7-Hydroxymitragynine vs Mitragynine
Mitragynine is the abundant precursor; 7-OH is the active metabolite the liver makes from it. Most of what consumer culture attributes to 'kratom' is actually 7-OH at the receptor.
| Factor | Mitragynine | 7-Hydroxymitragynine |
|---|---|---|
| Abundance in leaf | ~66% of total alkaloids | <2% of total alkaloids |
| Relative mu-affinity | Baseline (1×) | ~46× mitragynine, ~13× morphine |
| Receptor type | Partial mu-opioid agonist | Partial mu-opioid agonist (higher affinity) |
| Low-dose effects | Stimulating, focus-enhancing | Relaxing, analgesic |
| High-dose effects | Sedating, analgesic | Strongly sedating, analgesic |
| Metabolic relationship | Precursor (converted to 7-OH by CYP3A4) | Active metabolite of mitragynine |
| Self-administration in rats | Not reliably reinforcing | Reinforcing at morphine-comparable rates |
Mitragynine is the precursor; 7-OH is the active metabolite
Mitragynine is converted to 7-hydroxymitragynine in vivo by the hepatic enzyme CYP3A4 (Kruegel 2019; Kamble 2020). When that conversion is blocked in animal models, the analgesic effect of ingested mitragynine largely disappears — even at doses that would normally produce strong antinociception. The clean interpretation: when you ingest leaf kratom, mitragynine itself is doing relatively little opioid work; most of the effect is coming from the 7-OH your liver produces from it.
This is the foundation of the “natural vs. concentrated” regulatory framing. A leaf kratom product hands the body a large reservoir of mitragynine and lets CYP3A4 meter out 7-OH at its own rate. A concentrated 7-OH product hands the body pre-formed 7-OH directly, removing the rate limit. The same alkaloid is being delivered to the same receptor — but the delivery profile is different.
Receptor profile
Both compounds are partial agonists at the mu-opioid receptor, but the affinities differ by roughly 46-fold in favour of 7-OH (Kruegel 2016). In rat drug-discrimination assays — a behavioural assessment of opioid-likeness — 7-OH fully substitutes for morphine while mitragynine does not (Obeng 2021). Mitragynine’s additional activity at adrenergic, serotonergic, and other monoaminergic targets contributes to the stimulating, focus-tilted effects users describe at low leaf doses; 7-OH is more selectively opioid in its profile.
Abuse liability is not symmetric either
Rats reliably self-administer 7-OH at rates comparable to morphine but do not reliably self-administer mitragynine (Hemby 2019). This asymmetry mirrors the receptor data: the precursor is largely inert as a reinforcer, the active metabolite is not. The clinical implication is that physical dependence on a 7-OH-concentrated product is expected to develop on a faster timeline than dependence on the same nominal alkaloid total delivered as leaf mitragynine. Timeline and management on the withdrawal page.
Related reading
06 links
- 017-OH vs kratom leafWhy milligrams replace grams
- 027-OH vs morphinePartial vs full mu-opioid agonism
- 03Pseudoindoxyl vs 7-OHResearch scaffold, not a consumer product
- 04What is 7-hydroxymitragynine?Flagship guide with full pharmacology
- 05Effects by doseReceptor mechanism and dose-response
- 06Reference listPrimary sources for every claim above