This Ibogaine Safety Checklist was compiled with feedback from the iboga/ibogaine providers and doctors on the Awake Mentors & Masters directory, and represents expertise gleaned from many decades of work in the field.

Pre-Treatment & Screening

1. Thorough Medical Prescreening: Comprehensive medical, psychiatric, trauma, and substance-use history.
2. Cardiac Screening: Baseline vital signs and 12-lead ECG required.
3. Professional EKG Review: 12-lead EKG must be reviewed by a cardiologist or a competent clinician (not an EMT) to identify cardiac risks.
4. Blood Panels: Routine testing, including electrolytes, conducted during prescreening.
5. Medication & Supplement Reconciliation: Mandatory review of all current prescription medications and supplements to identify drug interactions (specifically checking for CYP2D6 inhibitors and QT-prolonging drugs).
6. Cardiac Exclusion Criteria: Mandatory exclusion of patients with QTc intervals >450ms, history of serious arrhythmia, structural heart disease, or other significant cardiac risks (e.g., family history of LQTS/sudden death).

Clinical Oversight & Staffing

1. Medical Doctor (MD) On-Site: A doctor must be on premises, overseeing the 24-hour flood-dose window and present during all Ibogaine sessions.
2. ACLS Certification: The overseeing Medical Doctor must be certified in Advanced Cardiac Life Support (ACLS) protocols.
3. Iboga/Ibogaine Experienced Practitioners: Experienced staff must oversee the session.
4. Dedicated Support: A dedicated nurse or support staff should monitor the patient (e.g., sitting for at least 18 hours per patient).

Emergency Preparedness & Monitoring

1. Continuous Real-Time Monitoring: Ongoing EKG and blood pressure monitoring.
2. Defibrillator (AED) & Oxygen: On-site and immediately available during the entire flood-dose phase.
3. Emergency Equipment Kit: Must include suction unit, IV cannulation kit, airway adjuncts, and emergency medications (within scope of practice).
4. Emergency Support Team: Paramedics and an ambulance must be on-site (or a pre-defined, verified hospital transfer pathway must be established).
5. Proximity to ER: Hospital/Emergency Room must be within a realistic transfer time (typically targeting <15 minutes).

Coaching, Integration & Governance

1. Preparation and Integration Coaching: Options for pre-treatment preparation and structured integration provided.
2. Aftercare: Aftercare retreat and long-term integration options provided.
3. Informed Consent & Documentation: Written informed consent, incident reporting, and audit processes.

https://awake.net/awake-safety-checklist-for-ibogaine-providers/

If you are an ibogaine provider and want to add something to this checklist please contact author.

Share on Facebook

Post on X

Follow us