The Iboga Wellness Institute

Ibogaine Treatment for Suboxone vs Staying on Buprenorphine: What the Choice Really Means

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ibogaine vs buprenorphine treatment

Expertise provided by James Collins, Owner

You have been on Suboxone for three years. Your prescriber says you are doing well and should stay on it indefinitely. Your family says you traded one drug for another. You feel stable but not free. Now you are searching for ibogaine, and what you really want to know is whether getting off buprenorphine is worth the risk, the cost, and the uncertainty of what comes after. That question sits under every search for ibogaine treatment for Suboxone, and it deserves a straight answer from Iboga Wellness Institute instead of a sales pitch.

Maybe you are not the one taking Suboxone. Maybe you are a parent, spouse, or adult child reading this late at night for someone you love, hoping this might be something to consider and aware that outcomes vary widely. The information below is for you, too.

Here is the straight answer: both paths are real options, and both ask a lot of you.

Buprenorphine asks for time, structure, and a medication with no planned end date. Ibogaine asks for a 30-day transition supervised by a physician, an honest look at your ECG and bloodwork, travel to our licensed Iboga Wellness Institute clinic in Cozumel, Mexico, and real work once you come home, though individual responses vary and outcomes are not guaranteed.

At Iboga Wellness Institute, the core medical question about anyone on Suboxone is not “Have you stopped?” It is “Has your transition been handled properly, and is your body stable enough right now?” Sometimes the answer is yes. Sometimes it is not yet. Sometimes it is no. This guide explains what each choice actually means so you can decide with clear eyes.

Is Ibogaine Really the Opposite of Staying on Buprenorphine?

In most ways, yes. Buprenorphine keeps your opioid receptors steadily occupied, so withdrawal and cravings stay quiet for as long as you take it. Ibogaine is a single, medically supervised intervention that in some cases may interrupt withdrawal and offer a chance to live without opioids, though individual responses vary and outcomes cannot be predicted.

Buprenorphine is a partial opioid agonist. It attaches tightly to the brain’s mu-opioid receptors, the same receptors that heroin, fentanyl, and pain pills act on, but it only partly switches them on. That partial effect has a ceiling, which is one reason it is safer than full opioids. Its strong grip on the receptor also keeps other opioids from having much effect. NIDA recognizes buprenorphine as one of the medications that can reduce cravings and withdrawal for people with opioid use disorder. Suboxone pairs buprenorphine with naloxone, which is mainly there to discourage misuse by injection.

What buprenorphine does not do is return your brain to how it worked before opioids. It manages the system rather than resetting it.

That is not a flaw. It is how the medication was designed to work, and for many people that steady management is exactly what keeps them alive and working.

Ibogaine starts from a different idea. It is a psychoactive alkaloid from the root bark of the iboga shrub, and at our Iboga Wellness Institute Cozumel clinic it is given as a single flood dose under physician oversight with 24/7 nursing care. Some people have reported withdrawal easing within hours and cravings going quiet in a way they had not felt in years in their individual cases, though responses vary widely from person to person, these effects may be temporary, and such results are not typical or expected for all individuals. Researchers believe it acts on several brain systems at once. The science is still developing, ibogaine remains investigational and is not FDA-approved, and outcomes differ for each individual.

Neither approach erases the deeper biology of opioid dependence on its own. Ibogaine may interrupt withdrawal and quiet cravings for a window of time in some individuals, but it cannot teach you how to handle a bad day at work. It cannot repair a marriage or rebuild trust with a child. It does not change the people in your phone or the reasons you started using in the first place.

For some individuals, ibogaine may open a window of opportunity, but lasting recovery depends on the choices a person makes afterward, and outcomes vary widely.

Why Can’t You Just Stop Suboxone and Get on a Plane?

Once you understand how differently these two approaches work, the next question is usually about timing. Buprenorphine is long acting and binds strongly to opioid receptors, so its withdrawal can be delayed and drawn out. How you feel a few days after your last dose does not reliably predict how the rest of your transition will go. That is why Iboga Wellness Institute requires a 30-day, physician-supervised detox and transition off Suboxone before ibogaine is even considered.

The most common mistake we see is the assumption that you can quit, grit your way through a rough few days, and be ready to fly. The pattern is predictable. The early days feel tolerable, so the warnings start to sound exaggerated. Then sleep breaks down, anxiety climbs, your body aches, and cravings return harder than you expected. Feeling okay early never established that you were medically ready. It meant the medication had not fully worked its way out.

So the transition has to be managed by the physician you already work with, coordinated with our Iboga Wellness Institute medical team. Many people who call us have tried to stop before and had a difficult experience, or are already dreading withdrawal. We take that seriously. Struggling during withdrawal is not a failure in our eyes, and you do not have to prove how much you can endure.

Depending on your circumstances, our Iboga Wellness Institute physicians can arrange a medically supervised switch to a short-acting opioid during those 30 days. A short-acting medication gives the medical team a more predictable picture of withdrawal before treatment and may make the period easier to get through for some individuals. The physicians prescribe it, monitor it, and set exactly when it must stop before ibogaine. Short-acting opioid transitions have been used in published ibogaine studies. They do not remove the risks of treatment, and they do not guarantee you will be ready.

When the 30 days are complete, our Iboga Wellness Institute physician looks at the whole picture:

  • Your Suboxone dose, how long you took it, and when you last took it
  • How your body responded during the transition and what withdrawal symptoms remain, including sleep, anxiety, physical discomfort, and cravings
  • A 12-lead ECG and your QTc interval
  • Electrolytes, especially potassium and magnesium
  • Liver function and hydration
  • Every other medication you take

Day 30 is part of our Iboga Wellness Institute protocol, not a clearance. Finishing those 30 days does not mean you automatically proceed; our physician makes the final call based on your individual condition. If you need more time or additional medical care, we explain why and plan the next step with you. We would much rather you tell us honestly how you feel than what you think we want to hear.

What Makes Ibogaine Treatment for Suboxone Riskier Than It Looks?

The transition is careful for a reason, and that reason is your heart. Ibogaine can significantly prolong the QT interval, the time your heart needs to recharge between beats, and that can trigger dangerous and sometimes fatal rhythms. Coming off buprenorphine can stack more risk on top, because withdrawal often brings dehydration and electrolyte shifts that leave the heart more vulnerable.

As state lawmakers look more closely at the evidence on ibogaine for opioid use disorder, cardiac safety is the question no honest discussion can skip. Any program that talks about ibogaine without talking about the heart is leaving out the most important part.

Here is why the Suboxone transition matters so much for cardiac safety. Weeks of withdrawal can mean sweating, vomiting, diarrhea, poor sleep, and skipped meals, and each of those can drain potassium and magnesium. Low levels of either can lengthen the QT interval on their own. A person can look and feel fine while their bloodwork tells a different story. Some common medications also lengthen the QT interval, including certain antidepressants, antipsychotics, and antibiotics, as well as methadone.

So before anyone receives a flood dose, our Iboga Wellness Institute physician reviews a 12-lead ECG with a careful QTc reading, potassium and magnesium levels, liver function (the liver is what breaks ibogaine down), hydration, ongoing withdrawal symptoms, and a full medication list. Urine toxicology screening confirms what is actually in your system. Someone who is dehydrated, has abnormal electrolytes, or shows concerning cardiac findings may need additional care first, or may not be eligible. During and after the flood dose, you have 24/7 nursing care and physician oversight. The effects of ibogaine and its main breakdown product can last well beyond the day of the dose, so monitoring does not stop when the most intense hours end.

Some people are not candidates. Serious heart conditions, psychosis, certain bipolar disorder presentations, and active psychiatric or suicidal crises fall outside what we treat. Others may need more medical care first, and applying or paying never guarantees treatment.

Every person who comes to Iboga Wellness Institute in Cozumel is someone’s son, daughter, spouse, parent, sibling, or best friend, and we screen them that way.

What Does Staying on Buprenorphine for Life Actually Ask of You?

Ibogaine is only half of the decision, so the other path deserves the same honest look. Staying on buprenorphine means treating opioid use disorder like a long-term health condition, with a daily medication, regular check-ins, and no set end date. For many people that structure is life-saving stability. For others, it starts to feel like dependence with a prescription.

Federal guidance from SAMHSA supports buprenorphine as a medication for opioid use disorder and does not set a time limit on how long someone can stay on it. If buprenorphine has given you a steady life, a job you show up for, and a family that trusts you again, that is a meaningful outcome for you. It is not a failure, and nobody should shame you out of it.

Still, the daily reality matters. Long-term maintenance usually means:

  • Regular prescriber visits and urine drug screens
  • Monthly pharmacy trips and refills that must line up perfectly
  • Insurance prior authorizations that can lapse or get denied
  • Out-of-pocket costs that can run roughly $200 to $500 a month without coverage, depending on dose, formulation, and pharmacy, plus visit fees
  • Extra planning for travel, moves, or any gap between doctors

Then there is the weight no pharmacy receipt shows. A relative who says you are “still using.” An employer drug test you have to explain. A custody evaluator who sees a prescription and draws the wrong conclusion. And sometimes, the quiet feeling inside that you are never quite done.

None of this means you should stop. It means you deserve to weigh the real costs of both paths, not just the frightening ones on one side. Whatever you decide, never stop buprenorphine on your own. Any change should be planned with the physician who prescribes it.

Who Handles Each Step Between Your Prescriber, Columbus, and Cozumel?

If you are leaning toward ibogaine, it helps to know exactly who does what. Iboga Wellness Institute splits the work between two places. Our Columbus, Ohio corporate office handles admissions, screening, coordination with your prescriber, and aftercare. All ibogaine treatment happens at our licensed medical clinic in Cozumel, Mexico.

That split exists for a reason. Federal law lists ibogaine as a Schedule I controlled substance, and the FDA has not approved it to treat opioid use disorder or any other condition. It remains investigational. No clinic in Ohio, or anywhere in the United States, can legally provide it. If someone offers it to you here, treat that as a warning sign.

Here is how the process works for someone currently on Suboxone:

  1. First conversation and screening. Our Iboga Wellness Institute Columbus admissions team learns your substance history, your current dose and how long you have been on it, your mental health history, your other medications, and what happened in any earlier attempts to stop.
  2. Coordinating the 30-day transition. With your written consent, our medical team works with the physician who prescribes your Suboxone. Together they plan the transition, decide whether a short-acting opioid makes sense for you, and set the timing for labs and an ECG.
  3. Medical review before travel. Our physician reviews your ECG, QTc, bloodwork, hydration, and symptoms, then decides whether you proceed, wait, or need a different path.
  4. Treatment in Cozumel. Your stay of about a week includes preparation, the flood dose, 24/7 nursing care, physician oversight, and therapeutic support.
  5. Coming home. Integration programs and post-treatment follow-up are coordinated from Columbus, so you are not left on your own the day you land.

Your timeline is built around your body, not a calendar. If your numbers are not where they need to be, you do not fly. Safety will always come before filling a bed.

Which Path Fits the Recovery You Actually Want?

Neither path is right for everyone. The choice depends on how you define recovery, how much medical risk you will accept for a chance at living opioid-free, and whether you have the support to keep working after treatment ends.

