Biology:Ibogaine

From HandWiki

Ibogaine is a psychoactive indole alkaloid derived from plants such as Tabernanthe iboga, characterized by hallucinogenic and oneirogenic effects.[1] Traditionally used by Central African foragers, it has undergone controversial research for the treatment of substance use disorders. Ibogaine exhibits complex pharmacology by interacting with multiple neurotransmitter systems, notably affecting opioid, serotonin, sigma, and NMDA receptors, while its metabolite noribogaine primarily acts as a serotonin reuptake inhibitor and κ-opioid receptor agonist.

The psychoactivity of the root bark of the iboga tree, T. iboga, one of the plants from which ibogaine is extracted, was first discovered by forager tribes in Central Africa, who passed the knowledge to the Bwiti tribe of Gabon. It was first documented in the 19th century for its spiritual use, later isolated and synthesized for its psychoactive properties, briefly marketed in Europe as a stimulant, and ultimately researched—and often controversial—for its potential in treating addiction despite being classified as a controlled substance. Ibogaine can be semisynthetically produced from voacangine, with its total synthesis achieved in 1956 and its structure confirmed by X-ray crystallography in 1960. Ibogaine has been studied for treating substance use disorders, especially opioid addiction, by alleviating withdrawal symptoms and cravings, but its clinical use and development has been limited due to regulatory barriers and serious safety risks like cardiotoxicity. A 2022 systematic review suggested that ibogaine and noribogaine show promise in treating substance use disorders and comorbid depressive symptoms and psychological trauma but carry serious safety risks, necessitating rigorous clinical oversight.[2]

Ibogaine produces a two-phase experience—initially visionary and dream-like with vivid imagery and altered perception, followed by an introspective period marked by lingering side effects like nausea and mood disturbances, which may persist for days. Long-term risks include mania and heart issues such as long QT syndrome, and potential fatal interactions with other drugs.

Ibogaine is federally illegal in the United States, but is used in treatment clinics abroad under legal gray areas, with growing media attention highlighting both its potential and risks in addiction therapy. It has inspired the development of non-hallucinogenic, non-cardiotoxic analogues like 18-MC and tabernanthalog for therapeutic use. In 2025, Texas allocated $50 million for clinical research on ibogaine to develop FDA-approved treatments for opioid use disorder, co-occurring substance use disorders, and other ibogaine-responsive conditions.


Psychoactive effects

Ibogaine is derived from the root of Tabernanthe iboga, a plant known to exhibit psychedelic effects in its users.[3] Ibogaine is administered orally at a typical dose of 3–30 mg/kg. Effects first become noticeable 1–3 hours after administration.[4][5] The subjective effects of ibogaine consist of two phases, a visionary phase followed by an introspective phase.

The visionary phase is a dreamlike, conscious state called oneirophrenia. Visual effects are almost always present and are often described as films or slideshows. These may be accompanied by increases in long-term recall of visual memory, resulting in autobiographical content. Other changes to sensation and perception may occur, including auditory hallucinations or distortions. Nausea and vomiting can be severe. Subjects may experience extreme confusion and/or a depressed mood. The visionary stage typically lasts 4–8 hours, but may last longer with especially high doses.[6][7]

The introspective is poorly defined, often simply as 24 or 36 hours post-treatment. Sensation and perception return to normal, but nausea, headaches, and other side effects linger. Insomnia, irritability, and mood changes are often seen, including depression and sometimes mania. Depression can persist well after 36 hours, known as a "grey day"; the effect is well-recognized. A persistently low mood can progress into major depressive disorder, a chronic condition. For the treatment of opioid or alcohol addiction, the subjective experiences do not appear to be important, although they are correlated to some secondary measures (e.g. satisfaction in self-assessments).[8]

Uses

Ibogaine-containing shredded bark of T. iboga for consumption

Medical

Ibogaine has been studied for its potential medical use in treating substance use disorders, particularly opioid addiction, by reducing withdrawal symptoms and cravings, though its use and clinical development have been limited by regulatory restrictions and serious safety concerns including cardiac risks.[2][9]

