrations of 7-hydroxymitragynine (7-OH), mitragynine pseudoindoxyl (MGPI), MGM-15, and MGM-16. The DEA aims to temporarily classify these substances as Schedule I under the Controlled Substances Act, a move that would not affect the natural herbal form of kratom available over the counter.
Kratom’s legal status is complex, varying from state to state. While nine states have completely banned the herbal form of kratom, more than 30 states regulate its sale with restrictions on 7-OH concentrations. In over a dozen states, kratom exists in a legal gray area, neither banned nor strictly regulated.
Since roughly 2010, products containing synthetically concentrated extracts like 7-OH have become widely accessible over the counter at gas stations and tobacco shops. Oliver Grundmann, a clinical professor in the Department of Medicinal Chemistry at the University of Florida, noted that the classification of these concentrated products is justified. Schedule I designation indicates a drug has no accepted medical use, which aligns with the lack of effort by manufacturers to seek approval through the Food and Drug Administration (FDA).
βIt is adequate at the moment, given what we know about [7-OH], to place it into controlled substances schedule,β Grundmann said.
The Hill’s Healthcare newsletter follows the latest developments in healthcare policy and how decisions made in Washington impact public health.
In other healthcare-related news, Pennsylvania authorities confirmed a sixth death connected to a measles case. This affirms Pennsylvania’s status as having the highest number of cases in the nation. The Franklin County Coroner reported a 39-year-old woman with multiple underlying conditions died after a recent measles diagnosis.
Additionally, recent research involving GLP-1 drugs examined their impact on adults with moderate-to-severe psoriasis and obesity. A study by Eli Lilly found significant changes when patients received both Taltz (ixekizumab) and Zepbound (tirzepatide) compared to Taltz alone.
A University of Liverpool study on weight loss and beverage choice found no significant difference between individuals who drank water and those who consumed diet soft drinks regarding weight maintenance.
In other news, Congo’s Ebola outbreak continues to challenge local and international response efforts as it surpasses 5,000 cases. This situation highlights ongoing struggles against the virus, particularly in remote regions of the country.
