Substances

Kratom – A Deadly Trend Youth Need to Know About

a school gathering to watch screenagers
October 28, 2025
4
min read
Delaney Ruston, MD
Lisa Tabb
a school gathering to watch screenagers

In Summary

The longest-running youth drug prevention program in the country, Red Ribbon Week, is happening this week in schools and communities across the U.S.

This makes it an important time to raise awareness about a growing concern: the use of dangerous new opioid-like products called 7-hydroxymitragynine (also known as 7-OH). These products come from the kratom plant.

At times, you will hear the term “kratom” used, and at times “7-OH.” For this, I will use both the term kratom and 7-OH.

Have you heard about kratom?

This is spreading fast, and it acts on opioid receptors in the brain, causing addiction and, tragically, leading to many recent deaths, especially among young adults.

Perhaps you have seen some news headlines, like this one in SF Gate this month:

 “This Bay Area teen was set to go to college. Then he discovered ‘gas station heroin.’”
 

Here is an excerpt from the story:

“Like many 18-year-olds, Jeremy Rivers had been dealing with social anxiety for years by the time he got to the end of high school. But his problems melted away this June when he tried his first 7-OH pill…. Rivers first noticed 7-OH at a gas station five minutes away from his family’s Bay Area house and bought it out of curiosity. Immediately hooked… Within three months, he had spent over $5,000 on 7-OH.”

Back in the early 2000s, as a doctor, I was deeply worried about how many opioids were being prescribed to patients. I even made a short educational video to raise awareness. Little did I know that the opioid problem I was sensing would eventually claim nearly 100,000 lives a year, for many years in a row, due to overdoses.

continues below
Share
Facebook logo.Rightward curved arrow symbol for sharing or forwarding.
host a screening

Learn more about showing our movies in your school or community!

Podcast

Join Screenagers filmmaker Delaney Ruston MD for our latest Podcast

Learn more about our Screen-Free Sleep campaign at the website!

Screenagers elementary edition

Our movie made for parents and educators of younger kids

host a screening

Learn more about showing our movies in your school or community!

Here is what to know and to share with youth in your life:

When a product says “kratom,” it may be the natural plant powder with low levels of active compounds, or a concentrated version packed with far more 7-hydroxymitragynine (7-OH), the powerful and dangerous ingredient linked to addiction and overdose.

It’s gaining popularity among young people and is sold online and even in gas stations. Despite being illegal in several states, it’s still easily accessible. Kratom is specifically banned in several U.S. states and many countries, yet because it remains unregulated federally, it is easy to buy online or in convenience stores.

The FDA is very concerned and working to warn people about the risks posed by these products on the market.

Very alarming: products such as pills, gummies, drink mixes, or shots that contain high concentrations of 7-OH (or extracts enriched with 7-OH) are sometimes sold at gas stations or corner stores. These products may be marketed as “herbal supplements,” “plant-based,” or even “energy/mood support,” despite being much more potent and risky.

Forms: usually sold as powder, capsules, or tea, and often marketed as “natural,” “energizing,” or “plant-based pain relief.”

Because there’s no federal ban, each state decides for itself whether to restrict or allow kratom, resulting in a patchwork of laws.

Risks include:

  • Addiction and withdrawal symptoms similar to opioids
  • Nausea, vomiting, and liver damage
  • Seizures and hallucinations
  • Respiratory depression (slowed breathing), which can be fatal

Medical experts have said that Narcan, a drug used to reverse overdoses of other opioids like fentanyl, can be an effective treatment in the case of a 7-OH overdose. But in the five deaths for which L.A. authorities included 7-OH as a cause, multiple drugs were involved. Mixing with other substances, like alcohol, is particularly dangerous.

A Call to Action

If you’re a parent, teacher, or teen reading this, please help spread the word. Kratom is not a harmless herb. It’s highly addictive, can shut down breathing, and is taking lives, often of young people who didn’t realize the risk.

My heart feels immensely for the horrific reality of addiction to opioids and all substances, because the line between life and death is so thin. I have had several patients tell me they have overdosed several times—one man six times—and still the pull makes them continue to use.

