Kratom: Is It the New Illicit Opiate on the Market?

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To the Editor: Kratom has emerged on the market as an herbal medication for pain management. However, it is not US Food and Drug Administration approved or regulated, and there is very little research and reputable information on its clinical effects. Here, we report the case of a man with a history of opioid use and a clean urine drug screen who reported using kratom to avoid a relapse.