Ibogaine
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Other names | 12-Methoxyibogamine |
Routes of administration | Oral |
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Melting point | 152 to 153 °C (306 to 307 °F) |
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Ibogaine is a naturally occurring psychoactive substance found in plants in the family Apocynaceae such as Tabernanthe iboga, Voacanga africana, and Tabernaemontana undulata. It is a psychedelic with dissociative properties.
During an eighteen year timeline, a total of 19 fatalities temporally associated with the ingestion of ibogaine were reported, from which six subjects died of acute heart failure or cardiopulmonary arrest. Its
The psychoactivity of the root bark of the iboga tree (Tabernanthe iboga), from which ibogaine is
Ibogaine is an indole alkaloid obtained either by extraction from the iboga plant or by semi-synthesis from the precursor compound voacangine, another plant alkaloid. The total synthesis of ibogaine was described in 1956.[4] Structural elucidation by X-ray crystallography was completed in 1960.[5][6][7]
Psychoactive effects
Ibogaine is derived from the root of
Uses
Medical
Clinical studies of ibogaine to treat drug addiction began in the early 1990s, but concerns about cardiotoxicity terminated those studies.[10] A 2022 review indicated that severe adverse effects, including deaths, have impeded progress toward clinical adoption of ibogaine for use in opioid abstinence.[11] There is insufficient evidence to determine whether ibogaine is useful for treating addiction.[11][12]
Adverse effects
Immediate
One of the first noticeable effects of large-dose ibogaine ingestion is ataxia, a difficulty in coordinating muscle motion which makes standing and walking difficult without assistance. Xerostomia (dry mouth), nausea, and vomiting may follow. These symptoms may be long in duration, ranging from four to 24 hours in some cases. Ibogaine is sometimes administered per rectum to avoid nausea and vomiting. Some studies show that Ibogaine can decrease body temperature.[13]
Cardiovascular
Ibogaine causes long QT syndrome at higher doses, apparently by blocking hERG potassium channels in the heart.[14]
Neurotoxicity
Work in the laboratory of Mark Molliver at
Interactions
Adverse interactions may occur between ibogaine and psychiatric medications. Some studies also suggest the possibility of adverse interaction with heart conditions.[14][20]
Because ibogaine is one of the many drugs that are partly metabolized by the
Ibogaine is an antagonist to reserpine.[13]
Pharmacology
Pharmacodynamics
Site | Ibogaine | Noribogaine |
---|---|---|
MOR
|
2,000–100,000 | 700–3,000 |
DOR
|
>100,000 | 5,000–25,000 |
KOR
|
2,000–4,000 | 600–1,000 |
5-HT2A
|
16,000 | >100,000 |
5-HT2C
|
>10,000 | >10,000 |
5-HT3
|
2,600 | >100,000 |
σ1 | 2,500–9,000 | 11,000–15,000 |
σ2 | 90–400 | 5,000–19,000 |
NMDA
|
1,000–3,000 | 6,000–15,000 |
nACh | 20 | 1,500 |
SERT | 500 | 40 |
DAT | 2,000 | 2,000 |
Values are Ki (nM). The smaller the value, the more strongly the drug binds to the site. |
Ibogaine affects many different neurotransmitter systems simultaneously.[24][19]
Noribogaine is most potent as a serotonin reuptake inhibitor. It acts as a moderate κ-opioid receptor agonist[25] and weak μ-opioid receptor agonist[26] or weak partial agonist.[27] It is possible that the action of ibogaine at the kappa opioid receptor may indeed contribute significantly to the psychoactive effects attributed to ibogaine ingestion; Salvia divinorum, another plant recognized for its strong hallucinogenic properties, contains the chemical salvinorin A, which is a highly selective kappa opioid agonist. Noribogaine is more potent than ibogaine in rat drug discrimination assays when tested for the subjective effects of ibogaine.[28]
Pharmacokinetics
Ibogaine is metabolized in the human body by cytochrome P450 2D6 (
Chemistry
Ibogaine is a substituted tryptamine. It has two separate chiral centers, meaning that there are four different stereoisomers of ibogaine. These four isomers are difficult to resolve.[32]
Synthesis
One recent total synthesis
