COLUMBUS, Ohio (WCMH) -- More and more people are dying from overdoses of a drug that’s legal in Ohio: kratom.
However, a distinction between natural vs. synthetic kratom is complicating the debate.
Ohio Gov. Mike DeWine wants it banned, but a meeting on the topic was abruptly cancelled so the governor could hear the perspective of the U.S. Health and Human Services Director Robert F. Kennedy, Jr., who supports the use of natural forms of kratom.
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Now, Ohio leaders are talking with federal leaders about what should happen next with kratom.
Natural kratom is the ground-up plant. Synthetic kratom is 7-OH, which experts say is an opioid that can be more potent than morphine.
Everyone NBC4 spoke with supports more regulations, even a ban, for synthetic kratom; for natural kratom, opinions are mixed.
“I was in such a state of ennui or apathy I just never had experienced before,” one former Kratom user, now in recovery, told NBC4 Investigates.
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He said kratom took him to a dark place. He started by using natural kratom, then progressed to using synthetic.
Natural kratom is something that some people use to treat pain, and Jack Smith, who owns three local shops that sell kratom, said it changed his life; natural kratom helped stop his addiction to opioids after a racecar accident.
“It helps with pain, but it helps people get off pharmaceutical drugs,” Smith, CEO of Life of Kratom, said. “I help professional football players, UFC fighters, a couple of movie stars; like, it's incredible.
Synthetic kratom is something he’s strongly against.
“The plant itself has 7-OH, but it's like 0.0001 of a percent,” Smith said. “All the synthetic stuff that you get is 13% and higher. Like you can buy packs of four, they could have over 100 milligrams and that is crazy. It is stronger than morphine by a lot. The synthetic stuff has just caused such a big problem for us. I mean, it's hurt our powder business.”
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Over the last five years, overdoses where the drug kratom was listed as a cause of death have tripled in Ohio.
“It was just an illuminated neon sign in a gas station by my house,” the man who was addicted to Kratom said. “Actually, that's the first time I saw it. And then it came up in conversation online, where people talked about it as this sort of legal opiate high.”
Recovery centers are seeing the effects of this drug, especially when it’s mixed with others.
“They kind of come down hard from it because of it has an opiate-type effect and it just makes you feel miserable afterwards,” Maryhaven VP of Stabilization Services Adam Jurich said. “You feel like you're dying, but you're not actually dying.”
Maryhaven also wants more regulation.
“As something new comes out, you have to be more aggressive with it,” Jurich said. “Fentanyl has been around for ages. Opium has been around for ages. Morphine has been around for ages. That's not a new thing. Kratom is a new thing. We haven't studied it enough to know what the effects of it are.”
A fear is that younger children will get their hands on it.
“The biggest fear, I would say, that I fear about with kratom, is actually adolescence, so kids that are in school, kids that are wanting to be the best that they can be, kids that are looking for an escape, stressors of life,” Jurich said.
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DeWine called for a total ban of both forms of kratom. An Ohio Pharmacy Board meeting to discuss that was canceled after a conversation between DeWine and Kennedy.
Smith says any ban should focus on synthetic kratom.
“I just don't even know how it's marketed as kratom is because they synthetically make the 7-OH,” Smith said.
There is a pushback on a total ban and not just from Smith. The American Kratom Association advocates for the use of natural, age-restricted kratom products but does want Ohio to take action against chemically modified kratom products.
In a statement, AKA wrote:
“The American Kratom Association (AKA) strongly advocates for the more than 300,000 Ohio kratom consumers to have access to safely formulated, properly labeled, and age-restricted kratom products. The AKA encourages the Ohio Board of Pharmacy to respect the current science on kratom in making any evaluation on whether kratom should be classified as a Schedule I substance, and follow the lead of the FDA and the Department of Health and Human Services to limit any scheduling to chemically modified and highly synthesized 7-OH products. These adulterated products do pose an imminent threat to the public because of their addiction liability.
As FDA Commissioner Makary stated at the July 29, 2025 press conference on recommending 7-OH for scheduling at the federal level, the focus is not on natural leaf kratom. It should not be in Ohio either because the current safety evidence and data for natural leaf products does not justify any such action.
The AKA strongly encourages the Board of Pharmacy and Governor DeWine to align with the federal policy on chemically manipulated 7-OH products that do pose a safety threat to Ohio’s citizens.”
“No matter how hard it gets, no matter how much you want to forget, no matter how much you want to, you know, get a better version of yourself, it is better to talk to somebody. There's no shame in that. Go ask for help. Call someone,” Jurich said.
The FDA has recommended action against 7-OH, synthetic kratom.
A spokesperson for DeWine said the governor still plans to pursue a ban, but right now, conversations are happening at the federal level to learn more about the situation.
If you or someone you know is struggling with addiction, resources can be found below: