doi: 10.1002/gps.1432, 5. Silver Spring, MD: Food and Drug Administration (2020). Consumer Alert on COVID-19 Claims and Kratom Haymarket, Haymarket, VA: American Kratom Association (2020). Smith KE, Lawson T. Prevalence and motivations for kratom use in a sample of substance users enrolled in a residential treatment program. Hollander JE, Carr BG. This is a serious concern as kratom, not currently regulated as a dietary supplement, may be adulterated by unscrupulous traders and cause users to relapse to opioid use and inevitably experience a significant increase in overdose risk (7, 9, 14–17). Even prior to the pandemic, the kratom supply chain experienced significant, repeated disruptions and episodes of consumer uncertainty. (2004) 52:916–28. doi: 10.1248/cpb.52.916, PubMed Abstract | CrossRef Full Text | Google Scholar, 2. No use, distribution or reproduction is permitted which does not comply with these terms. No use, distribution or reproduction is permitted which does not comply with these terms. Loop is the open research network that increases the discoverability and impact of researchers and their work. Based on import and sales of kratom, there are an estimated 10–15 million kratom users in the US, meaning that disruptions for even a small proportion of regular users could result in an outsized effect (25). (2018) 183:134–40. 34. Gen Psychiatr (2020) 33(3):e100260. Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science. Varadi A, Marrone GF, Palmer TC, Narayan A, Szabo MR, Le Rouzic V, et al. doi: 10.7326/M20-1212. The implications of COVID-19 for people who use drugs (PWUD) and drug service providers (March 2020). Singh D, Narayanan S, Vicknasingam B. Green TC, Bratberg J, Finnell DS. doi: 10.1056/NEJMp2008017, 12. Warning Letter, The Golden Road Kratom, MARCS-CMS 607627. Int Psychogeriatr (2020), 16. doi: 10.1017/S1041610220000770. Copyright © 2020 Chiappini, Guirguis, John, Corkery and Schifano. Reasons for use primarily centered on alleviating stress or psychiatric disorder symptoms (e.g., anxiety and depression), or continuation of kratom as a means of addressing SUD symptoms. Of concern, some sources have noted increases in unscientific claims made by irresponsible vendors regarding kratom's supposed “anti-coronavirus” properties (23). It is crucial to strengthen telemedicine and support it with appropriate governance and funding in order to be able to monitor the mental health situation post-pandemic. Hao F, Tan W, Jiang L, Zhang L, Zhao X, Zou Y, et al. Mental health care for medical staff and affiliated healthcare workers during the COVID-19 pandemic. PB provides scientific guidance on dietary supplement manufacture and regulatory compliance to companies, associations, and government and in her capacity as Director of Applied Research at BCIT engages in contract research on medicinal plants, including Kratom. Biomed Res Int. Similarly, community pharmacies are challenged by staff shortages, service disorganisation, and self-isolation (27, 29, 32). Prev Med. *Correspondence: Stefania Chiappini, stefaniachiappini9@gmail.com; Amira Guirguis, amira.guirguis@swansea.ac.uk, Front. The Journal Impact 2019-2020 of World Psychiatry is 24.030, which is just updated in 2020. https://www.samhsa.gov/sites/default/files/faqs-for-oud-prescribing-and-dispensing.pdf (Accessed May19, 2020). Introduction:There is concern the Coronavirus Disease (COVID)-19 pandemic is having a negative impact on the mental health of the general population through a range of suggested mechanisms: fear, uncertainty, and anxiety; social distancing/isolation; loneliness; and economic repercussions (1-3). Walter Barbalho Soares, Ingrid Tinôco Silvestre, Amannda Melo de Oliveira Lima, Katie Moraes de Almondes, The Influence of Telemedicine Care on the Management of Behavioral and Psychological Symptoms in Dementia (BPSD) Risk Factors Induced or Exacerbated During the COVID-19 Pandemic, Frontiers in Psychiatry, 10.3389/fpsyt.2020.577629, 11, (2020). CDC, 2020; Centers for Disease Control and Prevention (CDC). Citation: Yu Y, Xiao X, Yang M, Ge X-p, Li T-x, Cao G and Liao Y-j (2020) Personal Recovery and Its Determinants Among People Living With Schizophrenia in China. Specifically, according to Huang et al. (2016) 126:41–6. Publication type: Journals: ISSN: 16640640: Coverage: 2010-2020: Scope: Frontiers in Psychiatry publishes rigorously peer-reviewed research across a wide spectrum of translational, basic and clinical research. Requests to access these datasets should be directed to Oliver Grundmann, grundman@ufl.edu. The handling editor and two of the reviewers, JC and SC, declared a shared affiliation, though no collaboration, with two of the authors, EC and OC, at the time of review. 19. In: Europol EMCfDaDAa, editor. Additionally, the COVID-19 crisis is likely to increase the need to access drug treatment and services, e.g., extra demand for opioid substitution therapy and other medication. Distributors who obtain a majority of their kratom product from Thailand were able to continue typical purchasing levels until February 2020, which resulted in a stockpile due to shop closures related to mandated lock-downs and social distancing. In the coming months, it will be important to monitor kratom supplies and purchasing avenues (e.g., Internet and local shops). SAMHSA Disaster Technical Assistance Center. (2019) 33:1102–23. doi: 10.1016/S2215-0366(20)30141-3, 43. According to published user surveys, common reasons for kratom use include the self-treatment of acute and chronic pain, psychological distress, mitigation of dependence and/or withdrawal symptoms from an illicit or prescription drug use (7, 9, 15). Wand APF, Zhong B-L, Chiu HFK, Draper B, De Leo D. Covid-19: The implications for suicide in older adults. Opioid use disorder and the COVID 19 pandemic: A call to sustain regulatory easements and further expand access to treatment. Kratom users also provided us with information on the state of kratom supply and personal consumption. Kratom (Mitragyna speciosa Korth., Rubiaceae) is a tree native to Southeast Asia with psychoactive properties due to the presence of indole alkaloids (1, 2). AMA. 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