Kratom & 7-OH treatment in Daphne.
You’ve tried to stop, but withdrawal keeps bringing you back. Dr. Lackey starts with what you’re actually taking — powder, extracts, or concentrated 7-OH — and builds the plan from there.
When it stops feeling optional.
- Taking it just to feel normal
- Dosing earlier than you used to
- Moving to stronger extracts or 7-OH
- Spending more than you planned
- Feeling worse when you try to cut back
“It came from a store — how serious can it be?”
Being sold in a store does not make physical dependence less real. Concentrated 7-OH products are different from traditional kratom leaf and can expose you to much more 7-OH. You do not have to call it addiction before booking.
Already trying to taper, or taking medication? Dr. Lackey begins with the products you use, your current medications, and what has or has not helped.
One physician throughout.
Marcus Lackey, M.D., conducts your initial evaluation and provides your ongoing care.
A U.S. Navy veteran, he serves on the Board of Directors of the Alabama Society of Addiction Medicine.
You do not have to start over.

Serving Mobile and Baldwin County
What happens at your visit.
Meet privately with Dr. Lackey.
Your first visit is a 45-minute physician evaluation in Daphne.
Identify the product and withdrawal pattern.
Dr. Lackey reviews what you take, how much and how often, withdrawal symptoms, other substances, health, and medications.
Leave with a plan.
Dr. Lackey explains whether outpatient treatment fits and what comes next. If Suboxone® is appropriate, it may be prescribed that day.
Kratom and 7-OH are not the same thing.
Traditional kratom leaf contains only small natural amounts of 7-hydroxymitragynine (7-OH). Concentrated 7-OH products are made to deliver much more of it and can produce stronger opioid-like effects, dependence, and withdrawal. There is no FDA-approved medication specifically for kratom or 7-OH dependence; when Suboxone® is considered, it is an individualized, off-label treatment option.
Insurance is accepted.
Self-pay is $129 per visit, with your first follow-up included.

Common questions.
Do I need inpatient detox?
Coastview provides outpatient treatment, so most people can stay at home and keep working. Whether that is safe for you depends on how severe withdrawal is, your medical conditions, overdose risk, and other substances you use. If you need a higher level of care, Dr. Lackey explains why.
How long does kratom or 7-OH withdrawal last?
There is no single reliable timeline, especially for concentrated 7-OH. Regular kratom use can cause opioid-like withdrawal, but when it starts, how strong it gets, and how long it lasts depend on the product, the amount, how often and how long you have used, and other substances. Dr. Lackey plans around your pattern and adjusts as symptoms change.
Do I have to take Suboxone®?
No. Treatment depends on the product, pattern of use, withdrawal, and other substances. For some people with significant opioid-like dependence or withdrawal, Suboxone® may be an option after the evaluation.
What if I also use alcohol or other substances?
Tell Dr. Lackey everything you use. Combining kratom or 7-OH with alcohol, opioids, benzodiazepines, or other sedating substances can increase the risk of serious harm. Stopping alcohol or benzodiazepines suddenly after regular use can also be dangerous, so Dr. Lackey builds one plan around all of it.
Can I follow up by telehealth?
Yes. After your first in-person visit, follow-ups can often be by telehealth once treatment is stable.
Start with one visit.
Safety
For a medical emergency or immediate danger, call 911. If someone is hard to wake, breathing very slowly or not breathing, or has blue or gray lips or fingertips, treat it as a suspected opioid overdose: call 911 and give Narcan® (naloxone) if available. For suicidal thoughts or severe emotional distress, call or text 988. Coastview provides outpatient care only; calls, texts, emails, and messages are not monitored for emergencies.