Iboga is a naturally occurring psychoactive substance found in plants in the family Apocynaceae such as Tabernanthe iboga, Voacanga africana, and Tabernaemontana undulata.
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Ibogaine is derived from the root of the Tabernanthe iboga, a plant known to exhibit psychedelic effects in its users. The experience of ibogaine occurs in two phases, termed the visionary phase and the introspection phase. The visionary phase has been described as oneirogenic, referring to the dreamlike nature of its psychedelic effects, and lasts for 4 to 6 hours. The second phase, the introspection phase, is responsible for the psychotherapeutic effects. It can allow people to conquer their fears and negative emotions. Ibogaine catalyzes an altered state of consciousness reminiscent of dreaming while fully conscious and aware so that memories, life experiences, and issues of trauma can be processed.
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Ibogaine is not currently approved for any medical uses. There are legal ibogaine rehabilitation facilities in Mexico. Clinical studies of ibogaine to treat drug addiction began in the early 1990s, but concerns about cardiotoxicity led to termination of those studies. There is currently insufficient data to determine whether it is useful in treating addiction. Nonetheless, some alternative medicine clinics administer ibogaine for this purpose, in what has been called a “vast, uncontrolled experiment.” As of May 2020, there is a phase-2 clinical trial of Ibogaine for the treatment of alcoholism scheduled for August 2020 in Brazil.