Adverse effects

Immediate adverse effects of ibogaine ingestion may include nausea, vomiting, tremors leading to ataxia, headaches, and mental confusion.[10] In long-term use, manic episodes may last for several days, possibly including insomnia, irritability, emotional instability, delusions, aggressive behavior, and thoughts of suicide.[10] In the heart, ibogaine causes long QT syndrome at higher doses, apparently by blocking hERG potassium channels and slowing the heart rate.[11][12] Ibogaine should not be used during pregnancy or breastfeeding.[10]

Ibogaine has potential for adverse interactions with other psychedelic agents and prescription drugs.[10][12] Death can occur,[12] especially if consumed with opioids or in people with comorbidities such as cardiovascular disease or neurological disorders.[10]

Neurotoxicity

Laboratory studies in rats indicate that ibogaine at high doses may cause degeneration of Purkinje cells in the cerebellum.[13][14][15][16] This also occurred with the related drug harmaline.[15][16] However, subsequent research found no evidence of this neurotoxicity with ibogaine in a primate.[17] In limited human research, neuropathological examination revealed no evidence of neuronal degenerative changes in an adult female patient who had received four separate doses of ibogaine ranging between 10 and 30 mg/kg over a 15-month interval.[17] A published series of fatalities associated with ibogaine ingestion also found no evidence for consistent neurotoxicity.[13][18]

Pharmacology

Pharmacodynamics

Ibogaine activities
Target Affinity (Ki, nM) Species
5-HT1A >10,000 (Ki)
IA (EC50)
Human/rat
Human
5-HT1B >100,000 (Ki)
IA (EC50)
Rat/calf
Human
5-HT1D >100,000 (Ki)
IA (EC50)
Bovine/calf
Human
5-HT1E ND (Ki)
IA (EC50)
ND
Human
5-HT1F ND (Ki)
IA (EC50)
ND
Human
5-HT2A 12,500–16,000 (Ki)
IA (EC50)
Rat
Human
5-HT2B ND (Ki)
IA (EC50)
ND
Human
5-HT2C >10,000 (Ki)
IA (EC50)
Rat/calf
Human
5-HT3 2,600–>10,000 (Ki)
ND (EC50)
Mouse/rat
ND
5-HT4 ND (Ki)
IA (EC50)
ND
Human
5-HT5A ND (Ki)
IA (EC50)
ND
Human
5-HT6 ND (Ki)
IA (EC50)
ND
Human
5-HT7 ND ND
α1Aα1D ND ND
α2Aα2C ND ND
β1 >100,000 Rat
β2, β3 ND ND
D1 >10,000 Human/calf
D2 >10,000 Human/calf
D3 70,000 Calf
D4 >10,000 Human
D5 ND ND
H1 >10,000 Unspecified
H2–H4 ND ND
M1 16,000–31,600 Calf/unspecified
M2 31,000–50,100 Calf/unspecified
M3 12,500 Unspecified
M4 ND ND
M5 ND ND
nACh 1,050–17,000 (Ki)
220–5,000 (IC50)
Human
Unspecified
I1, I2 ND ND
σ1 2,500–9,310 Guinea pig/calf
σ2 90–400 Rat/guinea pig/calf
MOR 6,920–11,040 (Ki)
IA (EC50)
<5% (Emax)
Human
Human
Human
DOR >100,000 (Ki)
IA (EC50)
Bovine
Human
KOR 3,680–3,770 (Ki)
~12,000 (EC50)
~18–21% (Emax)
Human
Human
Human
NOP >100,000 Bovine
TAAR1 ND ND
PCP 1,010–9,800 Rat/bovine/human
SERT 549 (Ki)
3,037–29,000 (IC50)
153,000 or IA (EC50)
Human
Human
Human
NET ND (Ki)
>100,000 (IC50)
Human
Bovine
DAT 1,980 (Ki)
20,000 (IC50)
IA (EC50)
Human
Rat
Rat
VMAT2 390–14,600 (IC50) Human
OCT2 9,310 (IC50) Human
VGSC 3,600–8,100 (Ki) Bovine/unspecified
VGCC 28,000 (IC50) Unspecified
hERG 710 (Ki)
3,530–4,090 (IC50)
Human
Human
Notes: The smaller the value, the more avidly the drug binds to the site. All proteins are human unless otherwise specified. Refs: [19][20][21][22][23][24][25][26][27]
[28][29][30][31][32][33][34][35][36][37]