Some people see buprenorphine as an approach that helped them work, parent, and live without the chaos of active use. They are not wrong. Others feel tethered to the opioid system and want to find out who they are without it. They are not wrong either. This is a values question as much as a medical one.

Be clear-eyed about what happens when opioids stop, by any method. Stopping buprenorphine, through a taper or otherwise, carries a real risk of returning to use. SAMHSA warns that tolerance drops after a person stops opioids, which raises overdose risk if they use again. The same is true after ibogaine, because your body will not handle the amount it once did. That single fact belongs in any plan you make.

Be clear-eyed about the evidence, too. Much of what is published on ibogaine for opioid use comes from observational studies and self-report surveys of people who sought ibogaine for problematic opioid use, not large controlled trials. That does not make ibogaine worthless. It means you should be wary of anyone who talks about it with certainty.

Before you decide, sit with these questions:

  • Does recovery mean no opioids at all for you, or a stable life with medication?
  • Is your life on buprenorphine truly working, or does it only look that way from outside?
  • Can you accept a real cardiac risk, even with careful screening and monitoring?
  • Do you have the money, a passport, time off, and people at home to support travel to Cozumel?
  • Will you commit to integration and aftercare once you are back?
  • Is this your decision, or are you trying to quiet someone else’s pressure?

If you are a family member, these questions are worth asking together rather than for your loved one. The decision only holds if it is truly theirs.

We are not looking for a miracle, and we would ask you not to look for one either. We look for someone who is medically ready, honest about where they are, and willing to keep rebuilding afterward: their relationships, their purpose, their health.

Questions People Ask Before Choosing Ibogaine Treatment for Suboxone

These are the questions people on Suboxone, and the families who love them, ask our Iboga Wellness Institute admissions team most often. We have answered them the way we would on the phone.

How long do I need to be off Suboxone before ibogaine treatment?

Iboga Wellness Institute requires a 30-day, physician-supervised detox and transition off Suboxone first. Time alone does not clear you, though. Our physician makes the final decision based on your ECG, QTc, electrolytes, liver function, hydration, remaining withdrawal symptoms, and medication history. Some people need more time, and that is appropriate for their safety.

Is ibogaine treatment for Suboxone legal in Ohio?

No. Ibogaine is a Schedule I substance in the United States and is not FDA-approved for any condition, so it is not available in Ohio or any other state. Iboga Wellness Institute provides treatment only at its licensed medical clinic in Cozumel, Mexico. The Columbus office handles admissions, screening, and aftercare coordination only.

Can I stay on Suboxone forever, or do I have to get off it eventually?

You can stay on it indefinitely. Long-term buprenorphine maintenance is medically appropriate for many people, and there is no rule that says you must stop. Some people choose to pursue life without opioids through ibogaine or a supervised taper. That is a personal decision to make with your prescriber, never one to make alone.

What happens if I relapse after ibogaine treatment?

Ibogaine may interrupt withdrawal and ease cravings for some individuals, but it does not remove opioid use disorder. A return to use can happen, and your tolerance will be lower, which makes overdose more likely. That is why integration programs and post-treatment follow-up continue after you leave Cozumel. If you do use again, contact us and your local physician right away. Restarting medication is a valid option.

How much does ibogaine treatment for Suboxone cost, and does insurance help?

Because ibogaine is not FDA-approved, US insurance plans do not cover it, and Iboga Wellness Institute does not accept insurance. The total cost depends mainly on your room selection and your medical needs. Our admissions team will give you the full figure and explain exactly what it covers before you commit to anything. Plan for it as a significant personal investment, especially if your family has already spent a great deal on earlier treatment.

Will my doctor help me stop Suboxone so I can do ibogaine?

Some prescribers support the decision and others do not. Either way, coordination between your prescriber and our medical team is essential, because the 30-day transition has to be properly managed by the physician you work with. With your consent, our Iboga Wellness Institute Columbus admissions team can contact your physician, explain our protocol, and share what our medical team will need. If your prescriber will not help, we will talk through safe options with you. Stopping without medical supervision is never one of them.

Start With One Honest Conversation

Your next step is not booking treatment. It is a conversation with people who will tell you the truth about whether ibogaine makes sense for you, or for the person you love, right now.

Contact the admissions team at Iboga Wellness Institute’s Columbus, Ohio office through theibogainstitute.org. We will talk through your current Suboxone treatment, coordinate a physician-supervised transition plan with your prescriber, and determine together whether ibogaine treatment at our Cozumel clinic may be medically appropriate for you.

Before you call, write down four things: your current Suboxone dose, how long you have been taking it, when you took your last dose, and your prescriber’s name and contact information. Those are the exact details our Iboga Wellness Institute physician uses to start evaluating your readiness, and having them ready speeds up the first steps. Whichever path you choose, the goal is the same: a life you no longer feel the need to escape from.

Important legal and safety information: Ibogaine is not approved by the FDA and is not available as a legal medical treatment in the United States. Iboga Wellness Institute provides ibogaine treatment exclusively at its licensed medical clinic in Cozumel, Mexico, under medical supervision. US locations handle admissions, screening, and aftercare coordination only.

Ready to Explore Whether Ibogaine Is Right for Your Journey?

If you’ve been weighing the choice between continuing buprenorphine maintenance and pursuing ibogaine treatment at our licensed clinic in Cozumel, the next step is simply a conversation. Our Iboga Wellness Institute admissions team can walk you through what the detoxification process looks like, answer your questions about tapering or transitioning off Suboxone, and help you understand whether this path aligns with where you are now. You don’t have to have all the answers before you reach out.

Call Iboga Wellness Institute

Individual responses to ibogaine vary, and outcomes depend on many factors including medical history, adherence to aftercare, and individual circumstances.

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Santiago Tigera, Head Chef and Director of Concierge Services at Iboga Wellness Institute

Santiago Tigera

Head Chef & Director of Concierge Services

Santiago Tigera serves as Head Chef and Director of Concierge Services at Iboga Wellness Institute, bringing together two essential parts of the IWI experience: exceptional nutrition and highly personalized hospitality.

Formally educated in the culinary arts at the University of Guadalajara, Santiago has built his career through years of experience working in several respected restaurants on the island of Cozumel. His background has given him extensive experience in professional kitchen operations, menu development, food preparation, presentation, and creating meals around the individual preferences and needs of his guests.

At IWI, Santiago understands that nutrition is an important part of the overall wellness and recovery experience. Rather than taking a one-size-fits-all approach, he works closely with each guest to understand their food preferences, dietary restrictions, allergies, and nutritional needs. Meals are thoughtfully prepared with an emphasis on fresh ingredients, quality, balance, and creating food that guests genuinely enjoy throughout their stay.

Santiago’s role extends well beyond the kitchen. With a strong professional background in customer service, hospitality, and concierge services, he also oversees the guest experience from a hospitality perspective. His goal is to make each person arriving at IWI feel welcomed, comfortable, and cared for from the moment they arrive in Cozumel until the time they return home.

As Director of Concierge Services, Santiago helps coordinate the many details that allow guests to focus on their treatment and personal experience rather than logistics. He works closely with our clinical, wellness, culinary, and operations teams to help create a seamless experience tailored to each individual.

What makes Santiago such an important part of IWI is his understanding that true hospitality is about more than providing a beautiful room or an excellent meal. It is about anticipating people’s needs, paying attention to the details, and creating an environment where every guest feels personally cared for.

His combination of culinary education, years of restaurant experience in Cozumel, and extensive hospitality and concierge experience reflects IWI’s commitment to providing a level of care that extends beyond the clinical environment.

At IWI, Santiago’s mission is simple: make every guest feel at home while providing the quality of food, service, and personal attention expected from a world-class wellness experience.

Jess Kaban, Psychedelic Integration Coach and Recovery Mentor at Iboga Wellness Institute

Jess Kaban

Psychedelic Integration Coach & Recovery Mentor

Jess Kaban is a psychedelic integration and recovery coach specializing in addiction, with a particular focus on supporting individuals navigating opioid dependence, recovery, and the preparation and integration surrounding psychedelic experiences. She is a Being True to You Certified Psychedelic Coach and brings both professional training and lived experience to her work.

Jess’ own journey through chronic pain, long-term opioid use, recovery, and psychedelic healing deeply shaped her path into this field. Having experienced firsthand the challenges of rebuilding a life and nervous system after dependence, she approaches her clients with compassion, understanding, and a genuine respect for the complexity of recovery.

Her work is grounded in meeting people where they are and helping them move forward with greater clarity, self-trust, and connection. Whether supporting someone through recovery or helping them prepare for and integrate a psychedelic experience, Jess creates a nonjudgmental space where clients can explore meaningful, lasting change.

Outside of her coaching work, Jess is also a professional artist, with a deep appreciation for creativity, self-expression, and the many ways people find connection and meaning in their experiences. Her work as an artist has been an important part of her own journey and continues to shape the curiosity, openness, and creativity she brings to her work with others.

Dr. Nadia Medina Becerril, Sports Medicine Physician at Iboga Wellness Institute

Dr. Nadia Medina Becerril

Sports Medicine Physician | High-Performance & Integrative Wellness

Dr. Nadia Medina Becerril is a physician specializing in Sports Medicine with more than 20 years of experience working with high-performance athletes. Born in Guadalajara, Jalisco, Mexico, she earned her medical degree from the Autonomous University of Guadalajara and has dedicated her career to improving health, physical performance, recovery, and overall well-being.

In addition to her extensive background in sports medicine, Dr. Medina is certified in Aesthetic Medicine under Dr. Aldo Diosdado, expanding her expertise into an integrated approach that combines medical care, physical optimization, recovery, and wellness.

Dr. Medina currently serves as Head of the Center for Applied Sports Sciences for the Municipality of Cozumel and leads the Sports Health Department of the Quintana Roo Sports Institute, where she works at the intersection of medicine, athletic performance, injury prevention, rehabilitation, and long-term health.

As part of the medical team at Iboga Wellness Institute, Dr. Medina brings decades of clinical and high-performance experience to a multidisciplinary model of care. Her approach aligns with IWI’s commitment to providing individualized, medically informed treatment focused not only on the immediate therapeutic experience, but also on helping each patient achieve greater physical resilience, recovery, and overall quality of life.

Her combination of sports medicine, performance science, aesthetic medicine, and hands-on clinical experience adds another important dimension to IWI’s comprehensive approach to patient care.

Dr. Jennifer L. Turner, Lead Mental Health Coordinator

Dr. Jennifer L. Turner

Lead Mental Health Coordinator

Dr. Jennifer L. Turner is a Licensed Clinical Social Worker and NAUI SCUBA Instructor Trainer pioneering the integration of scuba diving with mental health therapy through a therapeutic program in Cozumel, Mexico. At Iboga Wellness Institute, she serves as Lead Mental Health Coordinator, supporting ibogaine-specific treatment with a focus on recovery, emotional regulation, and trauma-informed care.

