Can You Take Suboxone After 7OH? What Tennessee Patients Need to Know

Posted by

On January 12, 2026

If you’re asking “can you take Suboxone after 7OH?”, you’re not alone. Many people across Tennessee are turning to kratom extracts like 7-hydroxymitragynine (7OH) and later searching for a safer, more stable option. Understanding how Suboxone fits into that transition can help reduce fear, confusion, and the risk of uncomfortable withdrawal.

At Nashville Addiction Clinic, we help patients statewide—including Franklin, Jackson, Johnson City, Bartlett, Hendersonville, and Kingsport—safely transition from kratom, 7OH, and other opioids using 100% virtual Suboxone treatment.

Accredited, Virtual Addiction Treatment for Tennessee

Nashville Addiction Clinic provides evidence-based Suboxone treatment through secure telemedicine, staffed by licensed Tennessee clinicians. No clinic visits required, ever.

Statewide access across Tennessee
Accredited by The Joint Commission
Owned and managed by people in long-term recovery

What Is 7OH (7-Hydroxymitragynine)?

7OH is a highly potent alkaloid found in kratom, especially concentrated in extracts and tablets. While kratom is often marketed as “natural,” 7-OH acts on opioid receptors, which is why it can:

Relieve pain temporarily
Reduce anxiety or withdrawal symptoms
Cause dependence with regular use

Why 7OH Can Be Risky

Many people don’t realize that 7OH can be stronger than morphine at the mu-opioid receptor. This makes stopping suddenly very difficult and increases the risk of withdrawal, cravings, and relapse.

Can You Take Suboxone After 7OH?

Yes — you can take Suboxone after 7OH, but timing matters.

Suboxone contains buprenorphine, a partial opioid agonist. If taken too soon after 7OH, it can trigger precipitated withdrawal, which feels sudden and intense.

Key Rule:

You must be in mild to moderate withdrawal before starting Suboxone after 7OH.

This is similar to transitioning from:

Kratom
Fentanyl
Oxycodone
Hydrocodone
Heroin

The Many Names of Kratom and 7-OH

Kratom and its potent alkaloid, 7-hydroxymitragynine (7-OH), go by many different names depending on culture, preparation, or even marketing. Recognizing these terms is important because patients may not realize they are taking the same addictive substance under a different label. Common names for Kratom include:

Kratom (most widely used)
Ketum (Malaysia, Indonesia)
Biak-biak
Ithang
Kakuam
Thom
Herbal speedball (slang, often when mixed with other drugs)
Mitragyna speciosa (scientific name)
Mitragynine (primary alkaloid)
Kratom leaf / tea / powder / capsules (marketing descriptions)

Common names and variants for 7-OH include:

7-OH
7-OH Mitragynine
7-hydroxy
7-hydroxymitragynine
Hydroxy mitragynine
Kratom extract alkaloid
Potent Kratom derivative

How Long Should You Wait After 7OH Before Suboxone?

There is no one-size-fits-all timeline, but most patients need to wait:

12–24 hours after last 7-OH use
Until early withdrawal symptoms appear

Signs You’re Ready to Start Suboxone

Runny nose or watery eyes
Restlessness or anxiety
Muscle aches
Nausea
Sweating or chills

Starting Suboxone at the right time helps it relieve withdrawal instead of worsening it.

Why Suboxone Works After 7OH Dependence

Suboxone is widely used because it:

Reduces cravings
Prevents withdrawal
Blocks stronger opioids
Stabilizes brain chemistry

For people dependent on 7OH, Suboxone offers predictability and safety that kratom products do not.

Suboxone vs. 7OH

7OH	Suboxone
Unregulated	FDA-approved
Variable potency	Consistent dosing
Short-acting	Long-acting
High relapse risk	Proven stability

According to SAMHSA, medication-assisted treatment is the gold standard for opioid use disorder.

How Nashville Addiction Clinic Helps You Transition Safely

At Nashville Addiction Clinic, we’ve helped 1,000+ Tennesseans transition safely from kratom, 7OH, and other opioids.