Ibogaine affects many different neurotransmitter systems simultaneously and hence has complex pharmacology.[38][39][40] The specific targets mediating the effects of ibogaine are not fully clear.[41][40] The drug is a cyclized derivative of serotonin, and hence may be expected to have serotonergic actions, but shows relatively low affinity for serotonin receptors.[38] In any case, it appears that the serotonin 5-HT2A, 5-HT2C, sigma σ2, and μ- and/or κ-opioid receptors may be involved in the subjective effects of ibogaine based on animal studies.[41][40] Conversely, the NMDA, serotonin 5-HT1A and 5-HT3, and sigma σ1 receptors do not appear to be involved.[41][40]

Ibogaine's major active metabolite noribogaine has similar discriminative stimulus properties as ibogaine in rodent drug discrimination tests, but only partially substitutes for ibogaine.[41][40] It appears that the stimulus properties of ibogaine may be primarily mediated by noribogaine.[41][40] Noribogaine is most potent as a serotonin reuptake inhibitor. It acts as a moderate κ-opioid receptor agonist[29] and weak μ-opioid receptor agonist[29] or weak partial agonist.[28] It is possible that the action of ibogaine at the κ-opioid receptor may indeed contribute significantly to the psychoactive effects attributed to ibogaine ingestion; Salvia divinorum, another plant recognized for its strong hallucinogenic properties, contains the chemical salvinorin A, which is a highly selective κ-opioid agonist. Noribogaine is more potent than ibogaine in rat drug discrimination assays when tested for the subjective effects of ibogaine.[42]

There has been uncertainty about which biological target interactions mediate the psychoactive and other effects of ibogaine.[38][41][40] Rodent drug discrimination studies with ibogaine have been employed to help elucidate these interactions.[41][40] Ibogaine partially substitutes for the serotonergic psychedelics LSD and DOM and this can be blocked by the serotonin 5-HT2 receptor antagonist pizotifen.[41] Similarly, LSD and DOM partially substitute for ibogaine and this can be blocked by the serotonin 5-HT2A receptor antagonist pirenperone.[41][40][43] The serotonin releasing agent and potent serotonin 5-HT2 receptor agonist fenfluramine also partially substitutes for ibogaine.[41] The preferential serotonin 5-HT2C receptor agonists MK-212 and mCPP partially substitute for ibogaine as well and this can be blocked by the serotonin 5-HT2 receptor antagonist metergoline.[41] The preceding findings suggest that serotonin 5-HT2A and 5-HT2C receptor activation are involved in the subjective effects of ibogaine.[41][40] Conversely, the serotonin 5-HT1A and 5-HT3 receptors do not appear to be involved.[41][40]

Although serotonin 5-HT2A receptor signaling appears to be involved in the effects of ibogaine, neither ibogaine nor its major active metabolite noribogaine appear to act as direct serotonin 5-HT2A receptor agonists.[26] In addition, in contrast to the findings in drug discrimination studies, ibogaine fails to produce the head-twitch response, a behavioral proxy of psychedelic effects, in rodents.[38][44] As such, it has been said that ibogaine does not appear to be acting primarily or exclusively as a serotonergic psychedelic[38][44] and that its hallucinogenic effects cannot be ascribed to serotonin 5-HT2A receptor activation.[20] In any case, ibogaine has still been found to have significant in-vivo occupancy of the serotonin 5-HT2A receptor, suggesting that it is still a ligand of the receptor.[41]

The β-carbolines or harmala alkaloids bear a close resemblance to ibogaine both in terms of chemical structure and subjective effects.[41] Relatedly, harmaline and 6-methoxyharmalan fully substitute for ibogaine in drug discrimination tests, whereas harmine, harmane, harmalol, and tryptoline partially substitute for ibogaine.[41][40][45] As with the case of ibogaine, the psychedelic DOM partially substitutes for harmaline and this further supports a role of serotonin 5-HT2A receptor activation in the effects of ibogaine as well as of harmala alkaloids.[41] However, like ibogaine, harmala alkaloids like harmaline bound to the serotonin 5-HT2A receptor but failed to act as direct agonists of the receptor even at very high concentrations in vitro.[45] In addition, whereas ibogaine and noribogaine bind to κ-opioid receptors, harmala alkaloids like harmine and harmaline show no affinity for these receptors.[46]

