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Kratom Use Disorder Management Using Clonidine and/or Buprenorphine

Withdrawal Syndrome

Kratom is used for stimulant, analgesic, anxiolytic, and sedative effects. There is inadequate knowledge about Kratom addiction. Kratom withdrawal may be treated like opioid withdrawal.

Prospective observational crossover study of consenting adults who are undergoing Kratom withdrawal management. On alternate weeks, each patient receives treatment using Buprenorphine 5cmg/hr patch; or Clonidine tablet 0.1mg 4hourly; or combined Clonidine tablet 0.1mg 4hourly + Buprenorphine 5cmg/hr patch. Each patient will undergo treatment for 12 weeks.

Patients will use Subjective Opiate Withdrawal Scale (SOWS) to collect data on daily basis. SOWS is a patient-administered tool that is used to record the severity and presence of opiate withdrawal. The physician will also use Clinical Opiate Withdrawal Scale (COWS) to collect data on weekly basis. COWS is a clinician-administered tool that is used to record the signs of opiate withdrawal. A change in the COWS and SOWS scores by 6-points is considered significant.

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Participation Requirements

  • Sex:

    ALL
  • Eligible Ages:

    20 and up

Participation Criteria

Inclusion Criteria:

* adult patients
* Kratom dependence
* Kratom withdrawal syndrome
* Kratom withdrawal therapy
* good treatment compliance
* reliable Subjective Opiate Withdrawal Scale (SOWS) diary
* reliable Clinical Opiate Withdrawal Scale (COWS) diary
* informed consent for diary review
* consent for clinical record quality assurance review

Exclusion Criteria:

* poor treatment compliance
* cognitive disorder
* inability to provide consent
* major neuropsychiatric disorder
* unreliable diary
* cannabis use
* excessive alcohol intake
* previous adverse/allergic reactions to clonidine
* previous adverse/allergic reactions to buprenorphine

Study Location

Salem Anaesthesia Pain Clinic
Salem Anaesthesia Pain Clinic
Surrey, British Columbia
Canada

Contact Study Team

Primary Contact

Olu Bamgbade, MD,FRCPC

[email protected]
(778) 628-6600
Study Sponsored By
Salem Anaesthesia Pain Clinic
Participants Required
More Information
Study ID: NCT05883358