As of Aug. 27, the Texas Poison Center Network had received 192 reports of exposures involving kratom or another product containing 7-OH in 2025, compared with 107 for all of 2024 and 122 for all of 2023. Of the 2025 reports, 19 were for exposures to a concentrated 7-OH product with most of those calls coming in July and August. Of the 19 patients reporting exposure to concentrated 7-OH products, 11 had health problems serious enough to be treated at a healthcare facility.