Her background includes service as a U.S. Army Military Police Officer and extensive work supporting veterans and service members through roles with the Idaho National Guard. This experience has shaped her clinical expertise in trauma, suicide prevention, emotional regulation, and compassionate bereavement care.

Dr. Turner completed her Doctorate in Social Work from the University of Kentucky in 2026, complementing her master’s and bachelor’s degrees from Boise State University. She also holds specialized certifications in Substance Use, Trauma-Informed Care, and Advanced Suicide Intervention, reflecting a career dedicated to innovative, holistic, and compassionate clinical leadership.

DR. LORI NATION LEGRAND, MD

Chief Medical Consultant

Lori Nation Legrand, MD, is the Chief Medical Consultant at Iboga Wellness Institute, bringing decades of expertise in psychiatric care, neurologic conditions, addiction medicine, and substance abuse treatment. A compassionate advocate for multidisciplinary care, Dr. Nation Legrand is dedicated to helping individuals navigate complex mental health and addiction challenges with dignity and respect.

Before joining IWI, Dr. Nation Legrand served in several prominent leadership roles, including Kentucky State Medical Director for Pinnacle Treatment Centers and national Physician Specialist at Crossroads Treatment Centers. Her entrepreneurial and clinical background includes owning a specialized private practice that incorporated wellness and holistic care for patients struggling with mental health and substance abuse challenges.

From 2006 to 2018, Dr. Nation Legrand owned and operated multiple opioid treatment programs across Kentucky, and she also served as a psychiatrist at Seven Counties Services in Louisville. Her background gives her a deep understanding of complex patient needs, medication considerations, stabilization planning, and the importance of coordinated medical oversight.

Dr. Nation Legrand earned her MD from the University of Louisville School of Medicine, where she serves on the alumni council, and completed the Triple Board program, a highly specialized residency at the University of Kentucky. She is a council member for Addiction Specialists of Kentucky through the University of Kentucky.

Credentials

  • Doctor of Medicine (MD)
  • Chief Medical Consultant
  • Board-Certified in Psychiatry, Child and Adult
  • Board-Certified in Addiction Medicine
  • Board-Certified in Obesity Medicine
  • Former Kentucky State Medical Director, Pinnacle Treatment Centers
  • Former National Physician Specialist, Crossroads Treatment Centers
  • Medical Degree: University of Louisville School of Medicine
  • Triple Board Residency: University of Kentucky
  • Council Member, Addiction Specialists of Kentucky through the University of Kentucky
Lindsey White, Director of Client Integration at Iboga Wellness Institute

Lindsey White, M.Ed.

Director of Client Integration

Lindsey White, M.Ed. is a preparation and integration coach, Jungian-informed guide, and former psychotherapist with nearly two decades of clinical experience helping individuals navigate trauma, addiction, and profound life transitions. After retiring her psychotherapy license in 2022, she dedicated her work exclusively to coaching, supporting people in translating transformative experiences into lasting personal growth.

Throughout her clinical career, Lindsey integrated Internal Family Systems (IFS), Jungian psychology, EMDR, and mindfulness-based approaches. She completed a Certificate in Psychedelic-Assisted Therapies and Research through the California Institute of Integral Studies (CIIS), including training in the MAPS MDMA-assisted therapy protocol, and later earned certification in Ketamine-Assisted Psychotherapy through Dr. Phil Wolfson. She also collaborated with Dr. Brent Turnipseed on a pilot study exploring the combined effects of ketamine and EMDR, which was presented at the 2019 Kriya Conference in San Francisco.

Her relationship with iboga also extends beyond the Western clinical and therapeutic context. Lindsey has been initiated into the Mabandji tradition in Gabon, the female lineage of Dissoumba, the original sect of Bwiti. This experience has deepened her respect for the Indigenous roots of iboga and continues to inform the reverence, cultural humility, and responsibility she brings to preparation and integration work.

Recognized as an early leader in psychedelic integration, Lindsey founded Root Recovery, the first therapeutic ibogaine aftercare center in the United States. She is also the author of The Root and the Crown: A Preparation and Integration Guide for Ibogaine and 5-MeO-DMT, a comprehensive resource designed to help individuals prepare for and integrate these profound healing experiences with intention, safety, and lasting transformation.

Today, Lindsey specializes in preparation and integration coaching for veterans, first responders, and civilians pursuing legal psychedelic therapies. In addition to her work with the Iboga Wellness Institute, she serves as a coach with Veterans Exploring Treatment Solutions (VETS), supporting veterans as they prepare for and integrate Ibogaine and 5MeO-DMT.

Her coaching draws from Jungian depth psychology, parts work, and contemplative practices to help clients transform insight into embodied change. Rather than focusing solely on symptom relief, she guides clients toward greater wholeness, resilience, authenticity, and alignment between mind, body, and spirit.

Lindsey believes healing is not simply about feeling better; it is about becoming more fully oneself. Her work emphasizes meaning-making, shadow integration, and the practical application of insight so that profound experiences become lasting changes in everyday life.

Dr. Aldo Diosdado, MD, Physician & Medical Advisor

Dr. Aldo Diosdado, MD

Physician | Aesthetic Surgeon | Medical Advisor

Dr. Aldo Giovanni Diosdado Jaime is a highly respected Mexican physician and board-certified aesthetic surgeon with an extensive background in advanced surgical medicine, patient care, and medical leadership. Recognized for his commitment to excellence and patient safety, Dr. Diosdado brings decades of clinical experience and a distinguished reputation within the medical community of Quintana Roo and throughout Mexico.

He has served as the State Representative of the Mexican Board of Aesthetic Surgery in Quintana Roo and as President of the Congress of Aesthetic Surgeons for the State of Quintana Roo, positions that reflect the respect he has earned among his peers and his dedication to advancing medical standards and education.

Dr. Diosdado completed his medical training at the Autonomous University of Guadalajara and further specialized through the Mexican Institute of Higher Studies in Medicine, earning advanced credentials in cosmetic and aesthetic surgery. He is a certified member of the Surgery and Medical Aesthetic College and has spent his career combining technical expertise with a patient-centered approach to care.

At Iboga Wellness Institute, Dr. Diosdado serves as a valued member of our medical team, bringing his extensive clinical knowledge, commitment to patient safety, and passion for helping individuals achieve optimal health and wellness. His presence further strengthens our multidisciplinary approach to healing, ensuring that every guest receives care guided by experienced medical professionals operating at the highest standards.

Dr. Diosdado’s dedication to excellence, professionalism, and compassionate patient care aligns perfectly with the mission of Iboga Wellness Institute: providing safe, innovative, and transformative healing experiences in a medically supervised environment.

Credentials

  • Doctor of Medicine (MD)
  • Certified Aesthetic Surgeon
  • Former State Representative, Mexican Board of Aesthetic Surgery – Quintana Roo
  • Former President, Congress of Aesthetic Surgeons of Quintana Roo
  • Member, Surgery and Medical Aesthetic College
  • Medical Degree: Autonomous University of Guadalajara
  • Advanced Surgical Training: Mexican Institute of Higher Studies in Medicine
Dr. Eduardo Rubio Ruiz, MD, Chief Medical Director

Dr. Eduardo Rubio Ruiz, MD

Chief Medical Director

Dr. Eduardo Rubio Ruiz is a highly accomplished physician and anesthesiologist whose career has been dedicated to patient safety, advanced medical care, and precision medicine. With extensive experience managing complex medical cases and overseeing patients in high-acuity clinical settings, Dr. Rubio brings a unique level of expertise to the Iboga Wellness Institute medical team.

Dr. Rubio earned his medical degree from the Universidad Michoacana de San Nicolás de Hidalgo (UMSNH) and completed his specialty training in Anesthesiology at the National Autonomous University of Mexico (UNAM), one of the most prestigious medical institutions in Latin America. His training has provided him with advanced expertise in cardiovascular monitoring, airway management, pain control, sedation, emergency response, and perioperative patient care.

In addition to his anesthesiology credentials, Dr. Rubio has pursued advanced education in Aesthetic Medicine and is affiliated with the National College of Anti-Aging Medicine, reflecting his commitment to preventative, regenerative, and longevity-focused healthcare. This diverse background allows him to approach patient wellness from both a traditional medical perspective and a modern, integrative health framework.

At Iboga Wellness Institute, Dr. Rubio serves as a valued member of our medical team, helping ensure the highest standards of patient safety, medical oversight, and clinical excellence. His extensive experience with physiological monitoring, medication management, and emergency medicine principles provides an additional layer of confidence and security for patients undergoing transformative healing experiences.

Known for his professionalism, attention to detail, and compassionate bedside manner, Dr. Rubio is committed to delivering individualized care that prioritizes both safety and long-term wellness. His presence strengthens Iboga Wellness Institute’s mission of combining world-class medical supervision with innovative healing modalities to create a truly comprehensive patient experience.

Credentials

  • Doctor of Medicine (MD)
  • Board-Certified Anesthesiologist
  • Medical Degree – Universidad Michoacana de San Nicolás de Hidalgo (UMSNH)
  • Specialty Training in Anesthesiology – National Autonomous University of Mexico (UNAM)
  • Advanced Training in Aesthetic Medicine
  • Member, National College of Anti-Aging Medicine
  • Specialist in Advanced Patient Monitoring, Sedation, Pain Management, and Critical Care Principles
Michael Gough, Client Consultation Specialist

Michael Gough

Integration Specialist

Michael Gough is an Integration Specialist at Iboga Wellness Institute, where he helps clients and families understand the admissions process, prepare for next steps, and feel supported from their first conversation with the team.

Nehira, Therapist

Nehira Jupiter

Integration & Well Being Coach

Nehira Jupiter is a Integration & Well Being Coach at Iboga Wellness Institute, where she supports clients with grounded therapeutic care before, during, and after treatment. Her work helps clients feel emotionally prepared, supported through the experience, and better equipped to integrate insights into daily life.

Hope Silasavage, RN, Patient Care Coordinator at Iboga Wellness Institute

Hope Silasavage, RN

Patient Care Coordinator

Hope Silasavage, RN
Patient Care Coordinator

Hope Silasavage, RN, serves as Patient Care Coordinator at Iboga Wellness Institute, supporting guests throughout the treatment experience with compassionate nursing care, clear communication, and close coordination with the physician-led medical team.

In her role, Hope helps ensure patients feel informed, prepared, and cared for from arrival through treatment and integration planning. Her patient-centered approach reflects IWI’s commitment to safety, dignity, and individualized support at every stage of care.