Ibogaine's hallucinogenic effects not being mediated by serotonin 5-HT2A receptor activation has been said to be in accordance with its hallucinogenic effects in humans being qualitatively distinct from and unlike those of serotonergic psychedelics but instead similar to those of harmala alkaloids.[44][47][48] It is also in accordance with the fact that unlike serotonergic psychedelics like LSD, neither ibogaine nor harmala alkaloids cause pupil dilation or increase blood pressure in humans.[47] Conversely, unlike serotonergic psychedelics, ibogaine and harmaline are said to cause balance disturbances and vomiting to a greater extent than any other psychoactive drug besides alcohol.[47]

Ibogaine shows appreciable affinity for the NMDA receptor.[41] However, the NMDA receptor antagonists phencyclidine (PCP) and dizocilpine (MK-801) fail to substitute for ibogaine and ibogaine fails to substitute for these NMDA receptor antagonists in rodents and/or monkeys.[41][40] Hence, NMDA receptor antagonism does not appear to be involved in the subjective effects of ibogaine.[41][40] Neither μ-opioid receptor agonists nor κ-opioid receptor agonists like U-50,488 substitute for ibogaine.[41] In addition, the opioid antagonist naloxone did not substitute for ibogaine.[41] However, naltrexone partially substitutes for ibogaine.[41] In addition, the mixed opioid agonists and antagonists pentazocine, diprenorphine, and nalorphine partially substituted for ibogaine and this could be antagonized by naloxone.[41] The preceding findings suggest a role of opioid receptors but not the NMDA receptor in the effects of ibogaine.[41][40]

The non-selective sigma receptor agonists DTG and (+)-3-PPP partially substitute for ibogaine, whereas the σ1 receptor-selective agonists (+)-SKF-10,047 and (+)-pentazocine failed to substitute for ibogaine.[41] These findings suggest a role of σ2 receptor signaling in the effects of ibogaine.[41]

Induction of gamma oscillations with a profile that resembles that of REM sleep may be involved in the hallucinogenic and oneirogenic effects of ibogaine.[38][49]

Pharmacokinetics

Ibogaine is metabolized in the human body by cytochrome P450 2D6 (CYP2D6) into noribogaine (more correctly, O-desmethylibogaine or 12-hydroxyibogamine). Both ibogaine and noribogaine have a plasma half-life around 2 hours in rats,[50] although the half-life of noribogaine is slightly longer than that of the parent compound.[20] In humans, the elimination half-life of ibogaine is about 7 hours whereas the half-life of noribogaine is 24 to 50 hours.[20][51][52] Ibogaine may be deposited in fat and metabolized into noribogaine as it is released.[53] After ibogaine ingestion in humans, noribogaine shows higher plasma levels than ibogaine and is detected for a longer period of time than ibogaine.[54]

Chemistry

Ibogaine is a substituted tryptamine. It has two separate chiral centers, meaning that four different stereoisomers of ibogaine exist, which are difficult to resolve.[55]

Synthesis

One recent total synthesis[56] of ibogaine and related drugs starts with 2-iodo-4-methoxyaniline which is reacted with triethyl((4-(triethylsilyl)but-3-yn-1-yl)oxy)silane using palladium acetate in DMF to form 2-(triethylsilyl)-3-(2-((triethylsilyl)oxy)ethyl)-1H-indole. This is converted using N-iodosuccinamide and then fluoride to form 2-(2-iodo-1H-indol-3-yl)ethanol. This is treated with iodine, triphenyl phosphine, and imidazole to form 2-iodo-3-(2-iodoethyl)-1H-indole. Then, using 7-ethyl-2-azabicyclo[2.2.2]oct-5-ene and cesium carbonate in acetonitrile, the ibogaine precursor 7-ethyl-2-(2-(2-iodo-1H-indol-3-yl)ethyl)-2-azabicyclo[2.2.2]oct-5-ene is obtained. Using palladium acetate in DMF, the ibogaine is obtained. If the exo ethyl group on the 2-azabicyclo[2.2.2]octane system in ibogaine is replaced with an endo ethyl, then epiibogaine is formed.

