Background: Opioid use disorder is a major concern to public health, and opioid maintenance treatment onmethadone or buprenorphine is a widely used approach. On the other hand, in recent years, there has beenmore regards for the use of opium tincture for detoxification and maintenance treatment of opioiddependence in certain parts...

We describe a case report where buprenorphine was successfully used for the management of kratom ( Mitragyna speciosa) dependency during Covid-19 pandemic in specialist community substance misuse treatment service. The individual had notable iatrogenic on oral over counter and prescribed opioid medication. She resorted to using as ‘tea’ self-detoxify before getting into difficulty. Upon present...