Daisy Silva

Clinical Director, Integration Specialist, Nutritionist

Daisy serves as the Clinical Director at Iboga Wellness Institute, where she oversees the coordination of patient care, treatment preparation, and post-experience integration to ensure each individual receives comprehensive, compassionate, and medically aligned support throughout their healing journey. With a multidisciplinary background that combines clinical coordination, integrative wellness, and advanced nutritional practice, Daisy plays a central role in bridging medical treatment with sustainable lifestyle transformation. As Clinical Director, Daisy manages the continuum of care from initial intake through post-treatment follow-up. She works closely with our physician-led medical team to ensure that every client is properly prepared—physically, emotionally, and nutritionally—for ibogaine therapy. Her responsibilities include reviewing health histories, coordinating pre-treatment requirements, guiding clients through preparation protocols, and ensuring that each case is handled with precision, discretion, and individualized attention. In her role as an Integration Specialist, Daisy helps clients translate their ibogaine experience into meaningful, lasting change. She provides structured pre-integration education and post-treatment support designed to help individuals process insights, stabilize routines, and build healthy behavioral patterns that reinforce neurological reset and emotional healing. Her approach emphasizes grounding, accountability, and practical application, allowing clients to return home with clear strategies for maintaining progress. Daisy understands that ibogaine is not a standalone solution, but rather a catalyst for transformation that must be supported through intentional integration and lifestyle alignment. Daisy is also a highly experienced Nutritionist, specializing in therapeutic nutrition that supports neuroregulation, metabolic restoration, and overall physiological balance. She designs individualized nutritional plans that focus on replenishment, inflammation reduction, gut health optimization, and micronutrient support—critical elements for patients recovering from substance use, chronic stress, or neurological dysregulation. Her programs incorporate whole-food strategies, targeted supplementation guidance, and education on sustainable dietary habits that extend far beyond a client’s stay at the Institute. Her philosophy centers on the understanding that true healing requires alignment of body, mind, and environment. By integrating clinical structure with holistic wellness principles, Daisy ensures that each client is not only medically safe during treatment but also empowered with the tools necessary to sustain long-term recovery and vitality. Known for her meticulous organization, warm presence, and unwavering dedication to patient advocacy, Daisy has become a trusted guide for clients navigating some of the most pivotal moments of their lives. She brings both professionalism and empathy to every interaction, creating an atmosphere where individuals feel supported, informed, and confident in their path forward. At The Iboga Wellness Institute, Daisy’s leadership helps define the standard of care—one that unites medical excellence, integrative support, and nutritional science to foster lasting transformation and whole-person wellness.

Luisa Cab, RN

HEAD NURSE

Luisa Cab, RN, is the Head Nurse at Iboga Wellness Institute, where she serves as a cornerstone of our medical team and is proudly practicing full-time within our medical program. With a strong background in Western nursing and several years of hands-on experience working with ibogaine therapy, Luisa brings a rare and essential combination of traditional medical expertise and specialized knowledge in plant-medicine–assisted care. 

As a Registered Nurse, Luisa is deeply committed to maintaining the highest standards of patient safety, clinical monitoring, and ethical medical practice. At Iboga Wellness Institute, she oversees critical aspects of the treatment process, including medical preparation, continuous observation, vital sign assessment, and post-treatment care. Her training in conventional healthcare allows her to apply rigorous nursing protocols while ensuring that each guest receives attentive, individualized support throughout their healing journey. 

Luisa has developed extensive experience working specifically with ibogaine over the years, understanding both its physiological demands and its transformative therapeutic potential. She plays an integral role in creating a safe, structured environment where medical oversight and compassionate care work hand in hand. Her ability to seamlessly integrate Western clinical standards with the unique needs of ibogaine treatment helps ensure that every guest is supported with professionalism, stability, and reassurance. 

Known for her warm demeanor and calming presence, Luisa provides far more than clinical supervision—she offers genuine comfort and human connection. Guests consistently find reassurance in her attentiveness, kindness, and ability to anticipate their needs during vulnerable moments. Her compassionate approach allows individuals to feel secure enough to fully engage in the healing process. 

Luisa’s dedication, experience, and heartfelt commitment to patient-centered care make her an invaluable leader within Iboga Wellness Institute. She embodies our mission of delivering medically responsible, safe, and transformative treatment while honoring the dignity and well-being of every person we serve.

Ray Rodriguez

Psychedelic Integration Coach & Recovery Mentor

Ray Rodriguez serves as a Psychedelic Integration Coach and Recovery Mentor at Iboga Wellness Institute, bringing over a decade of direct, hands-on experience supporting individuals and families navigating addiction recovery, personal transformation, and long-term post-treatment integration. His work is grounded in both professional training and lived experience, allowing him to guide clients with authenticity, empathy, and practical insight. 

Certified through Being True To You, Ray has worked extensively within family systems and recovery-oriented frameworks, helping clients prepare for treatment, navigate the depth of their therapeutic experience, and translate insights into meaningful, sustainable life changes. He spent five years working one-on-one within one of the first viable ibogaine therapeutic aftercare programs, where he provided structured reintegration support for individuals transitioning from clinical treatment back into everyday life. This experience shaped his specialization in stabilization, accountability, and long-term success beyond the acute treatment phase. 

Ray’s personal journey includes recovery from opiate addiction, an experience that informs his compassionate, nonjudgmental approach. His own healing path led him to explore plant medicine as a catalyst for deeper change, and he has since supported individuals working with modalities including ibogaine, ayahuasca, kambo, and bufo. His philosophy prioritizes safety, preparation, and responsibility—emphasizing that true healing is not defined by peak experiences, but by the ability to integrate those experiences into lasting behavioral, emotional, and relational transformation. 

Well-versed in multiple recovery models, Ray works fluidly within both 12-Step programs and SMART Recovery, meeting clients within their chosen framework without imposing ideology. His coaching style is collaborative and client-centered, honoring each individual’s worldview, belief system, and stage of readiness while providing grounded structure and accountability. 

In addition to his integration and recovery work, Ray is a Certified Holographic Sound Practitioner, incorporating harmonic and sound-based modalities when appropriate to support nervous system regulation and emotional processing. His methodology weaves together embodiment practices, yoga, nature-based experiences, frequency work, and structured integration strategies designed to help clients anchor insights into daily living. 

Areas of Specialization 

Pre-ibogaine preparation and intention setting 
Post-treatment integration and stabilization
Therapeutic aftercare and recovery support 
Family systems education and alignment 
Addiction recovery coaching and relapse prevention 
Nervous system regulation and embodiment practices 
Bridging traditional recovery models with psychedelic-assisted healing 

At The Iboga Wellness Institute, Ray plays a vital role in ensuring that healing extends far beyond the clinical setting. His work focuses on helping individuals transform profound therapeutic experiences into sustainable, embodied change—supporting them as they rebuild lives rooted in clarity, resilience, and purpose.

Mike Powers

Co-Founder

Mike Powers is a Co-Founder of Iboga Wellness Institute, where he combines his personal journey of recovery with a strong background in business leadership and entrepreneurship to help guide the organization’s mission of delivering safe, innovative, and compassionate care. Mike’s path to this work is rooted in both extraordinary athletic achievement and firsthand experience with the long-term consequences of high-impact sports.

As a standout collegiate football player, Mike earned the distinction of being a two-time national champion and receiving prestigious All-American honors. His athletic career was defined by discipline, perseverance, and an unrelenting commitment to performance—traits that later became essential as he faced the physical toll of the game. After sustaining multiple concussions, Mike began to experience the cumulative neurological effects associated with traumatic brain injury and, ultimately, Chronic Traumatic Encephalopathy (CTE). Like many former athletes, he encountered limited treatment options within conventional Western medicine that addressed symptoms but failed to offer meaningful restoration or healing.

Determined to find answers beyond traditional models of care, Mike began exploring alternative therapies. This search led him to ibogaine treatment, an experience that proved to be profoundly transformative. Through this process, Mike experienced significant improvements in clarity, emotional well-being, and overall quality of life—an outcome that reshaped not only his health, but also his sense of purpose. The experience ignited a deep commitment to helping others who were facing similar neurological, psychological, and substance-related challenges discover pathways to healing that had previously seemed out of reach.

Motivated by this mission, Mike co-founded Iboga Wellness Institute to create a medically responsible, ethically grounded environment where individuals could access ibogaine therapy within a structured framework that prioritizes safety, clinical oversight, and whole-person care. His vision has been instrumental in shaping the Institute’s focus on supporting individuals suffering from traumatic brain injuries, addiction, and other complex conditions through integrative, evidence-informed approaches.

In addition to his work in the health and wellness space, Mike is a seasoned American entrepreneur who has been a part of multiple businesses across diverse industries. This extensive business experience provides the operational foundation necessary to build sustainable treatment environments that meet rigorous professional standards.

Mike brings a unique combination of lived experience, executive leadership, and unwavering compassion to The Iboga Wellness Institute. His journey from elite athlete to advocate for innovative healing allows him to connect deeply with those seeking recovery and renewal. Through his work, Mike remains dedicated to expanding awareness, accessibility, and responsible delivery of ibogaine therapy offering hope to individuals and families searching for meaningful solutions beyond conventional care.

Professional headshot of man in gray suit with blue tie against neutral background

James Collins

Co-Founder and Chief Executive Officer

James Collins is the Co-Founder and Chief Executive Officer of Iboga Wellness Institute, where he has played an integral role in the vision, development, and operational launch of the organization. With a diverse entrepreneurial background and decades of experience owning and operating multiple businesses throughout the United States, James brings a unique blend of executive leadership, operational strategy, and client-centered service to the rapidly evolving field of ibogaine-assisted therapy.

Before co-founding Iboga Wellness Institute, James built a successful career across several industries, including real estate development, hospitality, sales, and business development. His extensive experience in launching, scaling, and managing companies has equipped him with the operational discipline and financial oversight necessary to build sustainable, compliant, and patient-focused wellness environments. His entrepreneurial track record reflects a consistent ability to transform vision into structured, results-driven organizations.

James also possesses a strong background in marketing and brand development, having led strategic initiatives that positioned businesses for growth in competitive markets. This expertise has been instrumental in shaping the identity and outreach of Iboga Wellness Institute, helping to elevate awareness of ibogaine therapy while maintaining a professional, ethical, and medically responsible presence.

Throughout his lengthy career in sales and customer service, James cultivated a deep understanding of client relationships and the importance of trust, transparency, and individualized care. These principles now guide the Institute’s patient experience model, ensuring that every individual who walks through the doors is treated with dignity, compassion, and the highest level of support.

Known for his dedication, integrity, and hands-on leadership style, James is deeply committed to advancing the responsible integration of plant-based medicines into modern therapeutic frameworks. He is a passionate advocate for the ibogaine movement, working to expand safe, structured access worldwide. His mission is to help bridge the gap between traditional healing knowledge and contemporary medical standards, creating pathways for individuals seeking recovery, neurological support, and personal transformation.

At the core of James’s work is a sincere belief in healing through compassion, structure, and innovation. His leadership continues to drive Iboga Wellness Institute’s growth as a center focused on safety, education, and meaningful outcomes for those seeking lasting change.

Neurological Conditions & Chronic Pain

Repair Mechanisms Medicine Considers Impossible

Conventional neurology treats most conditions as irreversible—managing symptoms while accepting inevitable decline. Ibogaine challenges that assumption by stimulating neurological repair processes that modern medicine barely understands.

EXPLORE MEDICAL CONDITIONS PROGRAM

Parkinson's Disease

Multiple clinical studies document significant tremor reduction following ibogaine treatment. Patients report improved motor control, reduced rigidity, better sleep, and cognitive clarity. The mechanism involves GDNF (glial cell line-derived neurotrophic factor) production—a protein that protects dopamine neurons and may slow disease progression.