It must also be noted that the addiction recovery field is studying and advocating for 7-OH to have a role in helping people get off more dangerous opioids, similar to how I and other providers prescribe Suboxone to patients who are in recovery from heroin, fentanyl, and other opioid addictions. Many of my patients say that Suboxone has allowed them to have their lives back.

I do not yet know what role 7-OH will play in recovery, but there is no question that it should not be sold at gas stations or online.

Questions to get the conversation started:

  1. Have you heard of kratom?
  2. What substance safety messages in general are you hearing about?
  3. Do you think knowing now about kratom, that you might tell some friends about its many risks?

host a screening

Learn more about showing our movies in your school or community!

Podcast

Join Screenagers filmmaker Delaney Ruston MD for our latest Podcast

Learn more about our Screen-Free Sleep campaign at the website!

Screenagers elementary edition

Our movie made for parents and educators of younger kids

Podcast

Join Screenagers filmmaker Delaney Ruston MD for our latest Podcast

This week on YouTube

Subscribe to our YouTube Channel! We add new videos regularly and you'll find over 100 videos covering parenting advice, guidance, podcasts, movie clips and more. Here's our most recent:

Get our latest posts and practical advice in your inbox, weekly.

You have subscribed to our emails. Thank you!
Oops! Something went wrong while submitting the form.

We respect your privacy.

More Like This

Substances

Kratom – A Deadly Trend Youth Need to Know About

Delaney Ruston, MD
Lisa Tabb smiling to camera (Screenagers Producer)
Lisa Tabb
October 28, 2025

As we’re about to celebrate 10 years of Screenagers, we want to hear what’s been most helpful and what you’d like to see next.

Please click here to share your thoughts with us in our community survey. It only takes 5–10 minutes, and everyone who completes it will be entered to win one of five $50 Amazon vouchers.

The longest-running youth drug prevention program in the country, Red Ribbon Week, is happening this week in schools and communities across the U.S.

This makes it an important time to raise awareness about a growing concern: the use of dangerous new opioid-like products called 7-hydroxymitragynine (also known as 7-OH). These products come from the kratom plant.

At times, you will hear the term “kratom” used, and at times “7-OH.” For this, I will use both the term kratom and 7-OH.

Have you heard about kratom?

This is spreading fast, and it acts on opioid receptors in the brain, causing addiction and, tragically, leading to many recent deaths, especially among young adults.

Perhaps you have seen some news headlines, like this one in SF Gate this month:

 “This Bay Area teen was set to go to college. Then he discovered ‘gas station heroin.’”
 

Here is an excerpt from the story:

“Like many 18-year-olds, Jeremy Rivers had been dealing with social anxiety for years by the time he got to the end of high school. But his problems melted away this June when he tried his first 7-OH pill…. Rivers first noticed 7-OH at a gas station five minutes away from his family’s Bay Area house and bought it out of curiosity. Immediately hooked… Within three months, he had spent over $5,000 on 7-OH.”

Back in the early 2000s, as a doctor, I was deeply worried about how many opioids were being prescribed to patients. I even made a short educational video to raise awareness. Little did I know that the opioid problem I was sensing would eventually claim nearly 100,000 lives a year, for many years in a row, due to overdoses.

Join
443
others who have made the pledge!
Thank you for making the pledge!
Please try again
Book page button

Available now - Parenting in the Screen Age, from Screenagers filmmaker Delaney Ruston MD

Order Here
Find A screening Button

Find a Screening - Find a screening of our movies in your local community

Learn More
Smiling woman with long blonde hair wearing a dark teal sweater, next to text: The Screenagers Podcast with Delaney Ruston, MD.

Screenagers Podcast - Join Screenagers filmmaker Delaney Ruston MD for the latest Podcast

Learn More
Book page button

Available now - Parenting in the Screen Age, from Screenagers filmmaker Delaney Ruston MD

Learn More
Host a Screening Button

Community Screenings - Learn more about hosting your own Screenagers community screening event!