Crystalline ibogaine hydrochloride is typically produced by semisynthesis from voacangine in commercial laboratories.[57][58] It can be prepared from voacangine through one-step demethoxycarbonylation process too.[59]

In 2025, researchers at the University of California, Davis Institute for Psychedelics and Neurotherapeutics reported the total synthesis of ibogaine, ibogaine analogues, and related compounds from pyridine.[60][61]

Derivatives

A synthetic derivative of ibogaine, 18-methoxycoronaridine (18-MC), is a selective α3β4 antagonist that was developed collaboratively by neurologist Stanley D. Glick (Albany) and chemist Martin E. Kuehne (Vermont).[62] This discovery was stimulated by earlier studies on other naturally occurring analogues of ibogaine, such as coronaridine and voacangine, that showed these compounds to have anti-addictive properties.[63][64] More recently, non- and less-hallucinogenic analogs, tabernanthalog and ibogainalog, were engineered by scientists attempting to produce non-cardiotoxic ibogaine derivatives by removing the lipophilic isoquinuclidine ring. In animal models, both molecules failed to produce cardiac arrhythmias, and tabernanthalog failed to produce any head twitch response, suggesting psychedelic effects were absent.[65][66]

Biosynthesis

Biosynthesis

Ibogaine biosynthesis begins with tryptophan undergoing enzymatic decarboxylation by tryptophan decarboxylase (TDC) to form a tryptamine. Secologanin, an iridoid synthesized from isopentenyl pyrophosphate (IPP) and dimethylallyl pyrophosphate (DMAPP), is reacted with tryptamine to make strictosidine. A glycosidic bond cleavage of strictosidine by strictosidine β-deglucosidase (SGD) produces a lactol. The lactol opens and produces an aldehyde, then condenses to form an iminium. Through isomerization and reduction by geissoschizine synthase 1 (GS1), 19E-geissoschizine is yielded. The indole is oxidized and the molecule undergoes intramolecular Mannich reaction and Grob fragmentation to form preakuammicine. Preakuammicine is highly unstable and therefore reduced to stemmadenine by oxidation-reduction reactions (REDOX 1 and REDOX 2). Stemmadine is acylated by stemmadine Ο-acetyltransferase (SAT) to yield stemmadine acetate. Through oxidation by precondylocarpine acetate synthase (PAS) and reduction by dihydroprecondylocarpine acetate synthase (DPAS), an enamine intermediate is formed. The intermediate undergoes fragmentation to produce an iminium that tautomerizes to yield dehydrosecodine. Coronaridine synthase (CorS) catalyzes the isomerization of dehydrosecodine and an unusual cycloaddition is completed. The iminium is reduced by DPAS and NADPH to form (-)-coronaridine.[67]

There are two pathways (-)-coronaridine can take to become (-)-ibogaine. The first pathway begins with a P450 enzyme, ibogamine-10-hydroxylase (I10H), and methylation of noribogaine-10-Ο-methyltransferase (N10OMT) to produce (-)-voacangine. Polyneudridine aldehyde esterase-like 1 (PNAE1) and a spontaneous decarboxylation can convert (-)-voacangine to (-)-ibogaine. The second pathway consists of PNAE1 and the spontaneous decarboxylation occurring first to yield (-)-ibogamine, then the reaction of I10H-mediated hydroxylation and N10OMT-catalyzed O-methylation to produce (-)-ibogaine.[67]

Natural occurrence

Ibogaine occurs naturally in iboga root bark. Ibogaine is also available in a total alkaloid extract of the Tabernanthe iboga plant, which also contains all the other iboga alkaloids and thus has only about half the potency by weight of standardized ibogaine hydrochloride.[57]

Due to environmental concerns and low levels in Tabernanthe iboga, ibogaine is often produced via semi-synthesis starting with voacangine, a naturally-occurring alkaloid in Voacanga africana.[67]

History

The use of iboga in African spiritual ceremonies was first reported by French and Belgian explorers in the 19th century, beginning with the work of French naval physician and explorer of Gabon Marie-Théophile Griffon du Bellay.[68] The first botanical description of the Tabernanthe iboga plant was made in 1889. Ibogaine was first isolated from T. iboga in 1901 by Dybowski and Landrin[69] and independently by Haller and Heckel in the same year using T. iboga samples from Gabon. Complete synthesis of ibogaine was accomplished by G. Büchi in 1966.[70] Since then, several other synthesis methods have been developed.[71]