Multiple Sclerosis

MS patients report reduced inflammation, improved mobility, decreased fatigue, and symptom stabilization. While not a cure, ibogaine appears to interrupt the neuroinflammatory cascade driving MS progression and potentially support remyelination.

Traumatic Brain Injury & Post-Concussion Syndrome

Veterans with blast exposure, athletes with multiple concussions, accident survivors with persistent TBI symptoms—patients given no hope for improvement beyond “wait and see”—experience headache reduction, cognitive fog lifting, mood stabilization, and functional recovery.

Chronic Traumatic Encephalopathy (CTE)

While CTE can only be definitively diagnosed post-mortem, patients with suspected CTE (multiple concussions, progressive symptoms, cognitive decline) report symptom improvement and slowed deterioration following ibogaine therapy.

Neuropathic Pain

Pain from nerve damage that opioids can’t touch without creating dependency. Fibromyalgia. Complex regional pain syndrome. Chronic pain driving addiction. Ibogaine’s NMDA receptor antagonism interrupts pain signaling at the source—offering relief that conventional treatments cannot provide.

The Neuroplasticity Factor

Medical training teaches that neurological damage is permanent. Ibogaine contradicts that dogma. The evidence base is growing but still limited by ibogaine’s legal status preventing large-scale trials. Clinical outcomes documented by providers like us consistently show improvement that shouldn’t be possible according to conventional neurology.

Treatment-Resistant Mental Health & Trauma

Accessing What Therapy Cannot Reach

Traditional mental health treatment works for many people. For those it doesn’t help—patients who’ve tried multiple medications, years of therapy, and every recommended approach without relief—ibogaine offers a different path.

EXPLORE MENTAL HEALTH PROGRAM

PTSD & Combat Trauma

Clinical trials show 60-88% reduction in PTSD symptoms following ibogaine therapy. Veterans with treatment-resistant combat trauma, first responders with cumulative stress, survivors of assault or abuse—patients who’ve exhausted VA resources and traditional trauma therapy report breakthrough that seemed impossible.

Treatment-Resistant Depression

When SSRIs, SNRIs, tricyclics, MAOIs, ketamine, and ECT haven’t worked—when years of therapy produce no improvement—ibogaine’s neurotransmitter reset creates changes that conventional antidepressants cannot achieve. Patients describe lifting of depression that’s persisted for decades.

Anxiety Rooted in Trauma

Surface-level anxiety management (breathing exercises, cognitive reframing, medication) doesn’t address trauma-based anxiety. Ibogaine allows patients to process the traumatic material driving their anxiety—material that conscious therapy often cannot access.

Complex Grief

Loss that therapy can’t resolve. Grief that’s become pathological. Mourning that’s stolen years of life. Ibogaine facilitates emotional processing that talk therapy reaches only intellectually—allowing patients to actually feel, process, and begin releasing what they’ve carried.

Why It Works Differently

Ibogaine creates a unique psychological state where deeply buried memories, traumas, and patterns surface for processing. It’s not talk therapy—it’s direct access to subconscious material, allowing patients to confront and process what’s been driving symptoms for years or decades.

What Patients Report

Clarity about trauma origins. Emotional release that feels complete rather than temporary. Reduced hypervigilance. Improved sleep. Ability to connect with others. Freedom from symptoms that defined their existence.

Addiction & Substance Dependency

Neurological Interruption, Not Maintenance

Ibogaine fundamentally differs from traditional addiction treatment. Instead of substituting one substance for another or requiring lifelong management, ibogaine interrupts dependency at the neurological level—resetting brain chemistry and eliminating the physical chains of addiction.

EXPLORE DETOXIFICATION PROGRAM

Opioid Addiction

Patients dependent on heroin, fentanyl, prescription painkillers, methadone, or Suboxone experience withdrawal elimination within 24-36 hours of ibogaine administration. Physical cravings are dramatically reduced or completely absent. This isn’t suppression—it’s neurological reset.

Alcohol Dependency

Clinical data shows 70-80% reduction in alcohol cravings following ibogaine treatment. Patients who’ve failed multiple rehabs, experienced dangerous withdrawal attempts, or struggled with decades of dependency report freedom they never thought possible.

Stimulant Addiction

Cocaine, methamphetamine, and prescription stimulant (Adderall, Ritalin) dependencies respond to ibogaine’s dopamine system reset. The compulsive drive that traditional therapy can’t touch is interrupted at its neurological source.

Polysubstance Use

Many patients aren’t addicted to a single substance—they’re managing multiple dependencies simultaneously. Ibogaine addresses the underlying neurological patterns driving all substance use, not just one drug at a time.

Why Traditional Treatment Fails

Methadone and Suboxone are opioids—they maintain dependency while managing symptoms. Rehab addresses behavioral patterns but not neurological addiction. Willpower fails because addiction isn’t a character flaw—it’s brain chemistry. Ibogaine changes that chemistry.

What Research Shows

Studies consistently demonstrate ibogaine’s ability to eliminate withdrawal symptoms, reduce cravings for extended periods (months to years), and create the neurological space necessary for sustained recovery. Success rates far exceed traditional treatment modalities.

Who Should Not Use Hyperbaric Oxygen Therapy

Important Safety Information

Hyperbaric oxygen therapy is generally safe when properly administered, but certain medical conditions create serious risks and disqualify patients from treatment. The following contraindications must be carefully evaluated:

Untreated Pneumothorax (Collapsed Lung)

The single most critical contraindication. Pressure changes in the hyperbaric chamber can worsen a pneumothorax, potentially causing life-threatening tension pneumothorax. Even resolved pneumothorax requires careful evaluation—history of spontaneous pneumothorax significantly increases risk of recurrence under pressure.

Certain Chemotherapy Drugs

Bleomycin, Doxorubicin (Adriamycin), Cisplatin, and Disulfiram (Antabuse) create dangerous interactions with hyperbaric oxygen. These medications must be discontinued with adequate clearance periods before HBOT. Patients currently undergoing chemotherapy with these agents cannot receive hyperbaric therapy.

Severe COPD or Emphysema

Advanced chronic obstructive pulmonary disease with CO2 retention or air trapping creates pulmonary complication risks. Patients may be unable to tolerate oxygen toxicity prevention protocols (air breaks). Each case requires individual pulmonologist evaluation.

Uncontrolled High Fever

Fever above 101°F increases metabolic rate and oxygen consumption, raising seizure risk from oxygen toxicity. Treatment must be postponed until fever resolves and underlying infection is addressed.

Uncontrolled Seizure Disorders

High-pressure oxygen can lower seizure threshold in susceptible individuals. Well-controlled epilepsy on stable medication may be acceptable, but uncontrolled seizures or recent seizure activity requires neurologist clearance.

Upper Respiratory Infections

Active sinus infections, severe congestion, or ear infections prevent safe pressure equalization. Treatment postponed until infection clears. Inability to equalize ear pressure creates barotrauma risk (ruptured eardrum, severe pain).

Recent Ear Surgery or Eustachian Tube Dysfunction

Surgical ear procedures within 3-6 months, perforated eardrum, or inability to equalize pressure safely creates barotrauma risk. ENT evaluation required before HBOT approval.

Severe Claustrophobia or Panic Disorder

While our chambers are spacious and clear, some patients cannot tolerate enclosed spaces under any circumstances. Severe anxiety during sessions compromises safety and prevents pressure equalization. Mild anxiety often manageable with preparation and support.

Pregnancy Status: Exercise Caution

HBOT effects on fetal development aren’t fully understood. While not absolutely contraindicated, treatment during pregnancy requires:

  • Compelling medical necessity (life/limb threatening condition)
  • Informed consent acknowledging unknown fetal risks
  • OB/GYN consultation and approval
  • Benefits clearly outweighing theoretical risks

Most elective HBOT (TBI recovery, PTSD, addiction support) should be postponed until after pregnancy and breastfeeding.

Medications Requiring Adjustment or Discontinuation

Steroids (Prednisone, Dexamethasone):

May impair wound healing that HBOT aims to enhance. Doesn’t prohibit treatment but may reduce effectiveness.

Diabetes Medications:

HBOT can lower blood sugar. Diabetic patients require careful glucose monitoring and possible insulin/medication adjustments during treatment course.

Blood Pressure Medications:

Hyperbaric oxygen can affect blood pressure. Antihypertensive medications may need adjustment.

Recent Heart Attack (within 3 months):

Cardiovascular system needs stabilization before additional physiological stress from hyperbaric treatment.

Uncontrolled Congestive Heart Failure:

Fluid status must be optimized. Severe CHF creates pulmonary edema risk under hyperbaric conditions.

Pacemakers/Implanted Devices:

Not contraindicated but require verification that devices are pressure-rated and MRI-compatible (some monitoring equipment uses magnets).

Cataracts:

HBOT can accelerate cataract progression in susceptible individuals. Not a contraindication but patients should be informed. Cataract surgery may be needed sooner.

History of Optic Neuritis:

Increased risk of vision changes. Ophthalmology consultation recommended before starting HBOT.

Recent Eye Surgery:

Intraocular pressure changes during compression/decompression. Wait 6-8 weeks post-surgery before HBOT.

Children:

HBOT is safe for pediatric patients but requires age-appropriate chamber (multiplace with parent present) and ability to cooperate with ear equalization instructions.

Elderly Patients:

Age alone is not a contraindication. However, comorbid conditions common in elderly (COPD, heart disease, sensory deficits) require careful screening.

Patients with Implants:

Most implants (joint replacements, surgical hardware, dental work) are safe. Certain older devices or experimental implants require manufacturer verification of pressure tolerance.

Even without contraindications, all patients should understand potential side effects:

Barotrauma (Middle Ear/Sinus)

Most common complication. Caused by inability to equalize pressure. Ranges from mild discomfort to ruptured eardrum. Prevented through proper equalization techniques taught before treatment.

Temporary Vision Changes

Reversible myopia (nearsightedness) affects 20% of patients after 20+ treatments. Vision returns to baseline 6-8 weeks after HBOT ends.

Oxygen Toxicity

Rare when air breaks are properly administered. Symptoms: muscle twitching, nausea, dizziness, seizures (extremely rare). Prevented through treatment protocol design.

Pulmonary Oxygen Toxicity

Very rare with standard protocols (60-90 minute sessions). Would require many hours of continuous oxygen exposure.

Fatigue

Common. Many patients feel tired after sessions—body is working hard to heal. Usually improves as treatment course progresses.

Before any patient begins HBOT, our physicians conduct:

  • Complete medical and surgical history review
  • Pulmonary function assessment
  • Cardiovascular evaluation
  • Ear, nose, throat examination
  • Medication review for interactions
  • Informed consent discussion of all risks
  • Ear equalization training and practice

We err on the side of extreme caution. If there’s any question about safety, we decline to provide therapy until concerns are resolved.

When in Doubt, We Say No

Your safety matters more than providing a requested service. If our medical team determines HBOT presents unacceptable risk—even if you’ve traveled for ibogaine treatment—we won’t proceed with hyperbaric therapy.

This isn’t about excluding people. It’s about protecting lives.

