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Ibogaine safety and risk management

References and Provenance

Ibogaine Safety and Risk Management

Educational material; not a treatment relationship.

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The ibogaine medical subculture
Ibogaine in acute opioid withdrawal: An open label case series
Fatalities temporally associated with the ingestion of ibogaine
hERG blockade by iboga alkaloids
The ASAM national practice guideline for the treatment of opioid use disorder: 2020 focused update
Ibogaine and subjective experience: Transformative states and psychopharmacotherapy in the treatment of opioid use disorder
Rare but relevant: Ibogaine and cardiovascular complications—prolonged QT interval and ventricular arrhythmias
Psychedelic-related psychosis: From model psychosis to psychotherapy
Traumatic psychedelic experiences
Magnesium–ibogaine therapy in veterans with traumatic brain injuries
Transpersonal intersubjectivity in ibogaine experiences: Three cases
Prevention of torsade de pointes in hospital settings: A scientific statement from the American Heart Association and the American College of Cardiology Foundation
A case series of ibogaine toxicity reported to the United Kingdom National Poisons Information Service (NPIS) over a 10 year period
Ibogaine: Therapeutic potential, cardiac safety, and translational perspectives in the treatment of substance use disorders—A scoping review
Unpeeling the evidence for the banana bag: Evidence-based recommendations for the management of alcohol-associated vitamin and electrolyte deficiencies in the ICU
Ascending single-dose, double-blind, placebo-controlled safety study of noribogaine in opioid-dependent patients
Ascending dose study of noribogaine in healthy volunteers: Pharmacokinetics, pharmacodynamics, safety, and tolerability
Influence of CYP2D6 activity on the pharmacokinetics and pharmacodynamics of a single 20 mg dose of ibogaine in healthy volunteers
The Ibogaine Experience Scale (IES): Development and psychometric properties of a multidimensional measure of ibogaine’s subjective effects
Identifying drug-induced repolarization abnormalities from distinct ECG patterns in congenital long QT syndrome: A study of sotalol effects on T-wave morphology
Examination of the phenomenology of the ibogaine treatment experience: Role of altered states of consciousness and psychedelic experiences
Toxicokinetics of ibogaine and noribogaine in a patient with prolonged multiple cardiac arrhythmias after ingestion of internet purchased ibogaine
A case of QT prolongation and torsades de pointes caused by ibogaine toxicity
Beat-to-beat variability of QT intervals is increased in patients with drug-induced long-QT syndrome: A case control pilot study
Ibogaine associated psychosis in schizophrenia: A case report
Disrupting substance use disorder: The chemistry of iboga alkaloids
Thirty years of ibogaine research: A literature review on clinical perspectives
Safety of ibogaine administration in detoxification of opioid dependent individuals: A descriptive open label observational study
The pharmacokinetics and pharmacodynamics of ibogaine in opioid use disorder patients
The ibogaine experience: A qualitative study on the acute subjective effects of ibogaine
Liquid chromatography electrospray mass spectrometry determination of ibogaine and noribogaine in human plasma and whole blood: Application to a poisoning involving Tabernanthe iboga root
Evaluation of the QT interval in patients with drug-induced QT prolongation and torsades de pointes
A systematic literature review of clinical trials and therapeutic applications of ibogaine
Ginger for treating nausea and vomiting: An overview of systematic reviews and meta-analyses
How toxic is ibogaine?
Observations on treatment with ibogaine
A comparison of commonly used QT correction formulae: The effect of heart rate on the QTc of normal ECGs
Reply to Knuijver et al. on the “Safety of ibogaine administration in detoxification of opioid-dependent individuals: A descriptive open-label observational study.”
Randomised trial of intravenous thiamine and/or magnesium sulphate administration on erythrocyte transketolase activity, lactate concentrations and alcohol withdrawal scores
Changes in withdrawal and craving scores in participants undergoing opioid detoxification utilizing ibogaine
Mania following use of ibogaine: A case series
IUPHAR invited review: Ibogaine—A legacy within the current renaissance of psychedelic therapy
Ibogaine: Complex pharmacokinetics, concerns for safety, and preliminary efficacy measures
Fatal case of a 27 year old male after taking iboga in withdrawal treatment: GC MS/MS determination of ibogaine and ibogamine in iboga roots and postmortem biological material
Multiple episodes of cardiac arrest induced by treatment with ibogaine: A case report
Ibogaine/noribogaine in the treatment of substance use disorders: A systematic review of the current literature
Ibogan, aspidosperman, vincamine, and bisindole alkaloids from a Malayan Tabernaemontana corymbosa: Iboga alkaloids with C 20α substitution
The adverse events of ibogaine in humans: An updated systematic review of the literature (2015–2020)
Internet purchased ibogaine toxicity confirmed with serum, urine, and product content levels
The PRISMA 2020 statement: An updated guideline for reporting systematic reviews
A framework for assessment of adverse events occurring in psychedelic assisted therapies
