Following the November 2024 ban on high-concentration 7-OH products in Oklahoma, many individuals are facing unexpected withdrawals. Instead of risking your health with unregulated gas-station alternatives, choose a safe path. Dr. Westcott provides private, medically supervised treatment to help you stabilize and recover comfortably. Contact us to break your addiction

​You Didn't Expect to Be Here.

​Most of our patients didn't start out looking for opioids. You likely bought a package at a local smoke shop to help with pain, energy, or anxiety. It was legal, accessible, and effective.

But since Oklahoma enforced the 1% cap on 7-Hydroxymitragynine (7-OH), the products you relied on have disappeared from shelves. Many patients are now finding that the "legal" replacements (like Pseudoindoxyl blends) don't work, leaving them in a state of panic and severe physical withdrawal.

If you are feeling flu-like symptoms, restless legs, severe anxiety, depression, or insomnia when you stop taking these tablets, you are not alone. You are experiencing opioid withdrawal, and it is a medical condition we can treat.

​Why "Quitting" Feels Impossible

​You aren't weak; your brain chemistry has changed.

7-Hydroxymitragynine (7-OH) is a potent alkaloid found in Kratom extracts. Unlike natural leaf powder, these concentrated tablets act heavily on the Mu-Opioid Receptors in your brain—the exact same receptors targeted by prescription painkillers.

When you abruptly stop taking them (because the shop sold out or the law changed), your brain goes into shock. This is why "Pseudo" blends often fail—they target different receptors or cause heavy sedation without stopping the cravings.

Dr. Westcott understands this pharmacology. We don't treat this as a "bad habit." We treat it as a neuro-chemical imbalance that requires medical stabilization.

​Stop the Withdrawal. Keep Your Dignity.


​You do not need to go to a 30-day rehab or stand in line at a methadone clinic to get off Kratom extracts. 

We treat dependency on synthetic opioids, including 7-OH, MGM-15, and Tianeptine, using a combination of Suboxone (buprenorphine/naloxone) and other targeted medications.

  • It Works Immediately: These treatments stop withdrawal within an hour of your first dose.
 
  • It Blocks Cravings: It quiets the mental obsession so you can focus on your work and family. 
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  • It is Private: We are a direct-pay medical practice. No insurance records. No employers finding out. Just a doctor's appointment.​

​We Treat Dependency On Pharmaceutical Grade Opioids—as well as Gray-Market Synthetic Opioids​

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​FDA Approved Opioids - Also Known As: Fentanyl, Heroin, Hydrocodone, Oxycodone. ​
  • ​Risk Level: Fatal Overdose Risk. 
  • We provide full medical detoxification for all traditional illicit and prescription opioids.

7-Hydroxymitragynine (7-OH & 7-OHS) - Also Known As: OHS, 7Os Tabz, Legal Oxy, Sevens. 
  • Risk Level: Severe Dependency Risk.
  • Creates rapid physical dependence often mistaken for a mild "herbal" habit. Approximately 10x morphine potency.

1,2-Dihydro-7-Hydroxymitragynine (MGM-15) - Also Known As: MGM-15, "Research Powder", Dihydro, "15s", "Full Spectrum Extract". 
  • Risk Level: Severe Dependency Risk; Anesthesia Blocking.
  • Long half-life (15+ hours) leads to accumulation overdose; blocks surgical pain meds in emergencies.

7-Acetoxymitragynine - Also Known As: "Ace", Super-7, 7-Acetoxy, Acetylated Extract. 
  • Risk Level: Severe Dependency Risk.
  • Chemically modified for instant brain absorption, creating an IV-style "rush" that accelerates addiction.

Mitragynine Pseudoindoxyl - Also Known As: Pseudo, Reds, The Red Pill, "Nighttime" Kratom. 
  • Risk Level: Highly Addictive; Heavy Sedation.
  • A rearranged 7-OH molecule that is ~20x more sedating than morphine. Causes deeper respiratory depression.

Speciociliatine - Also Known As: Sling, Raw Leaf Extract, Full Spectrum, "Specio". 
  • Risk Level: Highly Addictive; High Bioavailability.
  • A natural kratom alkaloid now being isolated; it stays in the body longer than standard Mitragynine, increasing toxicity risks.

Mitragynine HCL - Also Known As: Salt Base, Nano Kratom, Fast Acting Powder. 
  • Risk Level: Highly Addictive.
  • A chemically modified salt-form of kratom that is highly soluble, hitting the bloodstream much faster than natural plant powder.