Still Have Questions ? Talk to our Medical Team
SCHEDULE A CONSULTATION TO LEARN MORE

Who Should Not Use 5-MeO-DMT

Important Safety Information

5-MeO-DMT is a powerful entheogenic medicine that is not safe or appropriate for everyone. The following conditions create serious risks and disqualify patients from this therapy:

ACTIVE PSYCHOSIS OR SCHIZOPHRENIA

Current psychotic symptoms or diagnosed schizophrenia spectrum disorders create extreme risk of psychological destabilization, prolonged psychotic episodes, or permanent worsening of condition. Even if currently stable on medication, the intensity of 5-MeO-DMT can trigger acute psychotic breaks.

SEVERE BIPOLAR DISORDER (TYPE I)

Particularly during manic or mixed episodes. 5-MeO-DMT can trigger manic episodes, destabilize mood regulation, or cause rapid cycling that’s difficult to manage medically.

SEVERE DISSOCIATIVE DISORDERS

Conditions like Dissociative Identity Disorder (DID) or severe depersonalization/derealization disorder may be dangerously exacerbated by ego-dissolving experiences.

ACTIVE SUICIDAL IDEATION WITH INTENT

While we treat depression and suicidal thinking with ibogaine, active intent to self-harm combined with 5-MeO-DMT’s intensity creates unacceptable risk during the vulnerable post-experience period.

UNCONTROLLED HYPERTENSION

5-MeO-DMT can temporarily elevate blood pressure and heart rate. Uncontrolled high blood pressure (systolic >160, diastolic >100) creates stroke or cardiac event risk.

RECENT HEART ATTACK OR STROKE

Within 6 months. Cardiovascular system needs complete stabilization before additional stress from powerful medicines.

SEVERE CARDIAC ARRHYTHMIAS

Irregular heart rhythms that aren’t medically controlled create risk of dangerous cardiac events during the intense physiological response to 5-MeO-DMT.

ADVANCED HEART FAILURE

Compromised cardiac function cannot safely handle the temporary cardiovascular stress of the experience.

MAOIs (Monoamine Oxidase Inhibitors)

Dangerous interaction. Must be discontinued with physician guidance well before 5-MeO-DMT.

SSRIs/SNRIs (Antidepressants)

Can create dangerous serotonin syndrome when combined with 5-MeO-DMT. Requires tapering and clearance period.

Lithium

Severe interaction risk. Creates potential for seizures and extreme psychological reactions.

Certain Blood Pressure Medications

Some interact dangerously. Full medication review required.

Pregnancy or Breastfeeding

Unknown risks to fetal development and infant exposure through breast milk. Absolutely contraindicated.

Severe Liver or Kidney Disease

Compromised organ function affects medicine metabolism and increases complication risk.

Seizure Disorders (Uncontrolled)

5-MeO-DMT can lower seizure threshold in susceptible individuals.

Recent Ibogaine Treatment Without Clearance

Must be medically stable and cleared by physicians. Timing matters for safety.

Even if medically cleared, 5-MeO-DMT may not be appropriate if you:

Fear Losing Control

Ego dissolution means complete surrender. If the concept terrifies rather than intrigues you, this isn’t the right medicine.

Expect Recreational Experience

This is profound therapeutic work, not entertainment. Wrong expectations create difficult experiences.

Have Unrealistic Expectations

5-MeO-DMT is not a magic cure. It’s a tool for deep work that requires integration and effort.

Lack Integration Support

The experience demands processing. Without willingness to do integration work, benefits are lost.

Before any patient is approved for 5-MeO-DMT therapy, our physicians conduct:

  • Complete medical history review
  • Psychiatric evaluation
  • Medication interaction assessment
  • Cardiovascular screening
  • Psychological readiness evaluation
  • Informed consent discussion of all risks

We err on the side of caution. If there’s any question about safety, we decline to provide this therapy.

When in Doubt, We Say No

Your safety matters more than providing a requested service. If our medical team determines 5-MeO-DMT isn’t appropriate for you—even if you’ve traveled for ibogaine treatment—we won’t proceed.

This isn’t about excluding people. It’s about protecting lives.

Still Have Questions ? Talk to our Medical Team
SCHEDULE A CONSULTATION TO LEARN MORE

Intention: Purpose-Built for Transformation

These spaces aren’t repurposed hotels or converted vacation rentals. Every element—from room layout to lighting design to garden placement—was conceived specifically for ibogaine therapy and the healing work it facilitates. The treatment suites balance medical functionality with psychological comfort. The outdoor spaces invite contemplation without overstimulation. The common areas allow connection when wanted and solitude when needed. Nothing here is accidental. Every detail reflects our commitment to your healing above all other considerations.

Comfort: Nervous System Regulation

Your autonomic nervous system must downregulate for healing to occur. Chronic stress, uncomfortable surroundings, and sensory overwhelm keep you in fight-or-flight mode—the opposite of the parasympathetic state needed for neurological repair. Beautiful natural surroundings, quality bedding, temperature control, peaceful gardens, nourishing food, comfortable furnishings—these aren’t luxuries, they’re therapeutic necessities. When your environment supports regulation, your body can allocate resources to healing instead of coping with environmental stressors.

Privacy: Freedom to Go Deep

Deep psychological work requires freedom from judgment, observation, and the performance of normalcy. Our facilities protect your confidentiality absolutely—gated access, discrete locations, staff trained in privacy protocols, and separate accommodations for high-profile patients. This isn’t just about avoiding publicity; it’s about creating sacred space where you can be completely vulnerable without fear of exposure. Transformation happens when masks come off. Privacy makes that possible.

Safety: The Foundation of Everything

You cannot heal if you don’t feel safe. Fear activates survival mechanisms that shut down the very neurological processes ibogaine is trying to reset. Our medical infrastructure—ICU-level monitoring equipment, emergency response systems, experienced physicians on-site 24/7—creates the physical safety that allows your nervous system to trust the process. Proven protocols refined over 3,000+ treatments mean we’ve encountered virtually every scenario and know how to respond. When your body knows it’s protected, it can focus energy on healing rather than vigilance.

Our Treatment Protocols

Medical Excellence in Ibogaine Therapy

Our protocols represent decades of clinical experience, peer-reviewed research, and an unwavering commitment to patient safety. Here’s what sets our approach apart:

NO TWO PATIENTS ARE IDENTICAL

We don’t use one-size-fits-all dosing. Your ibogaine protocol is calculated based on:

  • Your specific condition (addiction, PTSD, Parkinson’s, etc.)
  • Body weight and metabolism
  • Cardiac function and QT interval baseline
  • Liver function capacity
  • Current medications and health status
  • Treatment goals and severity

DOSING APPROACHES INCLUDE

  • Flood dose protocol: Full therapeutic dose for addiction and deep psychological work
  • Low-dose protocol: Gentler approach for medical conditions or older patients
  • Microdosing regimen: Extended treatment for neurological repair
  • Booster protocols: Follow-up sessions for sustained results

Your physician determines the optimal approach during pre-treatment assessment.

WHY HEART MONITORING IS CRITICAL

Ibogaine temporarily affects cardiac electrical activity, specifically the QT interval—the time it takes your heart to recharge between beats. Prolonged QT intervals can lead to dangerous arrhythmias.

OUR CARDIAC SAFETY PROTOCOL

Pre-treatment:

  • Baseline 12-lead EKG to establish your normal QT interval
  • Echocardiogram if cardiac history warrants
  • Electrolyte optimization (magnesium, potassium, calcium)
  • Physician review of all cardiac risk factors

During treatment:

  • Continuous real-time cardiac monitoring
  • Automated QT interval analysis with alarms
  • ICU-trained nursing staff observing rhythm constantly
  • Physician check-ins every 2-4 hours
  • Emergency equipment immediately accessible

Post-treatment:

  • 12-lead EKG within 24 hours
  • Continued monitoring until QT normalizes
  • Electrolyte panel to confirm balance

Result: We’ve safely treated hundreds of patients without serious cardiac events because we monitor obsessively and respond immediately to any changes.

THE FOUNDATION OF CARDIAC SAFETY

Proper electrolyte balance is critical for preventing cardiac complications during ibogaine treatment. Imbalances—especially low magnesium or potassium—increase risk of dangerous heart rhythms.

OUR ELECTROLYTE PROTOCOL

48 hours before treatment:

  • Comprehensive blood chemistry panel
  • IV supplementation begins if levels are suboptimal
  • Repeat testing to confirm optimization

Immediately before treatment:

  • Final electrolyte verification
  • Additional IV supplementation as needed
  • Magnesium bolus (proven protective for QT prolongation)

During treatment:

  • Continuous IV electrolyte support
  • Monitoring for signs of imbalance
  • Real-time adjustments based on cardiac rhythm

Post-treatment:

  • Repeat chemistry panel within 24 hours
  • Continued supplementation until fully stabilized

Why this matters: Research spanning 30+ years confirms that proper electrolyte management is the single most important factor in preventing cardiac complications during ibogaine therapy.

WHAT YOU CANNOT TAKE WITH IBOGAINE

Certain medications create dangerous interactions with ibogaine. We require discontinuation or tapering before treatment:

Absolutely contraindicated:

  • SSRIs/SNRIs (Prozac, Zoloft, Lexapro, Effexor, etc.) – Must taper weeks before
  • MAOIs (Nardil, Parnate) – Dangerous serotonin syndrome risk
  • Tricyclic antidepressants – Cardiac risk
  • Antipsychotics (Haldol, Risperdal, etc.) – Neurological complications
  • Benzodiazepines (Xanax, Klonopin, Valium) – Requires slow taper
  • Stimulants (Adderall, Ritalin, cocaine, meth) – Cardiac and seizure risk

Managed carefully:

  • Opioids – Detoxification program patients are stabilized onsite
  • Blood pressure medications – May require adjustment
  • Diabetes medications – Monitored closely during fasting

Our medical team provides detailed tapering schedules and coordinates with your current providers when necessary. Never discontinue medications without our guidance.

WHY YOU FAST BEFORE TREATMENT

Ibogaine can cause nausea and vomiting, especially during the first few hours. Fasting reduces this risk and improves absorption.

TYPICAL FASTING TIMELINE

  • 8-12 hours before: No solid food
  • 4-6 hours before: No liquids (including water)
  • Exceptions: Small sips of water for essential medications only

DURING FASTING

  • IV hydration maintains fluid balance
  • Electrolyte supplementation continues
  • Anti-nausea medications available if needed

POST-TREATMENT

  • Light foods reintroduced gradually (broth, crackers, fruit)
  • Full meals resume within 24-48 hours as tolerated

Your exact fasting instructions are provided based on your treatment timing.

