The increasing availability of kratom-derived products, often referred to as “gas station opioids,” has caught the attention of federal authorities. These concerns center around products containing high concentrations of substances like 7-hydroxymitragynine (7-OH), mitragynine pseudoindoxyl (MGPI), MGM-15, and MGM-16.
The Drug Enforcement Administration (DEA) plans to temporarily classify these substances as Schedule I drugs under the Controlled Substances Act. This classification suggests these drugs lack accepted medical use. Importantly, the natural herbal form of kratom, still available over the counter, remains unaffected by this classification.
Kratom’s legal status within the United States varies significantly. Nine states have completely banned the herb, while over 30 states regulate its sale, including limits on 7-OH concentrations. However, in more than a dozen states, kratom remains in a legal gray zone, neither fully banned nor stringently regulated.
Since 2010, products featuring synthetically concentrated extracts of kratom, such as 7-OH, have become readily accessible at outlets like gas stations and tobacco shops. Oliver Grundmann, a clinical professor at the University of Florida, emphasizes the necessity of this scheduling. To show medical use, these substances would need FDA approval, a process these manufacturers have not engaged in.
“Placing 7-OH into a controlled substances schedule is adequate given what we know,” Grundmann stated.
This move aligns with public health policies focused on restricting substances deemed to have no accepted medical use.
In other healthcare news, Pennsylvania has reported its sixth death linked to a measles case. The Franklin County Coroner confirmed the death involved a 39-year-old woman with underlying health issues. Despite treatments, she succumbed following her diagnosis.
Also, recent research on GLP-1 drugs showed promising results. An Eli Lilly study highlighted notable immune and metabolic changes in adults with moderate-to-severe psoriasis and obesity. The study compared the effects of a combination treatment with Taltz (ixekizumab) and Zepbound (tirzepatide) against Taltz alone.
Furthermore, a University of Liverpool study explored the weight loss impacts of water versus diet soft drinks. Data from about 500 participants revealed no substantial difference between the groups.
For additional content, a sponsor emphasized the impact of funding cuts on healthcare. Longer wait times and reduced services place significant strain on patient access to necessary care. Advocating for Congress to protect hospital funding remains crucial.
In other news, Congo is facing a swift Ebola outbreak, with 5,000 cases reported. Response efforts struggle in this remote region.

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