Learn More
Parenting In The Screen Age Book Cover

Free Book Preview - Download a free preview of "Parenting In The Screen Age" by Delaney Ruston, MD

Learn More
The Screenagers Project title in bold white text on a dark blue background with teal underline and partially visible screenshots of a website behind.

Join Today - Members can screen and view our movies year-round, access new lesson plans, resources and much more!

Learn More
Screenagers Under The Influence Banner

Our New Movie - Learn more about the third movie in the Screenagers Trilogy

Learn More
YouTube play button icon next to the text 'SCREENAGERS YOUTUBE' on a dark blue background with images of web pages around the edges.

The Screenagers YouTube Channel - Subscribe for new videos and content from our team weekly!

Learn More

Here is what to know and to share with youth in your life:

When a product says “kratom,” it may be the natural plant powder with low levels of active compounds, or a concentrated version packed with far more 7-hydroxymitragynine (7-OH), the powerful and dangerous ingredient linked to addiction and overdose.

It’s gaining popularity among young people and is sold online and even in gas stations. Despite being illegal in several states, it’s still easily accessible. Kratom is specifically banned in several U.S. states and many countries, yet because it remains unregulated federally, it is easy to buy online or in convenience stores.

The FDA is very concerned and working to warn people about the risks posed by these products on the market.

Very alarming: products such as pills, gummies, drink mixes, or shots that contain high concentrations of 7-OH (or extracts enriched with 7-OH) are sometimes sold at gas stations or corner stores. These products may be marketed as “herbal supplements,” “plant-based,” or even “energy/mood support,” despite being much more potent and risky.

Forms: usually sold as powder, capsules, or tea, and often marketed as “natural,” “energizing,” or “plant-based pain relief.”

Because there’s no federal ban, each state decides for itself whether to restrict or allow kratom, resulting in a patchwork of laws.

Risks include:

  • Addiction and withdrawal symptoms similar to opioids
  • Nausea, vomiting, and liver damage
  • Seizures and hallucinations
  • Respiratory depression (slowed breathing), which can be fatal

Medical experts have said that Narcan, a drug used to reverse overdoses of other opioids like fentanyl, can be an effective treatment in the case of a 7-OH overdose. But in the five deaths for which L.A. authorities included 7-OH as a cause, multiple drugs were involved. Mixing with other substances, like alcohol, is particularly dangerous.

A Call to Action

If you’re a parent, teacher, or teen reading this, please help spread the word. Kratom is not a harmless herb. It’s highly addictive, can shut down breathing, and is taking lives, often of young people who didn’t realize the risk.

My heart feels immensely for the horrific reality of addiction to opioids and all substances, because the line between life and death is so thin. I have had several patients tell me they have overdosed several times—one man six times—and still the pull makes them continue to use.

It must also be noted that the addiction recovery field is studying and advocating for 7-OH to have a role in helping people get off more dangerous opioids, similar to how I and other providers prescribe Suboxone to patients who are in recovery from heroin, fentanyl, and other opioid addictions. Many of my patients say that Suboxone has allowed them to have their lives back.

I do not yet know what role 7-OH will play in recovery, but there is no question that it should not be sold at gas stations or online.

Questions to get the conversation started:

  1. Have you heard of kratom?
  2. What substance safety messages in general are you hearing about?
  3. Do you think knowing now about kratom, that you might tell some friends about its many risks?

Host a Screening Button

Community Screenings - Learn more about hosting your own Screenagers community screening event!

Learn More
Find A screening Button

Find a Screening - Find a screening of our movies in your local community

Learn More
Smiling woman with long blonde hair wearing a dark teal sweater, next to text: The Screenagers Podcast with Delaney Ruston, MD.

Screenagers Podcast - Join Screenagers filmmaker Delaney Ruston MD for the latest Podcast

Learn More
Book page button

Available now - Parenting in the Screen Age, from Screenagers filmmaker Delaney Ruston MD

Learn More
Host a Screening Button

Community Screenings - Learn more about hosting your own Screenagers community screening event!

Learn More
Parenting In The Screen Age Book Cover

Free Book Preview - Download a free preview of "Parenting In The Screen Age" by Delaney Ruston, MD

Learn More
The Screenagers Project title in bold white text on a dark blue background with teal underline and partially visible screenshots of a website behind.