PROTOCOLS WE HOPE NEVER TO USE

Every possible complication has a rehearsed response protocol:

Cardiac emergencies:

  • Torsades de Pointes (dangerous arrhythmia)
  • Immediate IV magnesium sulfate
  • Electrical cardioversion if needed
  • Overdrive pacing capabilities

Respiratory issues:

  • Oxygen supplementation
  • Airway management equipment
  • Emergency medications

Seizures:

  • Anti-seizure medications immediately available
  • Airway protection protocols
  • Physician response within 60 seconds

Severe nausea/vomiting:

  • Multiple anti-nausea medication options
  • IV hydration adjustment
  • Position changes for comfort

Psychological distress:

  • Therapeutic grounding techniques
  • Benzodiazepine rescue medication (if safe)
  • Continuous emotional support from staff

Our team drills these protocols regularly. Response time is measured in seconds, not minutes.

TREATMENT DOESN’T END WHEN IBOGAINE DOES

The neurological changes ibogaine creates require integration—making sense of insights, implementing behavioral changes, and maintaining progress.

OUR INTEGRATION PROTOCOL

Immediate post-treatment (24-48 hours):

  • Processing sessions with therapists
  • Journaling and reflection time
  • Group sharing (if desired)
  • Rest and nervous system recovery

Before departure:

  • Personalized integration plan
  • Aftercare recommendations
  • Follow-up scheduling
  • Resource connections

Post-departure:

  • Check-in calls at 1 week, 1 month, 3 months
  • Access to integration therapists
  • Peer support group connections
  • Booster treatment options if needed

Why this matters: Ibogaine creates the neurological reset. Integration determines whether changes last.

HOW WE ENSURE PROTOCOL EXCELLENCE

Our protocols aren’t static—they evolve with emerging research and clinical experience:

Continuous improvement:

  • Monthly protocol review by medical team
  • Integration of latest peer-reviewed research
  • Patient outcome tracking and analysis
  • Third-party safety audits
  • Staff training and certification updates

Pharmaceutical-grade ibogaine:

  • Sourced from verified suppliers
  • Tested for purity and potency
  • Proper storage and handling
  • Documented chain of custody

Equipment maintenance:

  • Regular calibration of cardiac monitors
  • Backup systems for all critical equipment
  • Emergency equipment inspected weekly

Why Our Protocols Work

Because we treat ibogaine with the medical seriousness it deserves.

This isn’t experimental medicine practiced casually. It’s evidence-based treatment delivered with hospital-level standards, by physicians who’ve dedicated their careers to this work, in facilities designed specifically for safe psychedelic therapy.

Your safety isn’t an afterthought. It’s the foundation everything else is built on.

ASK ABOUT PROTOCOLS
SCHEDULE CONSULTATION

Travel Guide

Getting to Iboga Wellness Institute

Our treatment facility is located in Cozumel. Our team will coordinate your travel logistics and ensure a smooth arrival. Here’s everything you need to know:

PASSPORT VALIDITY

Your passport must be valid for at least 6 months beyond your planned departure date. This is strictly enforced by Mexican immigration—expired or soon-to-expire passports will prevent entry.

VISA REQUIREMENTS

  • US Citizens: No visa required for stays up to 180 days
  • Canadian Citizens: No visa required for stays up to 180 days
  • EU Citizens: No visa required for stays up to 180 days
  • Other nationalities: Check with the Mexican embassy in your country

Tourist Card (FMM): You’ll receive a tourist card (Forma Migratoria Múltiple) on your flight or at the border. Keep this with your passport—you’ll need it to exit.

Airport: Cozumel International Airport (CZM)

Common Connection Cities:

  • Cancún(CUN) – 30-minute flight to Cozumel
  • Houston (IAH)
  • Dallas (DFW)
  • Miami (MIA)
  • Atlanta (ATL)

Direct Flights Available From: United States cities with seasonal direct service. Most travelers connect through Cancún or major US hubs.

FLIGHT TIPS

  • Book flights that arrive during daylight hours when possible (easier navigation)
  • Allow 2-3 hour connection time in Cancún if connecting
  • Check baggage directly to Cozumel (CZM) to avoid collecting in Cancún

AIRPORT PICKUP

Our team provides complimentary airport pickup. You’ll be met at arrivals by a staff member holding an Iboga Wellness Institute sign. Transportation to our facility takes approximately 15-20 minutes.

DECLARE

  • Medications (bring in original labeled containers)
  • Amounts over $10,000 USD in cash
  • Restricted items (firearms, certain foods)

DO NOT BRING

  • Recreational drugs of any kind
  • Weapons
  • Large quantities of supplements without explanation
  • Anything you wouldn’t want customs searching

CUSTOMS QUESTIONS YOU MAY ENCOUNTER

  • “What’s the purpose of your visit?” → Answer: “Medical treatment” or “Wellness retreat”
  • “How long will you stay?” → Answer: Your program length (5-30 days)
  • “Where are you staying?” → Answer: “Private medical facility in Cozumel”

Pro tip: Be honest but brief. Mexican customs is generally straightforward for medical travelers.

Currency: Mexican Peso (MXN)

WHAT YOU’LL NEED CASH FOR

Very little. Your program fee covers nearly everything. Cash may be useful for:

  • Airport snacks or personal purchases before arrival
  • Tips for airport porters (optional, 20-50 pesos)
  • Personal purchases during free time (if applicable)

ATMs: Available at Cozumel airport and throughout the island. Most accept international cards.

Credit Cards: Widely accepted at airport, hotels, restaurants. Visa and Mastercard preferred. American Express less common.

Exchange Rate: Check current rates before travel (typically 17-20 pesos per USD, but fluctuates).

Recommendation: Bring $100-200 USD cash for incidentals. You won’t need much.

CLIMATE IN COZUMEL

  • Warm and humid year-round (75-90°F)
  • Light, breathable clothing recommended
  • Occasional tropical rain showers (bring light rain jacket)
  • Hurricane season: June-November (we monitor closely)

ESSENTIAL CLOTHING

  • 5-7 days of comfortable, loose-fitting clothes
  • Lightweight, breathable fabrics (cotton, linen)
  • Comfortable walking shoes
  • Sandals or slip-on shoes
  • Swimsuit (facility has pool/spa)
  • Light cover-up or sarong
  • Sunglasses and hat

TOILETRIES

  • Personal hygiene items (we provide basics)
  • Sunscreen (high SPF 50+ recommended) – Caribbean sun is intense
  • Insect repellent (mosquitoes present year-round)
  • After-sun lotion or aloe
  • Any specific products you prefer
  • Prescription medications in original containers

PERSONAL ITEMS

  • Journal and pen
  • Books or e-reader
  • Headphones
  • Phone charger (uses same outlets as US/Canada: Type A/B, 110V)
  • Small backpack or day bag
  • Reusable water bottle
  • Eye mask for sleep (if sensitive to light)

WHAT NOT TO PACK

  • Expensive jewelry or watches
  • Work laptop (unless absolutely necessary for emergencies)
  • Excessive cash or valuables
  • Recreational substances
  • Heavy clothing or bulky items
  • Formal wear (casual, comfortable environment)

TRAVEL INSURANCE

Highly recommended. Ensure your policy covers:

  • Medical treatment
  • Emergency evacuation (if needed)
  • Trip cancellation/interruption
  • COVID-19 related issues (if applicable)

VACCINATIONS

No specific vaccinations required. Standard travel vaccines (Hepatitis A/B, Typhoid) recommended but not mandatory. Consult your physician.

DRINKING WATER

Our facility uses a comprehensive water purification system throughout, ensuring the highest safety standards. We provide:

  • Purified water at all times
  • Bottled water in your room
  • Safe, filtered water in all prepared foods and beverages

As with most international destinations, we recommend drinking only purified or bottled water during your stay.

FOOD SAFETY

All meals at our facility are prepared to international safety standards using purified water and safe ingredients. Avoid street food and restaurants before arriving at our facility.

MEDICATIONS & SUPPLEMENTS

Bring all required medications in original labeled containers with prescriptions or doctor’s notes. Bring enough for your entire stay plus 3-5 extra days in case of travel delays.

SUN SAFETY

Caribbean sun is intense. Even on cloudy days:

  • Wear high SPF sunscreen
  • Reapply every 2 hours if outdoors
  • Seek shade during peak hours (11am-3pm)
  • Stay hydrated

CELL PHONE SERVICE

International Carriers: Contact your mobile provider before travel to confirm coverage options:

  • US/Canadian travelers: Many plans now include at no extra charge (AT&T, T-Mobile) or offer affordable add-ons (Verizon TravelPass)
  • European travelers: Check with your carrier for international roaming rates or specific packages
  • Other international travelers: Verify roaming costs and available international plans

Alternative Options:

  • Purchase a Mexican SIM card at Cozumel airport (if your phone is unlocked)
  • Rely on our facility’s WiFi for WhatsApp, FaceTime, Skype (free calling)
  • Use WiFi calling if supported by your carrier and phone

Our WiFi is reliable and fast—many patients find they don’t need cellular data during their stay.

WiFi

Our facility has reliable high-speed internet throughout. You’ll stay connected for:

  • Video calls home
  • Work emergencies (if necessary)
  • Entertainment during downtime
  • Communication with our team

CALLING HOME

  • WhatsApp, FaceTime, Skype work over WiFi (free)
  • International calling cards available at airport
  • Facility phone available for emergencies

TIME ZONE

Cozumel operates on Eastern Time (same as New York, Miami, Toronto). No time zone adjustment needed if traveling from US East Coast.

WHAT HAPPENS WHEN YOU LAND

  1. Deplane & Immigration: Walk to immigration area, present passport and tourist card, immigration officer stamps passport (typically 2-5 minutes per person)
  2. Baggage Claim: Collect luggage from carousel
  3. Customs: Walk through “nothing to declare” (green) or “items to declare” (red) lane. May involve random bag check via button press (green light = pass through, red light = bag inspection)
  4. Airport Exit: Our staff meets you immediately outside customs area with Iboga Wellness Institute signage
  5. Transportation: Private air-conditioned vehicle to facility (15-20 minutes)
  6. Facility Arrival:
    • Welcome orientation and tour
    • Room assignment and settling in
    • Initial medical check-in
    • Meet your care team

FIRST 24 HOURS

  • Unpack and acclimate to your space
  • Complete baseline diagnostics (EKG, blood work, vital signs)
  • Physician consultation to review results
  • Nutritional plan review
  • Begin preparation phase for treatment

WHAT TO DO IF:

Your flight is delayed: Contact us immediately at [emergency number]. We monitor flight status but appreciate direct updates. We’ll adjust pickup timing.

You miss your connection: Contact us right away. We’ll help you rebook and coordinate new pickup arrangements.

You have luggage issues: Notify our team. We can provide essential toiletries and clothing while the airline locates your bags.

You feel unwell upon arrival: Inform our team immediately. Our medical staff will assess and adjust your protocol as needed.

Emergency contact number: [Provided upon booking confirmation]

CHECK-OUT PROCESS

  • Final medical evaluation and clearance from physicians
  • Discharge planning and integration recommendations
  • Aftercare instructions and follow-up scheduling
  • Scheduled transportation to airport (timed to your flight)

RECOMMENDED DEPARTURE TIMING

Arrive at Cozumel airport 2.5-3 hours before international flights. The airport is small, but security and check-in can have lines during peak season (December-April).

