Am I a Candidate for Ibogaine?

What are you primarily seeking help with?

What are the absolute contraindications for ibogaine?

The absolute contraindications are: QT prolongation, significant cardiac arrhythmia, or recent heart attack; severe liver or kidney disease; active psychosis or schizophrenia spectrum disorder; pregnancy; current MAOI use; lithium or certain antipsychotics. SSRIs and SNRIs are not an absolute contraindication — they require a supervised taper first. Methadone requires a specific transition protocol. Every participant completes a full medical screening including EKG and blood panel before ceremony is confirmed.

Can I take ibogaine if I'm on SSRIs or antidepressants?

SSRIs and SNRIs are not a permanent disqualifier — they require a supervised taper before ceremony. The timeline depends on the specific medication and dosage. A taper must be completed under physician oversight, not independently. Once the taper is complete and sufficient time has passed, ceremony can proceed. We work through this during intake.

Does ibogaine affect the heart?

Yes. Ibogaine affects cardiac conduction and can prolong the QT interval. This is why an EKG is required before every ceremony. QT prolongation, arrhythmia, and recent MI are absolute contraindications. People with a clean EKG and no cardiac history can proceed through screening. Cardiac monitoring is in place during ceremony.

Can I take ibogaine if I have a history of psychosis or schizophrenia?

Active psychosis and schizophrenia spectrum disorders are absolute contraindications. Ibogaine and 5-MeO-DMT can destabilise these conditions in ways that are dangerous and not reliably reversible. A personal history of psychotic episodes — even if currently stable — requires careful evaluation. Family history only is not an automatic disqualifier but would be assessed during screening.

Is methadone a contraindication for ibogaine?

Methadone is not an automatic disqualifier, but it requires a specific transition protocol — typically a supervised transition to a short-acting opioid before ceremony. This is a clinical process that takes time and requires physician involvement. It is more involved than an SSRI taper. The timeline depends on methadone dose and how long the person has been on it.

What blood tests are required before ibogaine ceremony?

A full blood panel is required before ceremony, including liver function (ALT, AST, bilirubin), kidney function (creatinine, GFR), complete blood count (CBC), and electrolytes. Severe liver disease is an absolute contraindication. Mild or managed liver conditions are evaluated case by case. Blood work is done in advance so there is time to review results before ceremony.

Can I take ibogaine while pregnant?

No. Pregnancy is an absolute contraindication for ibogaine and 5-MeO-DMT. There is no protocol or circumstance that changes this.

Can I do ibogaine if I currently use opioids?

Opioid use is not an automatic disqualifier — in fact, opioid addiction is one of the primary reasons people seek ibogaine treatment. However, active opioid use at the time of ceremony requires specific preparation. Short-acting opioids require a period of abstinence before ceremony. Methadone and suboxone require a transition protocol. The preparation process is part of what we work through during intake and screening.