Join Today - Members can screen and view our movies year-round, access new lesson plans, resources and much more!

Learn More
Screenagers Under The Influence Banner

Our New Movie - Learn more about the third movie in the Screenagers Trilogy

Learn More
YouTube play button icon next to the text 'SCREENAGERS YOUTUBE' on a dark blue background with images of web pages around the edges.

The Screenagers YouTube Channel - Subscribe for new videos and content from our team weekly!

Learn More

This week on YouTube

Subscribe to our YouTube Channel! We add new videos regularly and you'll find over 100 videos covering parenting advice, guidance, podcasts, movie clips and more. Here's our most recent:

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

We respect your privacy.

Book page button

Available now - Parenting in the Screen Age, from Screenagers filmmaker Delaney Ruston MD

Order Here
Find A screening Button

Find a Screening - Find a screening of our movies in your local community

Learn More
Smiling woman with long blonde hair wearing a dark teal sweater, next to text: The Screenagers Podcast with Delaney Ruston, MD.

Screenagers Podcast - Join Screenagers filmmaker Delaney Ruston MD for the latest Podcast

Learn More
Book page button

Available now - Parenting in the Screen Age, from Screenagers filmmaker Delaney Ruston MD

Learn More
Host a Screening Button

Community Screenings - Learn more about hosting your own Screenagers community screening event!

Learn More
Parenting In The Screen Age Book Cover

Free Book Preview - Download a free preview of "Parenting In The Screen Age" by Delaney Ruston, MD

Learn More
The Screenagers Project title in bold white text on a dark blue background with teal underline and partially visible screenshots of a website behind.

Join Today - Members can screen and view our movies year-round, access new lesson plans, resources and much more!

Learn More
Screenagers Under The Influence Banner

Learn more about the third movie in the Screenagers movie series

Learn More
YouTube play button icon next to the text 'SCREENAGERS YOUTUBE' on a dark blue background with images of web pages around the edges.

The Screenagers YouTube Channel - Subscribe for new videos and content from our team weekly!

Learn More
Six children standing outdoors using tablets and smartphones, with text overlay 'SCREEN AGERS ELEMENTARY SCHOOL AGE EDITION'.

Screenagers: Elementary School Age Edition - Learn more about our latest movie.

Learn More
Child sleeping peacefully in bed under a gray blanket with text saying 'Screen-Free Sleep' and cartoon purple Z's.

Learn more about the Screen-Free Sleep campaign at the website!

Visit Website
Host a Screening Button

Community Screenings - Learn more about hosting your own Screenagers community screening event!

Learn More
Find A screening Button

Find a Screening - Find a screening of our movies in your local community

Learn More
Smiling woman with long blonde hair wearing a dark teal sweater, next to text: The Screenagers Podcast with Delaney Ruston, MD.

Screenagers Podcast - Join Screenagers filmmaker Delaney Ruston MD for the latest Podcast

Learn More
Book page button

Available now - Parenting in the Screen Age, from Screenagers filmmaker Delaney Ruston MD

Learn More
Host a Screening Button

Community Screenings - Learn more about hosting your own Screenagers community screening event!

Learn More
Parenting In The Screen Age Book Cover

Free Book Preview - Download a free preview of "Parenting In The Screen Age" by Delaney Ruston, MD

Learn More
The Screenagers Project title in bold white text on a dark blue background with teal underline and partially visible screenshots of a website behind.

Join Today - Members can screen and view our movies year-round, access new lesson plans, resources and much more!

Learn More
Screenagers Under The Influence Banner

Screenagers Under The Influence - Learn more about this movie and watch the trailer.

Learn More
YouTube play button icon next to the text 'SCREENAGERS YOUTUBE' on a dark blue background with images of web pages around the edges.

The Screenagers YouTube Channel - Subscribe for new videos and content from our team weekly!

Learn More
Six children standing outdoors using tablets and smartphones, with text overlay 'SCREEN AGERS ELEMENTARY SCHOOL AGE EDITION'.