From the 1930s to 1960s, ibogaine was sold in France in the form of Lambarène, an extract of the Tabernanthe manii plant, and promoted as a mental and physical stimulant.[72] It was formulated at doses of 200 mg extract containing low doses of 4 to 8 mg ibogaine per tablet.[73][72] The drug enjoyed some popularity among post-World War II athletes. Lambarène was withdrawn from the market in 1966 when the sale of ibogaine-containing products became illegal in France.[74][72] Another formulation was Iperton, which contained Tabernanthe iboga extract 40 mg per dose unit.[73]

In 2008, Mačiulaitis and colleagues stated that in the late 1960s, the World Health Assembly classified ibogaine as a "substance likely to cause dependency or endanger human health". The U.S. Food and Drug Administration (FDA) also assigned it to a Schedule I classification, and the International Olympic Committee banned it as a potential doping agent.[73]

Anecdotal reports concerning ibogaine's effects appeared in the early 1960s.[75] Its anti-addictive properties were discovered accidentally by Howard Lotsof in 1962, at the age of 19, when he and five friends—all heroin addicts—noted subjective reduction of their craving and withdrawal symptoms while taking it.[76] Further anecdotal observation convinced Lotsof of its potential usefulness in treating substance addictions. He contracted with a Belgian company to produce ibogaine in tablet form for clinical trials in the Netherlands, and was awarded a United States patent for the product in 1985. The first objective, placebo-controlled evidence of ibogaine's ability to attenuate opioid withdrawal in rats was published by Dzoljic et al. in 1988.[77] Diminution of morphine self-administration was reported in preclinical studies by Glick et al. in 1991.[78] Cappendijk et al. demonstrated reduction in cocaine self-administration in rats in 1993,[79] and Rezvani reported reduced alcohol dependence in three strains of "alcohol-preferring" rats in 1995.[80]

As the use of ibogaine spread, its administration varied widely; some groups administered it systematically using well-developed methods and medical personnel, while others employed haphazard and possibly dangerous methodology. Lotsof and his colleagues, committed to the traditional administration of ibogaine, developed treatment regimens themselves. In 1992, Eric Taub brought ibogaine to an offshore location close to the United States, where he began providing treatments and popularizing its use.[81] In Costa Rica, Lex Kogan, another leading proponent, joined Taub in systematizing its administration. The two men established medically monitored treatment clinics in several countries.[82]

In 1981, an unnamed European manufacturer produced 44 kg of iboga extract. The entire stock was purchased by Carl Waltenburg, who distributed it under the name "Indra extract" and used it in 1982 to treat heroin addicts in the community of Christiania.[3] Indra extract was available for sale over the Internet until 2006, when the Indra web presence disappeared. Various products are currently sold in a number of countries as "Indra extract", but it is unclear if any of them are derived from Waltenburg's original stock. Ibogaine and related indole compounds are susceptible to oxidation over time.[83][84]

The National Institute on Drug Abuse (NIDA) began funding clinical studies of ibogaine in the United States in the early 1990s, but terminated the project in 1995.[85] Data demonstrating ibogaine's efficacy in attenuating opioid withdrawal in drug-dependent human subjects was published by Alper et al. in 1999.[86] A cohort of 33 patients were treated with 6 to 29 mg/kg of ibogaine; 25 displayed resolution of the signs of opioid withdrawal from 24 hours to 72 hours post-treatment, but one 24-year-old female, who received the highest dosage, died. Mash et al. (2000), using lower oral doses (10–12 mg/kg) in 27 patients, demonstrated significantly lower objective opiate withdrawal scores in heroin addicts 36 hours after treatment, with self-reports of decreased cocaine and opiate craving and alleviated depression symptoms. Many of these effects appeared sustainable over a one-month post-discharge follow-up.[87]

Society and culture

As of 2024, the legal status of ibogaine varies widely among countries, as it may be illegal to possess or use, may be legalized, may be decriminalized, or is under consideration for future legislation.[88]