Ibogaine related sudden death: A case report
Developing guidelines and competencies for the training of psychedelic therapists
Feasibility, safety and preliminary effects of ibogaine in patients with moderate and severe alcohol use disorder: A pilot, open-label study
Identifying setting factors associated with improved ibogaine safety: A systematic review of clinical studies
Guidelines for establishing safety in ayahuasca and ibogaine administration in clinical settings
Studies on the iboga cults. IV. The ethnobotanical complex
A phenomenological analysis of the subjective experience elicited by ibogaine in the context of a drug dependence treatment
Ibogaine for treating drug dependence: What is a safe dose?
From monotherapy to sequential models: An updated scoping review on ibogaine’s role in treatment for psychiatric disorders
Mortality risk during and after opioid substitution treatment: Systematic review and meta analysis of cohort studies
Loss of tolerance and overdose mortality after inpatient opiate detoxification: Follow up study
Psychedelics and the thalamocortical system: A scoping review
Part 9: Advanced life support: 2025 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care
Integration of vestibular and emetic gastrointestinal signals that produce nausea and vomiting: Potential contributions to motion sickness
2022 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death
Clinical Guidelines for Ibogaine-Assisted Detoxification (Version 1.1). Global Ibogaine Therapy Alliance
Manual for Ibogaine Therapy: Screening, Safety, Monitoring & Aftercare (2nd rev.). Ibogaine Dossier
Notes for Ibogaine Treatment Providers [field notes based on 2001–2002 provider experience]. Ibogaine Dossier
Ibogaine Patient’s Bill of Rights. Reproduced in Clinical Guidelines for Ibogaine-Assisted Detoxification (GITA, Version 1.1)
A qualitative inquiry into practitioners’ experiences of using ibogaine and other psychoplastogens in the treatment of substance misuse [Doctoral thesis, Lancaster University]
Minimal standards of care in ibogaine therapy [Conference presentation, Barcelona]
Ethical considerations in ibogaine therapy [Conference presentation, 2nd International Ibogaine Therapy Provider Conference, Barcelona]
Ibogaine: Information and guidelines for integrated therapy
Ibogaine in the 21st century: Boosters, tune-ups and maintenance. MAPS Bulletin, 15(1), 21–24
Cumulative dosing [Named contemporary provider practice page]
Program overview [Named contemporary provider program description]
Hattie Wells on ibogaine treatment [Podcast interview]. Psychoactive. iHeart
Preparation & Integration Workbook
How does psychedelic treatment work for PTSD? [Podcast interview and transcript]. Modern Wisdom, Episode 494
Dr. Ramirez: Going deep while staying safe [Named contemporary program operations article]
Hilda Sánchez: Is ibogaine safe? [Podcast interview]. Ibogaine Uncovered, Episode 63
A day in the life of an onsite Preparation & Integration Coach at Beond [Official LinkedIn post]
Patient safety, transparency, and revisions to detox protocols [Program quality-improvement disclosure]
FAQs [Current program description; includes program-specific “Gray Day” usage]
Ibogaine and traumatic brain injury: A new treatment frontier [Podcast interview]. The Psychedelic Podcast, Episode 347, Third Wave
How ibogaine triggers neuroplasticity and lasting change [Official LinkedIn post featuring Trevor Millar’s integration commentary]
Psychedelic preparation [Unpublished presentation notes]
Ibogaine investigator’s brochure (Version 1, June 1, 2026). Secondary compendium used for source discovery and cross checking; the brochure states that it is not intended to guide clinical care
Project template supplied for the Global Competencies in Psychedelic Facilitation
Cardiac morphology during drug-induced QT prolongation: An educational review [Unpublished preprint]
Banana and excessive visions: word of mouth from indigenous practice
Defining a Healthy Diet: Evidence for the Role of Contemporary Dietary Patterns in Health and Disease
Human hallucinogen research: Guidelines for safety
Contextual care and communication revision
Ibogaine Detoxification Transitions Opioid and Cocaine Abusers Between Dependence and Abstinence: Clinical Observations and Treatment Outcomes
Jeff McNairy on banana use during iboga experiences [practitioner interview, 38:51]
Bananas offered after iboga to temper lingering effects [community account]
Pharmacological treatment of acquired QT prolongation and torsades de pointes
Evidence-Based Guideline: Treatment of Convulsive Status Epilepticus in Children and Adults: Report of the Guideline Committee of the American Epilepsy Society
Treatment of drug-induced seizures
Randomized Trial of Three Anticonvulsant Medications for Status Epilepticus
PONV management in patients with QTc prolongation on the EKG
Effect of single doses of IV palonosetron, up to 2.25 mg, on the QTc interval duration: a double-blind, randomized, parallel group study in healthy volunteers
Lack of effect of aprepitant or its prodrug fosaprepitant on QTc intervals in healthy subjects
Prolongation of QTc interval after postoperative nausea and vomiting treatment by droperidol or ondansetron
Management of serotonin syndrome (toxicity)
Can 5-HT3 Antagonists Really Contribute to Serotonin Toxicity? A Call for Clarity and Pharmacological Law and Order
The ASAM Clinical Practice Guideline on Alcohol Withdrawal Management