- Kratom · 7-OH Online treatment
Started with kratom. Now stuck without it.
Get online treatment for 7-OH and kratom dependence. Our licensed providers prescribe Suboxone (buprenorphine/naloxone) as appropriate to manage cravings and withdrawal symptoms—the same medication used to treat opioid use disorder. All from your phone. Covered by most insurance.
- 4.7 on the App Store
- Effective medication
- Judgment-free care
48 hours
95% of members start care within 2 days of signing up.
35,000+
members cared for since 2015
$25–$35
typical monthly out-of-pocket with insurance
~1 min
median time for Care Team response (during business hours)
Is this you?
When kratom stops being optional
- You're using more kratom (or stronger products) than you used to in order to get the same effect
- You feel sick—sweats, anxiety, body aches—when you skip a dose
- You've moved from leaf or capsules to extracts or 7-OH tablets
- You've tried to stop, and the withdrawal pulled you back
- You're spending more money on it than you want to admit
- It's affecting your sleep, your mood, or your relationships
- You started using kratom to come off opioids, and now you're stuck on kratom
- You're hiding it (how much you use, how much you're spending, how it's affecting you) from people in your life
A lot of people came to kratom looking for energy, better focus, pain relief, or a way off prescription opioids … and didn’t expect to end up needing it daily. If any of this sounds familiar, treatment can help.
Kratom dependence is real. So is 7-OH withdrawal.
Both kratom and 7-OH act on opioid receptors in your brain, which means your body can become physically dependent. Stopping cold turkey can produce real opioid-like withdrawal symptoms: anxiety, restlessness, GI symptoms, cravings, and depression.
The good news: buprenorphine works on those same receptors. Prescription buprenorphine/naloxone can manage cravings and withdrawal so you can stop without white-knuckling it.
What we treat
Kratom vs. 7-OH — what's the difference?
“Kratom” gets used as a catch-all word, but the products people are buying today are very different from the leaf people chewed or made into tea in Southeast Asia for centuries. The shift toward concentrated 7-OH extracts is making dependence much harder to walk away from.
Kratom (Mitragyna speciosa)
Made from the leaves of a Southeast Asian tree. Contains mitragynine as its primary alkaloid, plus small amounts of 7-hydroxymitragynine (7-OH).
- Leaf
- Powder
- Capsules
- Tea
- Mild stimulant at low doses
- Mild opioid-like effects at higher doses
- Daily use can produce dependence and withdrawal symptoms
- Often used for energy, pain, or to manage opioid withdrawal
- At risk of heavy metal contamination
7-OH extracts & tablets
A newer class of products that isolate or concentrate 7-hydroxymitragynine—the alkaloid in kratom that acts most strongly on opioid receptors. Often sold at smoke shops and gas stations.
- Concentrated extracts
- Pressed tablets
- Liquid shots
- Much more potent to opioid receptors than leaf kratom
- Produces strong opioid-like effects, tolerance, and dependence
- Withdrawal can mirror short-acting opioid withdrawal
- Largely unregulated—dose and purity vary widely
If you’re using 7-OH products daily, you’re closer to opioid dependence than to traditional kratom use. The same medication that treats opioid use disorder—buprenorphine/naloxone (Suboxone)—works here, too.
Who we help
Care for every kind of kratom or 7-OH use
Whatever you’re using, however you got here, Workit can help you stop without going through full opioid withdrawal alone.
Daily leaf or capsule use
Long-term kratom use that's become hard to stop on your own.
7-OH extracts & tablets
Concentrated 7-OH products from smoke shops, gas stations, or online.
Stuck after using kratom to quit opioids
Substituted kratom for prescription painkillers or fentanyl, and got dependent on the substitute.
Polysubstance use
Kratom or 7-OH taken alongside alcohol, opioids, or benzodiazepines. Our providers handle complex cases.
Medication that works
Why buprenorphine/naloxone treats kratom & 7-OH dependence
Kratom (and especially 7-OH) act on the same opioid receptors in the brain that prescription opioids and fentanyl do. Buprenorphine—the active medication in Suboxone—binds to those receptors, too, but only partially activates them in a way that quiets cravings and withdrawal without producing highs.
- Reduces cravings within hours of your first dose
- Decades of evidence in opioid use disorder
- Has a "ceiling effect" that makes it much harder to misuse than other opioids
- Can be taken safely long-term, or tapered when you're ready
- Same medication, same care model as our program for quitting opioids
Your first 30 days
From signing up to feeling steady
Most members feel substantially better within the first week. Here’s what to expect.
