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Direct answer

In the United States, suspected overdose requires 911, not a crisis line or a treatment-referral call. For non-emergency substance-use treatment referrals, call SAMHSA at 1-800-662-4357. CDC overdose response guidance SAMHSA National Helpline

Suspected overdose: call 911

If someone may be overdosing, call 911 immediately. If naloxone is available, administer it and stay with the person until emergency assistance arrives. CDC advises treating uncertainty as a possible overdose rather than waiting to be sure. CDC overdose response guidance

Do not wait for a response from this site, a clinic appointment, or a crisis counselor before calling emergency services.

Treatment referrals: SAMHSA

SAMHSA's National Helpline provides free, confidential, 24/7 treatment referral and information for mental-health and substance-use concerns. Call 1-800-662-4357. This is a referral service, not emergency overdose response. SAMHSA National Helpline

You can ask for help finding a program for yourself or a family member. Do not assume that a referral confirms a particular diagnosis or guarantees a program's availability.

Suicidal crisis or emotional distress: 988

Call 988, text 988, or use https://988lifeline.org/chat/ for U.S. crisis support. 988 Suicide & Crisis Lifeline

A suspected overdose or other immediate medical emergency still requires 911.

Prepare for a clinician visit

FDA warns clinicians about serious concentrated 7-OH effects, including withdrawal and respiratory depression. Describe the actual product rather than only saying "kratom." FDA letter to health care professionals

Bring the packaging or photographs and a record of:

• Ingredient names and labeled amount per serving.
• How much and how often you use it.
• When you last used it and any symptoms during past delays or missed use; do not change your use to test symptoms.
• Other medicines, alcohol, and substances.
• The original reason for taking it and previous attempts to stop.

Ask how to assess your symptoms, address the underlying concern, and arrange follow-up. This site does not prescribe a taper, a replacement substance, or medication.

Use Preparing for a Clinician Visit About 7-OH to separate label claims, actual use, and observations. Its two-page worksheet (PDF) is a blank private paper record, not a medical assessment or a form to submit to this site. Neither the guide nor the worksheet has undergone qualified medical review or clinical validation.

Helping someone else

Offer practical help making a call, keeping the package, or attending an appointment. Avoid arguing over whether the product is "natural." The immediate goal is to describe the exposure accurately and connect the person with appropriate care.

For background, read Signs of Dependence and Withdrawal.