Tianeptine Sodium - Also Known As: Tia, Reds, Whites, Pegs. 
  • Risk Level: Highly Addictive; Compulsive Redosing.
  • Extremely short half-life causes manic redosing behavior; withdrawal is immediate and excruciating.

Tianeptine Sulfate - Also Known As: Slow Tia, Tia, Whites, Tianeptine Sulfate. 
  • Risk Level: Severe Dependency Risk; Prolonged Withdrawal.
  • Slower onset than sodium but creates a long-lasting dependency that is difficult to taper.

Tianeptine Ethyl Ester - Also Known As: Tia, Tia FA, Free Acid, New Formula Reds, Tianeptine FA, Tianeptine Free Acid. 
  • Risk Level: Severe Dependency Risk.
  • A chemical variant used to skirt state bans; metabolizes into tianeptine in the liver with unpredictable potency.

Mitragynine Liquid Extract - Also Known As: Purple Bottles, MIT45s, Gold Shots, Liquid Extracts, SuperK, FF, Blue Bottles, Silver Caps, The Tonic, Botanical Tonics, Kava Drinks. 
  • Risk Level: Highly Addictive; Liver Toxicity & Seizures.
  • High-dose concentrated alkaloids can cause acute liver injury and seizures in healthy adults.

Beta-Phenyl-Gamma-Aminobutyric Acid - Also Known As: Silvers, The Grey Bottles, Chrome, Double Trouble, Silver Bullets, Walkers, Sleeps, Liquid Dawn, RD, Nootropics, Gas Station Xanax, Lift, FAA, Focus Shots, Party Shots.
  • Risk Level: Severe Dependence Risk; Dual-Dependency.
  • Causes opioid and "Benzo-like" withdrawal (tremors, hallucinations, delirium) that requires separate detox from opioids.

4-Fluorophenibut - Also Known As: F-Phenibut, Fluoribut, "Focus" Capsules. 
  • Risk Level: Highly Addictive; High-Potency Overdose.
  • A fluorinated derivative 5-10x stronger than Phenibut; high risk of "blackout" and unconsciousness.

O-Desmethyltramadol (ODSMT) - Also Known As: Tramadol Blends, "O-DSMT", Krypton, "Loose Powder". 
  • Risk Level: Highly Addictive; Seizures.
  • The active metabolite of Tramadol; causes seizures and "electric shock" sensations during withdrawal.

SR-17018 (SR-17) - Also Known As: Research Pellets. 
  • Risk Level: Highly Addictive; Delayed Withdrawal.
  • A "biased agonist" that builds tolerance slowly, often masking addiction until the user stops and crashes hard.

Piperidylthiambutene - Also Known As: Piper, Vintage, Legal Vape, Piper, PTB, Piper-T, Piperidinohton, Thiambutene Analogue, Non-Fentanyl Opioid RC, Nod Juice, Vintage 7.
  • Risk Level: Highly Addictive; Respiratory Arrest.
  • A banned 1950s opioid resurfacing in "legal" vapes; carries high risk of overdose.

N-Desethyl Isotonitazene - Also Known As: Exotic Vape Juice. Iso Juice, Benzo Juice, Exotic Blends, Exotic Vape Carts,  Homebrew Vape Juice, Yellow Vape Juice, Legal Lean Vape Juice, M30s, Dirty 30s, Yellow Perc 10, Blue Devils, Chinese Percs, Yellow Powder, Purple Heroin, Super Fent, ISO, Tony, NDI, NDE, Proto, Pyro.
  • Risk Level: Severe Dependence Risk; Extreme Potency.
  • An emerging synthetic opioid (nitazene class) up to 20x stronger than fentanyl, often hidden in vape products.​

FAQs For Smoke Shop Customers


​1. Do 7-Hydroxymitragynine (7-OH) or MGM-15 show up on standard employment drug tests?
No. Neither 7-OH nor the new synthetic compound MGM-15 is detectable on standard 5-panel or 10-panel drug screens used by most employers and probation officers. Because these are semi-synthetic derivatives of Kratom and not standard opiates like heroin or oxycodone, they create a dangerous "blind spot" for workplace safety. Specialized, expensive toxicology testing is required to identify them. Employers are aware of this blind-spot and are ordering additional screening to detect 7-OH, MGM-15, and other gray market opioids.

2. Are the "Energy Supplements" sold at smoke shops actually just natural Kratom?
Rarely. To skirt new state laws and boost potency, unregulated laboratories are "blending" 7-OH with unknown synthetic chemicals. These products are not natural leaf extracts; they are highly processed chemical cocktails manufactured in private labs with zero FDA oversight. You are not consuming a plant; you are consuming a mystery formula designed to maximize addiction.