1. Sign up & insurance check
Download the Workit Health app and answer a few questions about what you're using and how often. We verify your insurance and match you with a licensed addiction provider.
- Day 1 · ~5 minutes
2. Video visit with your provider
Have an honest conversation about your kratom or 7-OH use, history with opioids (if any), and what stopping has looked like before. Your provider will assess whether buprenorphine/naloxone is appropriate.
- Day 1–2
3. Start buprenorphine/naloxone
If appropriate, your provider sends a prescription for Suboxone to your pharmacy and walks you through the timing. For 7-OH specifically, induction protocols matter, just like with short-acting opioids.
- Day 2–3
4. Stabilize & stay supported
Your provider fine-tunes your dose. Direct messaging means no waiting until next month's appointment if something comes up. Recovery groups support the part medication can't fix.
- Week 1+
Let's be real
What people get wrong about kratom & 7-OH
A lot of the stigma here goes the other direction: People think kratom isn’t “real” addiction, or that they shouldn’t need medical help for something “natural” or legal. Here’s the honest version.
- MYTH
“It’s natural, so it can’t be addictive.”
- FACT
Plenty of natural compounds are addictive. Opium poppies are natural, too. Kratom contains alkaloids that bind to opioid receptors and activate them. Daily use can produce real physical dependence and withdrawal that looks a lot like opioid withdrawal.
- MYTH
“It’s legal, so it must be safe.”
- FACT
Legal doesn’t mean safe. 7-OH products are largely unregulated, so potency, dose, and purity vary wildly. Severe dependence, overdoses, and deaths have all been reported, especially with concentrated 7-OH. And 7-OH is being restricted in more and more areas, so it may not be legal for you.
- MYTH
“I just need to push through the withdrawal.”
- FACT
Maybe you can. But most people who try cold turkey end up using again just to make the misery stop. Buprenorphine/naloxone takes that misery off the table. Cravings and withdrawal symptoms drop within hours of the first dose, so you can actually focus on getting through the first weeks.
- MYTH
“Suboxone is for “real” addiction, not kratom.”
- FACT
Kratom and 7-OH dependence are real addiction. Because they act on opioid receptors, the same medication that treats opioid use disorder is the right tool here, too. There’s nothing inappropriate about using it.
Your care team
Real clinicians. Years treating opioid & opioid-like dependence.
The clinicians who’ll manage your treatment and prescribe your meds (as appropriate) have years of addiction-specific experience. Many came up in clinics where they treated opioid use disorder long before kratom dependence was a recognized clinical issue. They know buprenorphine/naloxone, what to expect from it, and how to taper off when you’re ready.
70%+
of clinicians have 5+ years in addiction treatment
60%+
have 5+ years prescribing MAT specifically
67%
have worked in in-person addiction settings
85%
have personal experience with a loved one in recovery
Member stories
Real recovery from kratom & 7-OH
We’ve helped tens of thousands of members find their way back. Here are a few in their own words.
“If someone is struggling, I would tell them to give this a shot. I’ve been with Workit a little over a year now. I can’t say enough about how much it’s changed my life. For the first time in 25 years—however long I’d been trying—I feel okay. I feel okay.”
- Tracey's Story
“I would say that if you are looking for help with an addiction—whether it be to 7-OH, opiates, or alcohol—you are in the right place. This community is welcoming, understanding, and supportive. You matter, and you are worth fighting for!”
- 7-OH Member's Story
“I own a business, so I knew I couldn’t just up and leave for rehab. I could have never done any of this without Workit Health—they literally saved my life.
I would highly recommend anyone who is struggling to reach out. If I can do it, anyone can.”
- James' Story
Frequently asked
Kratom & 7-OH questions, answered plainly
The questions people ask before they sign up. If yours isn’t here, your Workit provider can answer it on your first visit.
Is kratom actually addictive?
Yes. Kratom contains alkaloids—most importantly mitragynine and 7-hydroxymitragynine—that act on the same opioid receptors as prescription opioids. Daily use can produce tolerance, physical dependence, and withdrawal that looks a lot like short-acting opioid withdrawal: anxiety, restlessness, body aches, GI symptoms, sweats, and cravings.