What Makes Our Program Different

Accredited by The Joint Commission
Clinic owners are in long-term recovery
Over 260 Google Reviews (from real patients)
Recipient of Tennessee’s first Virtual OBOT medical license
Same-day Suboxone prescriptions
Statewide award winner of the 2025 Best of Tennessee award for substance abuse treatment
Over 1000 patients served since 2019
Accepts most commercial/employee health plans, such as Blue Cross Blue Shield (all U.S. states), Cigna, Ambetter, and United Healthcare, as well as all TennCare Medicaid plans: Amerigroup Community Care, BlueCare, United Healthcare Community Plan, and Wellpoint Community Care.
Overnight Suboxone delivery is available in most areas (a delivery fee applies)
A compassionate team of caring doctors, nurse practitioners, counselors, and administrators who provide judgement-free care, some who are in recovery.
Same-day appointments available every Monday through Friday from 8:00 AM to 5:00 PM (based on availability)
Evening appointments every Monday and Wednesday until 9:00 PM

Our helpful staff is happy to answer any questions you may have. Call us or send us a text at (615) 927-7802, or message us securely using the Spruce Health mobile app.

Feeling nervous about starting telemedicine addiction treatment? Learn what to expect during your first Suboxone telemedicine appointment.

Patients from Chattanooga to Jackson choose us because treatment is private, respectful, and fast.

Start Telemedicine Kratom 7-OH Treatment with Suboxone Today – Feel Better Tomorrow

You can review insurance and pricing details before scheduling, so there are no surprises.

If you have TennCare Medicaid insurance, your treatment and medication costs are typically $0. If you have commercial health insurance, we will provide you with a treatment cost estimate before scheduling your first telemedicine appointment. If you don’t have health insurance, we offer biweekly and monthly payment plans.

What to Expect When Starting Suboxone After 7OH

Step 1: Online Registration

Register for Suboxone Telehealth using your TennCare Medicaid
Register for virtual Suboxone addiction treatment with your commercial insurance
No Insurance? Register for Suboxone Telemedicine therapy and make payments
Register as a returning patient
Apply for our Sliding-Scale Program
View all Medicaid and commercial insurance plans we accept and self-pay pricing
We accept most private/employee health insurance, such as BCBS, Cigna, Ambetter, and United Healthcare, as well as all TennCare Medicaid insurance: Amerigroup Community Care, BlueCare, United Healthcare Community Plan, and Wellpoint Community Care.

Not sure if your insurance is accepted? Click here to verify your coverage.

Experience a safe transition from hydrocodone, oxycodone, OxyContin, heroin, fentanyl, methadone, morphine, Kratom, 7-OH (7-Hydroxy-opioids), Tramadol, Opana, codeine, oxymorphone, Tramadol, Percocet, and other opioids.

If you would like to speak to someone about our telemedicine Suboxone program, please call or text us at (615) 927-7802. You can also message us securely on the Spruce Health mobile app.

Step 2: Video Appointment

You’ll meet with a licensed provider who understands kratom and 7OH dependence. No judgment—just support.

Step 3: Same-Day Prescription

Your Suboxone is sent to a local pharmacy or delivered overnight, depending on location.

Common Concerns About Switching From 7OH to Suboxone

“Is kratom really an opioid?”

While kratom is plant-based, 7-OH acts like an opioid at the receptor level. The DEA has issued warnings about kratom-related risks.

“Will Suboxone just replace one addiction?”

Suboxone is a medically supervised treatment, not a substitute high. It stabilizes brain chemistry and allows people to rebuild their lives.

Frequently Asked Questions

Can you take Suboxone after 7OH?

Yes, as long as you wait until mild withdrawal begins to avoid precipitated withdrawal.

How long does Suboxone treatment last?

Treatment length varies. Some patients use it short-term, others longer, depending on stability and goals.

Is Suboxone safe?

Suboxone is FDA-approved and widely studied.

Do I have to go to a clinic?

No. Nashville Addiction Clinic is 100% virtual statewide.

What if I’ve been using kratom extracts daily?

Daily use often indicates dependence. Suboxone can help stabilize withdrawal and cravings.

Register Today – Get Seen Today – Receive a Suboxone Prescription Today

Thanks to our unique virtual medical license, anyone living in East Tennessee, Middle Tennessee, or West Tennessee can safely and legally access online Suboxone treatment using any smartphone, tablet, or computer, without ever having to visit a clinic.

You can review insurance and pricing details before scheduling, so there are no surprises.