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Item Prevalence and factors associated with continual opioid use among patients attending methadone clinic at Mwananyamala hospital, Dar es Salaam, Tanzania(Elsevier, 2019) Ripanda, Asha Shabani; Srivastava, Bajarang Bal Lal; Vuai, Said Hamad; Nyundo, Azan ATrends of continual drug use while under treatment have been reported worldwide. This paper assesses opioid use among patients receiving treatment in a methadone clinic for opioid addiction. A total of 126 urine samples were analyzed using LC–MS/FTMS. About 16% of patients were found to have a high prevalence level of opioids use. Prevalence level was significantly associated with the duration of treatment (p = 0.0121) and age (p = 0.0328). About 125/126 patients were found to have remnants of opioids of abuse. Therefore, measures should be taken to overcome continual use of opioids among clients.