3. Why is MGM-15 considered more dangerous than morphine?
MGM-15 is a semi-synthetic opioid derivative that has been engineered to have a significantly longer half-life than natural Kratom or standard opioids. This causes the drug to accumulate in the body faster than the liver can process it, leading to a "stacking effect" that drastically increases the probability of accidental overdose and respiratory failure, even with moderate use.

4. What are "Research Chemicals" and why are they in 7-OH products?
To circumvent bans on 7-OH, manufacturers often reformulate products using "Research Chemicals". These are experimental compounds that have never been tested on humans. Consuming them carries the risk of sudden organ failure, permanent neurological damage, or unexpected toxic reactions because their safety profiles are completely unknown.

5. Can I receive normal pain medication if I get into a car accident while taking MGM-15?
This is a critical risk: MGM-15 creates a "blocking effect" on opioid receptors. If you suffer a trauma injury or require emergency surgery, standard anesthetics and painkillers (like fentanyl or morphine) used by paramedics and ER physicians may not be effective. Your tolerance and the receptor binding of MGM-15 can leave you in excruciating pain that doctors cannot easily treat during a medical emergency.

6. Does MGM-15 cause permanent damage to organs?
MGM-15 has not been studied in human clinical trials; however, toxicological history confirms that unregulated products made in private labs often contain residual industrial solvents and heavy metals (lead, arsenic) from the extraction process. Furthermore, the high concentrations of synthetic alkaloids in MGM-15 put immense strain on the liver and kidneys, which struggle to filter these complex chemicals, potentially leading to acute cholestatic hepatitis or renal failure. Products labeled as "Research Chemicals" or "Florida Compliant" have been linked to emergency room admissions for Grand Mal seizures, toxic encephalopathy (brain swelling), acute psychosis, chemical burns to the esophagus, and permanent organ damage.

7. Why are withdrawals from MGM-15 and 7-OH so difficult to manage?
MGM-15 is believed to bind to multiple opioid receptors simultaneously (unlike some traditional opiates that target just one). This "dirty binding" creates a complex dependency that results in debilitating withdrawal syndromes. Patients often report that the physical and psychological crash is far more severe than withdrawal from prescription painkillers or Heroin.

8. Why don't standard detox kits work for 7-OH addiction?
Standard "at-home" detox kits or generic rehab protocols fail because they are designed for short-acting opiates. Because unregulated synthetic opioids use unknown chemical formulas with varying half-lives, they require a specialized medical stabilization protocol. Generic detox methods often precipitate immediate, severe withdrawal seizures or intolerable pain.

9. How addictive are the "Energy Boosters" containing 7-OH?
Extremely. Products containing concentrated 7-OH or MGM-15 can be up to 50 times more potent than morphine. Users often develop a physical dependency within just a few days of consecutive use. The brain’s reward system is hijacked so aggressively that users feel unable to function, work, or get out of bed without the substance.

10. Is there a medical treatment for MGM-15 dependency?
Yes. While difficult to treat, dependency can be managed through Medication-Assisted Treatment (MAT). At Medical Therapy Associates, we utilize advanced stabilization protocols that bypass the "blocking" effect of these synthetics, allowing patients to normalize their brain chemistry without suffering through the debilitating withdrawal symptoms associated with "cold turkey" quitting.

11. Can I just taper off 7-OH products on my own?
Tapering is dangerous due to the inconsistent dosing in these unregulated products. One "shot" or gummy might contain 15mg of active ingredients, while the next contains 50mg, making a controlled taper impossible. Medical supervision is recommended to avoid accidental overdose during the tapering attempt.

12. Can taking 7-OH or MGM-15 cause seizures?
Yes. High doses of concentrated Kratom alkaloids lower the "seizure threshold" in the brain. Young adults and teenagers are arriving at emergency rooms with Grand Mal seizures after consuming "gas station energy supplements," even with no prior history of epilepsy.

13. What does MGM-15 do to mental health?
Beyond addiction, these synthetic opioids can induce acute psychosis, paranoia, and severe anxiety (panic) attacks. Long-term use often leads to "anhedonia"—a condition where the user creates a chemical imbalance that makes them physically incapable of feeling joy or happiness without the drug.

14. Does 7-OH affect testosterone or hormones?
Chronic use of concentrated opioids like 7-OH is linked to severe hormonal suppression. In men, this often manifests as critically low testosterone levels, fatigue, and muscle loss. In women, it can cause amenorrhea (loss of menstrual cycle) and hair loss.