Screenagers: Elementary School Age Edition - Learn more about our latest movie.

Learn More
Child sleeping peacefully in bed under a gray blanket with text saying 'Screen-Free Sleep' and cartoon purple Z's.

Learn more about the Screen-Free Sleep campaign at the website!

Visit Website
Substances

Kratom – A Deadly Trend Youth Need to Know About

Delaney Ruston, MD
October 28, 2025

The longest-running youth drug prevention program in the country, Red Ribbon Week, is happening this week in schools and communities across the U.S.

This makes it an important time to raise awareness about a growing concern: the use of dangerous new opioid-like products called 7-hydroxymitragynine (also known as 7-OH). These products come from the kratom plant.

At times, you will hear the term “kratom” used, and at times “7-OH.” For this, I will use both the term kratom and 7-OH.

Have you heard about kratom?

This is spreading fast, and it acts on opioid receptors in the brain, causing addiction and, tragically, leading to many recent deaths, especially among young adults.

Perhaps you have seen some news headlines, like this one in SF Gate this month:

 “This Bay Area teen was set to go to college. Then he discovered ‘gas station heroin.’”
 

Here is an excerpt from the story:

“Like many 18-year-olds, Jeremy Rivers had been dealing with social anxiety for years by the time he got to the end of high school. But his problems melted away this June when he tried his first 7-OH pill…. Rivers first noticed 7-OH at a gas station five minutes away from his family’s Bay Area house and bought it out of curiosity. Immediately hooked… Within three months, he had spent over $5,000 on 7-OH.”

Back in the early 2000s, as a doctor, I was deeply worried about how many opioids were being prescribed to patients. I even made a short educational video to raise awareness. Little did I know that the opioid problem I was sensing would eventually claim nearly 100,000 lives a year, for many years in a row, due to overdoses.

More Like This

Talking to Teens About Smoking’s Media Makeover
July 1, 2025
Substances

Talking to Teens About Smoking’s Media Makeover

Research shows that adolescent substance initiation — teens trying smoking or drinking for the first time — spikes during the summer. More downtime often means more screen time, which brings increased exposure to what’s trending. One trend that’s hard to ignore? A surge in cigarette imagery across films, music videos, and pop culture moments. Even Beyoncé lit up onstage recently. So why is smoking getting a media makeover — and how can we talk to teens meaningfully about it?

READ MORE >
Drugs on Social Media – What Are Youth Being Shown?
March 25, 2025
Substances

Drugs on Social Media – What Are Youth Being Shown?

Today I’m sharing a high-level review of what many kids and teens are being shown online in relation to drugs/substances, whether in shows, YouTube, or social media in general. I also offer a technique that you can use for bringing these things up with tweens in your life in a non-confrontational way that is more likely to get them to offer up their opinions on the subject.

READ MORE >
How ZYN's Social Media Strategy is Driving Teen Nicotine Addiction
August 27, 2024
Substances

How ZYN's Social Media Strategy is Driving Teen Nicotine Addiction

The FDA's 2023 Annual National Youth Tobacco Survey shows that over 400,000 U.S middle and high school students used nicotine pouches in the last year. In today's blog I share excepts from my conversation with Dr. Robert Jackler of Stanford University, who is an expert on tobacco advertising. We discuss how ZYN seem to be reaching and influencing teens, via social media, to use nicotine pouches by following the same playbook as JUUL

READ MORE >

parenting in the screen age

for more like this, DR. DELANEY RUSTON'S NEW BOOK, PARENTING IN THE SCREEN AGE, IS THE DEFINITIVE GUIDE FOR TODAY’S PARENTS. WITH INSIGHTS ON SCREEN TIME FROM RESEARCHERS, INPUT FROM KIDS & TEENS, THIS BOOK IS PACKED WITH SOLUTIONS FOR HOW TO START AND SUSTAIN PRODUCTIVE FAMILY TALKS ABOUT TECHNOLOGY AND IT’S IMPACT ON OUR MENTAL WELLBEING.  

ORDER HERE
Parenting in the Screen Age book cover