In the United States, although some cities and states have decriminalized psychedelic chemicals, plants and mushrooms, ibogaine has had minimal legislation, and remains illegal under federal law, as of 2023.[88][89] The US Drug Enforcement Administration enforces ibogaine as a Schedule I substance under the Controlled Substances Act.[10]

Treatment clinics

Ibogaine treatment clinics have emerged in Mexico, Bahamas, Canada, the Netherlands, South Africa, and New Zealand, all operating in what has been described as a "legal gray area".[90][91] Costa Rica also has treatment centers.[82] Covert, illegal neighborhood clinics are known to exist in the United States, despite active DEA surveillance.[92] While clinical guidelines for ibogaine-assisted detoxification were released by the Global Ibogaine Therapy Alliance in 2015,[93][94] addiction specialists warn that the treatment of drug dependence with ibogaine in non-medical settings, without expert supervision and unaccompanied by appropriate psychosocial care, can be dangerous — and, in approximately one case in 300, potentially fatal.[91]

Media

Documentary films

  • Detox or Die ({{{2}}}) (2004). Directed by David Graham Scott. Scott begins videotaping his heroin-addicted friends. Before long, he himself is addicted to the drug. He eventually turns the camera on himself and his family. After 12 years of debilitating, painful dependence on methadone, Scott turns to ibogaine. Filmed in Scotland and England, and broadcast on BBC One as the third installment in the documentary series One Life.[95]
  • Ibogaine: Rite of Passage ({{{2}}}) (2004). Directed by Ben Deloenen. Cy, a 34-year-old heroin addict, undergoes ibogaine treatment with Dr. Martin Polanco at the Ibogaine Association, a clinic in Rosarito, Mexico. Deloenen interviews people formerly addicted to heroin, cocaine, and methamphetamine, who share their perspectives about ibogaine treatment. In Gabon, a Babongo woman receives iboga root for her depressive malaise. Deloenen visually contrasts this Western, clinical use of ibogaine with the Bwiti use of iboga root, but emphasizes the Western context.[96]
  • Facing the Habit ({{{2}}}) (2007). Directed by Magnolia Martin. Martin's subject is a former millionaire and stockbroker who travels to Mexico for ibogaine treatment for heroin addiction.[97]
  • Tripping in Amsterdam (2008). In this short film directed by Jan Bednarz, Simon "Swany" Wan visits Sara Glatt's iboga treatment center in Amsterdam.[98] Current TV broadcast the documentary in 2008 as part of their "Quarter-life Crisis" programming roster.
  • I'm Dangerous with Love ({{{2}}}) (2009). Directed by Michel Negroponte. Negroponte examines Dimitri Mobengo Mugianis's long, clandestine career of treating heroin addicts with ibogaine.[99]
  • The "Underground Heroin Clinic" segment of "Addiction" (2013). Season 1, episode 7 of the HBO documentary series Vice examines the use of ibogaine to interrupt heroin addiction.[100][101]
  • The Ibogaine Safari (2014). A documentary by filmmaker Pierre le Roux which investigates the claims of painless withdrawal from opiates such as nyaope/heroin in South Africa by taking several addicts on an adventure "safari" while taking ibogaine. The documentary won the award for 'Best Documentary Short' at the 2014 Canada International Film Festival.[102][103]
  • Iboga Nights ({{{2}}}) (2014). Directed by David Graham Scott.[104]
  • Dosed (2019 film) ({{{2}}}) (2019). A documentary by Tyler Chandler and Nicholas Meyers. Synopsis- After years of no success with prescription drugs, a suicidal Adrianne seeks help from underground healers with her depression, anxiety, and opioid addiction by utilizing illegal psychedelics like magic mushrooms and iboga.[105]
  • "Synthetic Ibogaine - Natural Tramadol" (2021). This episode of the documentary series Hamilton's Pharmacopeia on Vice on TV, follows a struggling local addict to an ibogaine ritual.[106]
  • Lamar Odom Reborn ({{{2}}}) (2022). A documentary by Mike "Zappy" Zapolin, in which famous NBA athlete (and former Keeping Up With the Kardashians star) Lamar Odom seeks out ibogaine and other therapies to heal PTSD, anxiety, and addiction.[107]
  • While in Wisconsin covering the primary campaign for the United States presidential election of 1972, gonzo journalist Hunter S. Thompson submitted a satirical article to Rolling Stone accusing Democratic Party candidate Edmund Muskie of being addicted to ibogaine. Many readers, and even other journalists, did not realize that the Rolling Stone piece was facetious. The ibogaine assertion, which was completely unfounded, did significant damage to Muskie's reputation, and was cited as a factor in his loss of the nomination to George McGovern.[108] Thompson later said he was surprised that anyone believed it.[109] The article is included in Thompson's post-election anthology, Fear and Loathing on the Campaign Trail '72 (1973).[110]
  • Author and Yippie Dana Beal co-wrote the 1997 book The Ibogaine Story.[111]
  • American author Daniel Pinchbeck wrote about his own experience of ibogaine in his book Breaking Open the Head (2002),[112] and in a 2003 article for The Guardian titled "Ten years of therapy in one night".[113]
  • Author and musician Geoff Rickly based his debut novel Someone Who Isn't Me on his real-life experiences with heroin addiction and an ibogaine clinic in Mexico.[114]
  • American investigative journalist, Rachel Nuwer, published a comprehensive feature for Reason magazine titled Can This Psychedelic Help Cure Opioid Addiction?[115] In the article, Rachel speaks with experts in the field of opioid use disorder (OUD) and how ibogaine shows promising results for effective treatment and recovery. This is particularly true for those patients that also suffer from traumatic brain injuries (TBI).[116]

