Credit: FDA.
Cheltenham Township Emergency Medical Services (EMS) are raising concerns about the dangers associated with a substance called Kratom, which is being sold as a supplement in local smoke shops and gas stations, as well as online.
Kratom is a plant-derived substance that has historically been promoted as a "natural" alternative to some addiction treatment medications. In its natural form, Kratom contains active compounds at concentrations of just 1–2%. However, EMS and the U.S. Food and Drug Administration (FDA) are now warning about products that contain a synthesized version of Kratom’s active ingredient.
These synthetic Kratom products are not tested or regulated by the FDA. The substance activates the same receptors in the brain as opioids, leading to a high potential for addiction. Like opioids, Kratom can cause serious side effects including respiratory distress or arrest, seizures, hallucinations, and agitation. Due to these effects, it is sometimes referred to as "gas station heroin." Montgomery County has already reported 14 known cases of Kratom overdose.
Additional risks linked to Kratom include exposure to heavy metals and contamination with salmonella, both of which have been documented in certain products.
Public health officials emphasize that, under current regulations, dietary supplements do not require FDA approval before being marketed. Manufacturers can make broad, often unverified claims—such as "supports immune health" or "promotes heart health"—without providing scientific evidence, as long as a disclaimer is included stating: "This statement has not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease." Moreover, the responsibility lies with the FDA to prove a supplement is unsafe before it can be removed from shelves, making enforcement slow and difficult.
These synthetic Kratom products are being sold in various forms, including gummies, powders, tablets, capsules, liquid shots, and flavored drinks. Health officials urge individuals and families to discuss the risks associated with these substances and to exercise caution when considering any unregulated supplement.