CUSTOMS RETURNING TO US/CANADA

  • Declare any medications, purchases over $800 USD
  • You may be asked about your trip → Answer honestly: “Medical treatment”
  • Have prescriptions/doctor’s notes for medications
  • Re-entry is typically straightforward for citizens

POST-TREATMENT TRAVEL

We strongly recommend staying at our facility at least 24 hours after treatment completion before flying. Some patients experience fatigue—allowing recovery time makes international travel safer and more comfortable. We’ll only clear you for travel when medically appropriate.

FAQ

Questions We Often Hear

Yes. Cozumel is one of safest destinations and an established medical tourism hub. The island has extremely low crime rates, especially in hotel and medical zones. Our facility is in a secure area, and our team has safely transported thousands of international patients.

Our entire staff speaks fluent English. You won’t encounter language barriers at our facility, with our transportation team, or at the airport. Cozumel is heavily tourism-oriented, so English is widely spoken throughout the island.

Yes. Companions or support persons are welcome to accompany you to Cozumel for emotional support. They’ll need to arrange their own lodging at nearby hotels or vacation rentals, as our facility is dedicated exclusively to patient care and treatment. We can recommend accommodations within 10-15 minutes of our facility and coordinate visitation schedules based on your treatment plan and medical needs.

Medical clearance is required before any departure. If you must leave early for family or personal emergencies, our physicians will assess your safety to travel and may require additional monitoring or clearance procedures.

Depends on your program and treatment phase. Some programs include limited free time for beach walks or relaxation. However, healing is the priority—this isn’t a vacation. Any activities are approved by your medical team based on your condition and treatment progress.

Requirements change frequently. We’ll provide current entry/exit requirements when you book. Generally has minimal restrictions, but we maintain enhanced health protocols at our facility.

Absolutely not immediately after. Alcohol is prohibited for at least 30 days post-treatment, longer for some conditions. Our aftercare plan includes specific guidelines.

We’re Here To Help

Travel coordination can feel overwhelming, especially when dealing with health challenges, addiction, or neurological conditions. Our team handles logistics, answers every question, and ensures your journey is as smooth and stress-free as possible.

You’re not figuring this out alone. From booking flights to airport pickup to ensuring safe return home, we guide you through every step. Our priority is getting you here safely so healing can begin.

Have questions we didn’t answer? Contact our team. We’re here to help.

CONTACT US
SCHEDULE CONSULTATION

Preparing for Treatment

What You'll Need to Do Before Arrival

Once you’re medically cleared for treatment, our Clinical Director will guide you through comprehensive preparation to ensure your body and mind are optimized for healing. Here’s what the preparation process involves:

COMPLETE REQUIRED SCREENING

Before traveling, you’ll need to complete and upload:

  • Echocardiogram – Provides detailed imaging of heart structure and function
  • Liver function panel – Evaluates your body’s ability to metabolize ibogaine safely
  • Additional tests as needed – Based on your medical history and condition

These allow our physicians to confirm eligibility and design your personalized protocol.

MEDICATION ADJUSTMENTS

Certain medications interact dangerously with ibogaine:

  • Antidepressants (SSRIs, SNRIs, MAOIs)
  • Benzodiazepines (Xanax, Klonopin, Valium)
  • Antipsychotics
  • Stimulants (Adderall, Ritalin, cocaine, methamphetamine)
  • Opioids (depending on your program)

CRITICAL: Never stop medications on your own. Our medical team provides individualized tapering schedules when clinically necessary. Some medications require weeks or months to safely discontinue.

TWO WEEKS BEFORE ARRIVAL

Transition to clean, healing nutrition:

  • Reduce: Caffeine, processed foods, refined sugars, artificial additives
  • Increase: Whole foods, fresh vegetables, fruits, lean proteins, healthy fats
  • Focus: Simple, nutrient-dense meals that reduce inflammation and support healing

THREE DAYS BEFORE ARRIVAL

Enter strict dietary discipline:

  • Eliminate completely: Alcohol, recreational drugs, caffeine, non-prescribed substances
  • Avoid: Heavy, greasy, fried foods that stress digestion
  • Prioritize: Hydration (water, natural juices), light meals, easy digestion

DAY OF TREATMENT

You’ll fast (no food or liquids) for a designated period before ibogaine administration. Our medical team provides exact timing during your stay. Fasting optimizes absorption and reduces nausea risk.

WHY THIS MATTERS: Your diet directly impacts treatment safety and effectiveness. A clean system processes ibogaine more efficiently and reduces complications.

EXERCISE RECOMMENDATIONS

  • Encouraged: Walking, gentle yoga, stretching, light swimming
  • Avoid: Intense workouts, heavy weightlifting, exhausting cardio, competitive sports

Your body needs to be rested and balanced, not depleted.

SLEEP & RECOVERY

Prioritize 7-9 hours of quality sleep nightly in the week before treatment. A well-rested nervous system:

  • Supports neurological healing
  • Enhances therapeutic response
  • Reduces treatment complications
  • Improves integration capacity

HYDRATION PROTOCOL

Drink approximately 2 liters (8 cups) of water daily unless your physician directs otherwise. Proper hydration supports:

  • Electrolyte balance (critical for cardiac safety)
  • Metabolic function
  • Toxin elimination
  • Overall treatment efficacy

SET YOUR INTENTION

Reflect deeply on why you’re seeking treatment. Journal about:

  • What am I ready to heal?
  • What patterns am I prepared to release?
  • What does freedom from my condition look like?
  • What do I hope to understand about myself?

Clear intention creates psychological focus and enhances therapeutic depth.

STRESS REDUCTION PRACTICES

Begin daily practices that calm your nervous system:

  • Meditation: Even 10-15 minutes daily
  • Journaling: Process fears, hopes, emotions
  • Breathwork: Box breathing, 4-7-8 technique
  • Prayer or spiritual practice: If meaningful to you

Reduced baseline stress increases your capacity for healing work.

BUILD YOUR SUPPORT NETWORK

Inform trusted family or friends about your journey:

  • Where you’ll be and when
  • What you’re seeking to heal
  • How they can support you after treatment
  • Your integration needs upon return

Post-treatment integration is significantly strengthened when you have understanding support at home.

WHAT TO PACK

Clothing:

  • Comfortable, loose-fitting clothes for treatment and recovery
  • Layers for varying comfort (facilities are climate-controlled)
  • Comfortable walking shoes

Essential Items:

  • Personal toiletries (we provide basics, but bring preferences)
  • Required medications in original labeled containers
  • Journal and writing materials
  • Books or reading for downtime
  • Personal comfort items (photos, spiritual objects, etc.)
  • Headphones if desired

WHAT NOT TO BRING

  • Expensive jewelry or valuables
  • Work laptops (this is healing time)
  • Recreational substances of any kind

72 HOURS BEFORE ARRIVAL

Absolutely do not use:

  • Alcohol
  • Recreational drugs (cocaine, MDMA, cannabis, etc.)
  • Non-prescribed benzodiazepines or opioids
  • Stimulants
  • Any substance not approved by our medical team

Exception: If you’re in our Detoxification Program, opioid use before arrival is addressed through our stabilization protocol.

AVOID THESE ACTIVITIES

  • High-risk sports or dangerous activities
  • Physically exhausting work or exercise
  • Sudden dietary or medication changes without approval

WHY THIS MATTERS: These substances create dangerous interactions with ibogaine, compromise physical readiness, and can be life-threatening during treatment.

Once you’re approved for treatment, our Clinical Director contacts you directly to provide:

  • Personalized nutritional recommendations based on your condition
  • Medication tapering schedule (if needed)
  • Travel coordination and arrival logistics
  • Answers to all your questions and concerns

You won’t navigate this alone. We guide you through every preparation step to ensure you arrive physically, mentally, and emotionally ready for transformative healing.

Questions about Preparation?

Our team is here to help you understand exactly what’s required, answer every question you have, and ensure you feel confident, informed, and fully prepared for the process ahead. You’re not expected to navigate this alone.

SCHEDULE A CONSULTATION TO LEARN MORE
DOWNLOAD COMPLETE PREPARATION GUIDE

Guy Collins

Co-Founder & Chief Financial Officer

Guy Collins is the Co-Founder and Chief Financial Officer of Iboga Wellness Institute, A seasoned healthcare entrepreneur with more than two decades of executive leadership experience, Guy has played a central role in shaping the Institute’s operational, financial, and strategic framework as it works to responsibly advance ibogaine therapy into broader clinical acceptance. 

Throughout his career, Guy has demonstrated a consistent ability to build and scale mission-driven organizations that balance financial sustainability with meaningful social impact. At Iboga Wellness Institute, he oversees financial strategy, regulatory alignment, and organizational development, ensuring that the Institute maintains rigorous standards of safety, transparency, and accountability while expanding access to innovative treatment options. His leadership helps bridge the gap between emerging therapies and structured healthcare delivery models. 

A graduate of The Ohio State University, Guy brings both Midwestern roots and a national perspective to his work, combining analytical discipline with a deep commitment to service. He is particularly passionate about expanding access to care for neurological disorders, veterans, first responders, and individuals and families affected by the opioid crisis—communities that often face limited effective treatment options within conventional systems. 

As a founding leader of Iboga Wellness Institute, Guy Collins remains dedicated to building a model that integrates medical rigor, compassionate care, and responsible innovation. His vision continues to guide the organization’s growth as it seeks to provide safe, ethical, and transformative treatment while contributing to the evolving dialogue around the future of mental health and addiction medicine.

Detoxification

The Detoxification Program facilitates safe, medically supervised withdrawal and neurological reset.

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Medical Conditions

The Medical Condition Program addresses complex health challenges at their neurological foundation.

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Mental Health

The Mental Health Program addresses depression, anxiety, and PTSD through deep neuroplastic healing.

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What All Our Accommodations Include:

Your Private Room

Private bedrooms with dedicated personal space for rest and introspection

Sound machines, heaters, fans, lamps, and room dividers for optimal comfort and tranquility

Premium linens, plush bedding, blackout masks, and essential recovery items

Nourishment & Daily Essentials

Three thoughtfully prepared meals daily featuring fresh, organic, locally-sourced ingredients

Gluten-free, anti-inflammatory cuisine crafted from whole, unprocessed foods

Artisan gluten-free baked goods, caffeine-free herbal teas, electrolyte-enhanced hydration with BCAAs

Curated daily supplements and wholesome snacks

Therapeutic Services

On-site therapeutic services, including massage, reiki, guided meditation and mindful movement, and breathwork sessions

Books, art materials, and entertainment options – optional creative and restorative activities

Outdoor Spaces

Tranquil garden settings thoughtfully curated for meditation, introspection, and peaceful restoration

Luxurious wellness amenities featuring swimming pool, spa facilities, and lush tropical gardens

Care & Support

Attentive daily housekeeping and dedicated culinary team

Comprehensive on-site medical staff with round-the-clock patient monitoring

High-speed internet connectivity throughout the facility

Journey Journal app icon

Iboga Wellness Institute

Journey Journal

A private reflection companion for IWI guests. Write or speak during your stay, create psychedelic journey artwork, and choose what you share with the clinic.

Scan to download QR code for the Journey Journal App Store page Download on the App Store