Television drama

Ibogaine factors into the stories of these episodes from television drama series:

  • "Patent Pending". FBI: Most Wanted. Season 4. Episode 6. 15 November 2022. CBS.
  • "Via Negativa". The X-Files. Season 8. Episode 7. 17 December 2000. Fox Broadcasting Company.
  • "Getting Off". CSI: Crime Scene Investigation. Season 4. Episode 16. 26 February 2004. CBS.
  • "Users". Law & Order: Special Victims Unit. Season 11. Episode 7. 4 November 2009. NBC.
  • "Echoes". Nikita. Season 1. Episode 16. 24 February 2011. The CW Television Network.
  • "One Last Time". Homeland (TV series). Season 3. Episode 9. 24 November 2013. Showtime.
  • "Bon Voyage". Graceland (TV series). Season 3. Episode 7. 6 August 2015. USA Network.

Radio and podcasts

  • "Sink or Swim. Act Two. I'm Not a Doctor But I Play One at the Holiday Inn.". This American Life. Episode 321. 1 December 2006. — A former heroin addict realizes that he wants to help other addicts kick their habits. The problem is, he wants to do this using a hallucinogenic drug - ibogaine - that is completely illegal, and which requires medical expertise he doesn't have.[117]
  • In January 2025, former Texas Governor Rick Perry and W. Bryan Hubbard, appeared on The Joe Rogan Experience. The trio discussed advances in public policy towards ibogaine and eventual FDA clinical trials.[118][119] Hubbard was the former Chairman and Executive Director of the Kentucky Opioid Abatement Advisory Commission until he was asked to resign in December 2023.[120] Since 2024, Hubbard has continued his campaign outside Kentucky and now works with the REID Foundation as the Executive Director of the American Ibogaine Initiative.[121]

Research

Addiction treatment

A 2022 systematic review of 24 studies involving 705 participants suggests that ibogaine and noribogaine show promise in treating substance use disorders and comorbid depressive symptoms and psychological trauma, but carry serious safety risks, necessitating rigorous clinical oversight.[122]

Texas research initiative

In 2025, the state of Texas allocated $50 million to fund clinical research on ibogaine, aiming to develop a U.S. Food and Drug Administration-approved treatment for opioid use disorder, co-occurring substance use disorders, and other ibogaine-responsive conditions.[123][124] The initiative, supported by former Governor Rick Perry, established a consortium of universities, hospitals, and drug developers, with the goal of positioning Texas as a leading center for psychedelic medicine research.[123]

Psychotherapy

Ibogaine was used as an adjunct to psychotherapy by Claudio Naranjo, documented in his 1973 book The Healing Journey: New Approaches to Consciousness.[47] He was awarded patent CA patent 939266 in 1974.

See also

References

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