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7-Hydroxymitragynine · "7 tabs" · Gas-station & smoke-shop tablets

Quitting 7-OH? Real medical treatment, 100% online.

If you started taking 7-OH tablets and now can't stop without feeling sick — that's not a willpower problem. It's physical dependence, and it's treatable. Meet with a licensed North Carolina physician by video, often the same day, and get medication that eases withdrawal and cravings.

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Same-day visits available NC Medicaid accepted Licensed NC physician Confidential — 42 CFR Part 2

What is 7-OH — and why is it so hard to quit?

7-OH (7-hydroxymitragynine) is a compound related to kratom, sold as concentrated tablets, gummies, and shots at gas stations, vape shops, and smoke shops — often labeled simply "7" or "7 tabs."

Here's what the label doesn't tell you: 7-OH acts strongly on the same opioid receptors in the brain as prescription painkillers and heroin. Unlike kratom leaf, these products are highly concentrated — so tolerance and physical dependence can build in weeks. In 2025, the FDA warned the public about 7-OH products and moved to restrict them, but by then many people were already dependent without ever realizing they were taking an opioid-like drug.

If that's your story, you did nothing wrong. These products were sold legally, next to the energy drinks. What matters now is that the way out is well understood — because doctors already know how to treat opioid-receptor dependence.

Signs 7-OH has a hold on you

  • Needing more tablets to get the same effect
  • Feeling sick, anxious, or achy when you skip a dose
  • Planning your day around the next gas-station or smoke-shop stop
  • Spending more than you can afford on tablets
  • Trying to quit — and going back when withdrawal hits

Even one or two of these is reason enough to talk to a physician.

7-OH withdrawal is real

Because 7-OH works on opioid receptors, stopping after regular use can feel like opioid withdrawal:

  • Anxiety, restlessness, and irritability
  • Sweating, chills, and goosebumps
  • Body aches, nausea, and stomach cramps
  • Insomnia and intense cravings

You don't have to white-knuckle it. Medication can make withdrawal manageable — often dramatically so.

How treatment works

The same proven medicine that treats opioid dependence works for 7-OH

7-OH dependence is opioid-receptor dependence — so physicians treat it with the most effective tools in addiction medicine, delivered entirely by telehealth.

Buprenorphine (Suboxone)

Eases withdrawal and quiets cravings without the highs and lows, so you can stabilize and function. Started and managed by video, sent to your local pharmacy.

A plan built around you

Some people taper off quickly; others benefit from longer support. Your physician builds the plan with you — no judgment, no one-size-fits-all.

Whole-person care

We screen for anxiety, depression, and sleep problems that often ride along with 7-OH use, and connect you with therapy and support when helpful.

From tablets to treatment in three steps

Book online

Request an appointment in about two minutes. No phone call, no waiting room, no one has to know.

Meet your physician

A private video visit from your phone or computer — often the same day you book. Honest conversation, zero judgment.

Start feeling better

If medication is right for you, it's sent to your pharmacy that day. Regular check-ins keep you on track.

Common questions

7-OH treatment FAQ

Not quite. 7-hydroxymitragynine occurs in trace amounts in kratom leaf, but 7-OH tablets are concentrated products that are far more potent — which is why dependence develops much faster than with traditional kratom. Either way, if you're struggling to stop, we can help.
Never. These products were sold legally with no warning about dependence — many of our patients had no idea they were taking something opioid-like. Dependence is a medical condition, not a character flaw, and you'll be treated with respect from the first minute.
No — come as you are. Your physician will talk through your use and build a safe, comfortable plan for transitioning to treatment. Please don't try to quit cold turkey on your own just to "get ready" for the visit.
Most patients are seen the same day they reach out — and almost always within a day or two. When withdrawal is the thing standing between you and quitting, speed matters.
In most cases, yes. We accept NC Medicaid — all Standard and Tailored plans — plus most major commercial insurance and Medicare. We'll verify your benefits for free before your first visit — check your coverage here. Uninsured? We can also help check whether you qualify for NC Medicaid.
No. Your care is confidential and protected by federal law, including 42 CFR Part 2 — a confidentiality law specifically for substance use treatment records. We share nothing with employers, family, or anyone else without your explicit written permission.

You found the way in. Here's the way out.

Booking takes about two minutes, visits happen from home, and most patients are seen the same day. Serving patients across North Carolina.

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