15. Is it safe to mix these supplements with alcohol or antidepressants?
Absolutely not. Mixing 7-OH or MGM-15 with alcohol or SSRIs (antidepressants) creates a toxic interaction that depresses the central nervous system. This combination is a leading cause of "silent hypoxia"—where a user stops breathing in their sleep and never wakes up.

​16. I only take Kratom/7-OH. Is Suboxone (Buprenorphine) too strong for me?
​Not necessarily. Many concentrated 7-OH tablets are significantly more potent than morphine. If you are taking multiple doses a day, your tolerance is likely high enough that "cold turkey" would be dangerous or unbearable. Dr. Westcott tailors the Suboxone dose to your specific tolerance—often using lower doses for Kratom patients than for Fentanyl patients—to ensure a comfortable, safe taper.

​17. Will my family or job find out if I start treatment at Medical Therapy Associates?
No. To protect your professional and personal reputation, we operate on a strict direct-pay model ($150 per month). We do not accept insurance, meaning your diagnosis and treatment history are never reported to insurance databases or employers. Your care is protected by HIPAA and remains strictly between you and Dr. Westcott.

18. If I take Suboxone (or Buprenorphine), can I work and drive without restriction?
​Yes. In fact, that is the goal. Unlike inpatient rehab, our outpatient medical model allows you to get your medication, stabilize your symptoms, and go right back to work the same day. You should feel normal, not sedated. Patients on medical assisted therapy live normal lives without the severe cravings to get high.

​19. What is the Cost?
​Your first office visit will cost $200 as a new patient. Future office visits for established patients are $150 per month. To keep our overhead and pricing as low as possible, we do not accept insurance. Payment methods include cash, debit, and credit cards.

20. Is the cost of my medication included in the office visit cost?
No. The $150 monthly fee covers your medical consultation, evaluation, and the management of your treatment plan by Dr. Westcott. You will pay for the medication itself separately at the pharmacy of your choice.
​
Important Note on Insurance: Even though our office does not accept insurance for the visit, you can typically use your health insurance to pay for the medication at the pharmacy. If you do not have insurance, we recommend using discount cards like GoodRx or Optum Perks for significant discounts to the cost of generic prescriptions.

We're Here to Help


​Don't let an addiction, or a legislative ban, ruin your life.

​You have options other than the smoke shop. Get professional medical help from the doctor trusted to treat other physicians.

    Contact Us Today
    Learn how Medically Assisted Treatment     can help!

​ 

​Location & Hours

Address

​Medical Therapy Associates
​3700 N Classen Blvd, #200
Oklahoma City, OK 73118

Mon – Fri | 8 AM – 5 PM
Sat - Sun  | Closed

Phone: (405) 840-4800

​By Appointment Only

Service Area

Oklahoma City, Edmond, Deer Creek, Enid, Ponca City, Tulsa, Ardmore, Paul's Valley, Fairview, Elk City, Norman, Weatherford, Jenks, Sand Springs, Moore, Piedmont, Yukon, Midwest City, Del City, Bethany, Mustang, Tuttle, Newcastle, Noble, Jones, Chandler, Choctaw, Shawnee, Warr Acres, The Village, Nichols Hills, El Reno, Blanchard, Spencer, Bethany, Luther, and Guthrie.


Crisis Resources

​If you are experiencing a mental health emergency, call 988 in Oklahoma. For medical emergencies, dial 911. 
​Medical Disclaimer: The content provided on this website is for informational purposes only and does not constitute professional medical advice, diagnosis, or treatment. Use of this website does not establish a doctor-patient relationship with Medical Therapy Associates or Dr. Robert Westcott. Never disregard professional medical advice or delay in seeking it because of something you have read on this website. ​All medication management and prescriptions are authorized solely at the discretion of Medical Therapy physicians and based on individual and in-person medical assessment. Terms and conditions apply to treatment at Medical Therapy Associates.

Legal Disclaimer & Consumer Safety Warning
Trademark Non-Affiliation Notice Medical Therapy Associates is an independent medical practice specializing in addiction medicine and toxicology. We are not affiliated with, associated with, authorized by, endorsed by, or in any way officially connected with any manufacturers, distributors, or owners of the commercial products mentioned on this website,

Nominative Fair Use Statement The use of third-party trademarks, brand names, product names, and trade names on this website is for educational and public safety purposes only. These names are used solely to assist patients, families, and medical professionals in accurately identifying specific substances and commercial products that have been linked to dependency, withdrawal, and adverse health events. Such use constitutes "Nominative Fair Use" under U.S. Trademark Law, as it is necessary to identify the specific products to provide effective medical treatment and public health warnings.

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