Selective serotonin re-uptake inhibitors (SSRIs) and serotonin and norepinephrine re-uptake inhibitors (SNRIs) both are designed to increase the level of serotonin in the brain. Ibogaine also increases the level of serotonin, and combined with either medication could cause serotonin syndrome and pose other risks.
SSRI/SNRI Wait Times
Antidepressants: 2-3 weeks
Mood Stabilizers: 2-3 weeks
Antipsychotics: 2-3 weeks
Note: Not only is this a health risk, but these medications can block/dull the experience and the positive benefits that are associated with your ibogaine session.
All QT prolonging substances should be discontinued prior to therapy with Ibogaine. To allow these drugs to get out of the system one must allow for at least four half-lives of that substance to pass before administering ibogaine. A half-life is the time it takes for one-half of the original dose of a medication to leave the body. Examples of QT-prolonging substances: omeprazole (Losec, Prilosec), anti-fungal medications (Diflucan), Clarityne, and macrolide type antibiotics (Azithromycin, Zithromax).
WARNING: Tapering Off Medications
Getting off some medications can be particularly troublesome for some people, and some medications can be very dangerous if abruptly discontinued. Always ask your family doctor or a healthcare professional for help when tapering.
We understand that ibogaine treatment may be an urgent matter for you, but please be safe and taper correctly.
Copyright Ibogaine Counselling Service © 2012-2018
“It is never too late to turn on the light. Your ability to break an unhealthy habit or turn off an old tape doesn't depend on how long it has been running; a shift in perspective doesn't depend on how long you've held on to the old view.
When you flip the switch in that attic, it doesn't matter whether its been dark for ten minutes, ten years or ten decades.
The light still illuminates the room and banishes the murkiness, letting you see the things you couldn't see before." - Sharon Salzberg
Maintenance Drugs/Long Acting Opiates (LAO's)
Suboxone/Subutex – Buprenorphine, the opiate agonist in "Subs" has a longer wait time before a session because it has a very long half-life. So it is critical that we allow the buprenorphine to leave the system because it also has an extremely high binding affinity, meaning it sticks to your opiate receptors and won’t let go, and these receptors are what Ibogaine needs access in order to cleanse and repair the damage. Ibogaine will not instantly cleanse buprenorphine from the brains receptor sites.
Methadone – is placed in a similar category because while it also has a very long half-life, it doesn’t fully block Ibogaine but can cause health complications which may result in dangerous outcomes.
LAO Wait Times
Suboxone/Subutex: 4-5 weeks
Methadone: 3-4 weeks
Note: You would need to switch to an SAO for the waiting period. Rapid-detox is possible with a shorter wait time, but this increases the chance of Post Acute Withdrawal Syndrome (PAWS). Symptoms of PAWS may include:
Alcohol withdrawal is very serious and comparable to benzodiazepine withdrawal, both have been known to be fatal on their own. Alcohol has been a contributing factor in several fatalities related to ibogaine rapid-detox. You must not be experiencing any alcohol withdrawal signs upon arrival.
Alcohol Wait Times
Alcohol: 3-5 days
You have to take into consideration that in smaller doses ibogaine is a stimulant, if other stimulants are present it may increase the chances of cardiac effects that can lead to tachycardia, vasoconstriction, unpredictable blood pressure effects, and heart arrhythmias.
Stimulant Wait Times
Methamphetamine: 3-5 days
Ritalin: 3-5 days
Adderall: 3-5 days
Crack: 3-5 days
Cocaine: 3-5 days
MDMA: 3-5 days
Caffeine: 3-5 days
Ibogaine is an extremely effective rapid-detox tool that is used for addiction interruption. Ibogaine also offers profound insight and introspection that can be utilized to heal deep psychological and emotional wounds. It is absolutely necessary that the individual discontinue using certain substances and chemicals before ibogaine treatment, both for safety and for the effectiveness of the medicine.
Short Acting Opiates/Opioids (SAO's)
We do advise tapering down SAO usage, but it is permitted to use SAO's right up until you reach our healing house. Once inside the house, all drugs must be forfeited over to ICS staff. If traveling from another country, please remember that some people are chosen by CBSA for secondary searches and questioning. CBSA officers sometimes ask to go through your phone, which could allow them access to your texts, email, facebook, etc... Keep this in mind and be prepared.
SAO Wait Times
Heroin: 12-24 hours
Oxycodone: 12-24 hours
Hydrocodone: 12-24 hours
Morphine: 12-24 hours
Dilaudid: 12-24 hours
Kratom: 12-24 hours
Fentanyl: 3-5 days
Note: Fentanyl is a SAO and has a longer waiting period because it's known that ibogaine directly after fentanyl could cause heart arrhythmias. The longer without fentanyl the better.