You don’t have to be “abusing” kratom to develop dependence. Regular daily use is enough.
What is 7-OH and how is it different from kratom?
7-OH (7-hydroxymitragynine) is a metabolite of mitragynine — naturally present in kratom in trace amounts, but isolated and concentrated in newer products marketed as “7-OH” or “7-hydroxy” tablets, extracts, or shots.
Concentrated 7-OH products act much more strongly on opioid receptors than traditional kratom leaf—closer in effect to short-acting opioids like oxycodone. That’s why dependence develops faster and withdrawal feels more severe.
Can I get treatment for kratom or 7-OH addiction online?
Yes. Workit Health is one of the few telehealth programs that specifically treats kratom and 7-OH dependence. Download the Workit Health app, complete a 5-minute sign-up, and a licensed addiction provider will meet with you by video, usually within 2 business days. If buprenorphine/naloxone is appropriate, the prescription is sent directly to your pharmacy.
What does kratom withdrawal feel like?
Kratom withdrawal symptoms commonly include anxiety, restlessness, irritability, body aches, sweating, runny nose, GI symptoms (nausea, diarrhea, stomach cramping), insomnia, and strong cravings. They’re similar to short-acting opioid withdrawal but vary in intensity depending on dose and duration.
Withdrawal from concentrated 7-OH products tends to be more severe and feels closer to opioid withdrawal than to leaf kratom withdrawal.
How does Suboxone help with kratom or 7-OH dependence?
Suboxone (buprenorphine/naloxone) binds to the same opioid receptors that kratom and 7-OH act on. By occupying those receptors steadily and partially activating them, it relieves withdrawal symptoms, dramatically reduces cravings, and removes the highs and lows of kratom or 7-OH dosing, so you can stop using without going through severe withdrawal alone.
This is the same medication used to treat opioid use disorder, and it’s just as appropriate for kratom and 7-OH dependence.
How long do I have to take buprenorphine?
It’s personal. Some people use buprenorphine/naloxone briefly while they get past withdrawal and stabilize, then taper off over weeks or months. Others stay on it longer so they have support while they address the things in their lives that led them to using 7-Oh or kratom in the first place. Your provider will build a plan with you. There’s no fixed timeline and no rush.
Will my insurance cover kratom or 7-OH treatment?
Most insurance plans cover treatment for substance use disorder, and we’re in-network with most major commercial plans (Aetna, BCBS, Cigna, UnitedHealth, Humana, Anthem, and more.) and many Medicaid plans across the states we serve. Most insured members pay $25–$35 per month out of pocket. The treatment itself uses the same medication and program structure as our opioid use disorder care.
The best way to find out what your insurance plan covers is to look at the back of your insurance card. Go to the website or call the phone number listed there to find out about your coverage, deductible, and co-pays.
Is kratom legal?
Kratom is legal at the federal level in the U.S. and in most states, though some states and municipalities have restrictions. 7-OH products are in a more uncertain regulatory space—the FDA has issued warnings about them and requested that they be listed as controlled substances. Some states, counties, and cities are moving to restrict 7-OH.
Remember that even where there are no restrictions, legality says nothing about safety or whether something is addictive. Both kratom and 7-OH can cause real dependence regardless of legal status.
Do I need to detox before starting Suboxone?
No formal detox is required. Buprenorphine induction does require a brief window of mild withdrawal (typically 12–24 hours since your last dose) so the medication can work correctly without causing precipitated withdrawal. Talk to your provider about managing the discomfort during this time. Your provider will also walk you through exactly when to start taking buprenorphine/naloxone, based on measuring your withdrawal symptoms.
What if I'm using kratom alongside other substances?
Polysubstance use—taking kratom alongside alcohol, benzodiazepines, opioids, or stimulants—is common. Our providers handle complex cases routinely and will build a plan that addresses the full picture, not just kratom in isolation.
It might also reassure you to know that our program does not kick members out for taking other substances.
Will my employer find out I'm in treatment?
No. Insurance claims are protected health information under HIPAA. Your employer doesn’t see your diagnosis or treatment. We’ll explain how the Explanation of Benefits (EOB) shows up so you know what to expect.
If you’re still concerned about leaving a paper trail through your insurance, we offer a self-pay option for additional discretion.
ready when you are
Stop the cycle. Start this week.
Sign up takes about 5 minutes. Most members have their first Suboxone visit within 2 days. Covered by most insurance.