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A preliminary investigation of ibogaine: case reports and recommendations for further study.

S G Sheppard

Journal of Substance Abuse Treatment 1994 DOI: 10.1016/0740-5472(94)90049-3 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Case series Case report Peer reviewed
Sample size 7
Population Individuals addicted to opiates
Intervention Ibogaine
Dose 700-1800 mg
Duration 24-38 hour psychoactive period, with follow-up of 14 weeks or more
Topics Ibogaine
Citations 162
Key findings A single high dose of ibogaine eliminated opiate withdrawal symptoms in all seven participants, with three of six who took 1000 mg or more remaining drug-free for at least 14 weeks.

Abstract

A naturally occurring substance, ibogaine, was taken by seven individuals who were addicted to opiates. Ibogaine, an alkaloid with psychotropic effects at doses of 200-300 mg and above, was taken in single doses of 700-1800 mg by the subjects in the study. At the end of the 24-38-hr psychoactive period induced by the drug at these doses, none of the subjects displayed significant opiate withdrawal symptoms. At the lowest dose of 700 mg, one subject recontinued his drug abuse after 2 days; of the remaining six individuals who took 1,000 mg or above, two relapsed after a number of weeks, one reverted to intermittent heroin use, and three appear to have remained drug-free 14 weeks or more after undergoing this experimental treatment. Ibogaine may be of value in the present and could serve as a model for the development of improved agents for the treatment of substance abuse in the future.

In the evidence

This study is part of the evidence base for a synthesis in the library. Here is how each one recorded it.

  • After single ibogaine doses of 700-1800 mg, none of seven subjects showed significant opiate withdrawal at the end of the psychoactive period, and three of six taking 1000 mg or more appeared drug-free at 14 weeks or longer.

    Synthesized

Comparable studies

Other case reports and case series on ibogaine, most cited first.

Study Year Design Participants
Treatment of acute opioid withdrawal with ibogaine. Patients undergoing opioid detoxification with ibogaine in non-medical settings 1999 Case series n = 33
Long-QT Syndrome Induced by the Antiaddiction Drug Ibogaine A 31-year-old woman 2009 Case study n = 1
Distribution of ibogaine and noribogaine in a man following a poisoning involving root bark of the Tabernanthe iboga shrub. 48-year-old Caucasian male with a history of drug abuse who died after ingesting... 2006 Case study n = 1
A case report SPECT study and theoretical rationale for the sequential administration of ibogaine and 5-MeO-DMT in the treatment of alcohol use disorder. 31-year-old male military veteran with moderate alcohol use disorder 2018 Case study n = 1
Remission of Severe Opioid Use Disorder with Ibogaine: A Case Report. 37-year-old female with severe opioid use disorder 2016 Case study n = 1

Citations in the library

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