Crystalline ibogaine hydrochloride is typically produced by semi-synthesis from voacangine in commercial laboratories.[34][35] It can be prepared from voacangine through one-step demethoxycarbonylation process too.[36]
Derivatives
A synthetic derivative of ibogaine,
Biosynthesis
Ibogaine biosynthesis begins with tryptophan undergoing enzymatic decarboxylation by tryptophan decarboxylase (TDC) to form a tryptamine. Secologanin, an iridoid synthesized from isopentenyl pyrophosphate (IPP) and dimethylallyl pyrophosphate (DMAPP), is reacted with tryptamine to make strictosidine. A glycosidic bond cleavage of strictosidine by strictosidine β-deglucosidase (SGD) produces a lactol. The lactol opens and produces an aldehyde, then condenses to form an iminium. Through isomerization and reduction by geissoschizine synthase 1 (GS1), 19E-geissoschizine is yielded. The indole is oxidized and the molecule undergoes intramolecular Mannich reaction and Grob fragmentation to form preakuammicine. Preakuammicine is highly unstable and therefore reduced to stemmadenine by oxidation-reduction reactions (REDOX 1 and REDOX 2). Stemmadine is acylated by stemmadine Ο-acetyltransferase (SAT) to yield stemmadine acetate. Through oxidation by precondylocarpine acetate synthase (PAS) and reduction by dihydroprecondylocarpine acetate synthase (DPAS), an enamine intermediate is formed. The intermediate undergoes fragmentation to produce an iminium that tautomerizes to yield dehydrosecodine. Coronaridine synthase (CorS) catalyzes the isomerization of dehydrosecodine and an unusual cycloaddition is completed. The iminium is reduced by DPAS and NADPH to form (-)-coronaridine.
There are two pathways (-)-coronaridine can take to become (-)-ibogaine. The first pathway begins with a P450 enzyme, ibogamine-10-hydroxylase (I10H), and methylation of noribogaine-10-Ο-methyltransferase (N10OMT) to produce (-)-voacangine. Polyneudridine aldehyde esterase-like 1 (PNAE1) and a spontaneous decarboxylation can convert (-)-voacangine to (-)-ibogaine. The second pathway consists of PNAE1 and the spontaneous decarboxylation occurring first to yield (-)-ibogamine, then the reaction of I10H-mediated hydroxylation and N10OMT-catalyzed O-methylation to produce (-)-ibogaine.[42]
Natural occurrence
Ibogaine occurs naturally in iboga root bark. Ibogaine is also available in a total alkaloid extract of the Tabernanthe iboga plant, which also contains all the other iboga alkaloids and thus has only about half the potency by weight of standardized ibogaine hydrochloride.[34]
History
The use of iboga in African spiritual ceremonies was first reported by French and Belgian explorers in the 19th century, beginning with the work of French naval physician and
From the 1930s to 1960s, ibogaine was sold in France in the form of Lambarène, an extract of the Tabernanthe manii plant, and promoted as a mental and physical stimulant. The drug enjoyed some popularity among post-World War II athletes. Lambarène was withdrawn from the market in 1966 when the sale of ibogaine-containing products became illegal in France.[47]
In the late 1960s, the World Health Assembly classified ibogaine as a "substance likely to cause dependency or endanger human health"; the U.S. Food and Drug Administration (FDA) assigned it Schedule I classification, and the International Olympic Committee banned it as a potential doping agent.[48]
Anecdotal reports concerning ibogaine's effects appeared in the early 1960s.[49] Its anti-addictive properties were discovered accidentally by Howard Lotsof in 1962, at the age of 19, when he and five friends—all heroin addicts—noted subjective reduction of their craving and withdrawal symptoms while taking it.[50] Further anecdotal observation convinced Lotsof of its potential usefulness in treating substance addictions. He contracted with a Belgian company to produce ibogaine in tablet form for clinical trials in the Netherlands, and was awarded a United States patent for the product in 1985. The first objective, placebo-controlled evidence of ibogaine's ability to attenuate opioid withdrawal in rats was published by Dzoljic et al. in 1988.[51] Diminution of morphine self-administration was reported in preclinical studies by Glick et al. in 1991.[52] Cappendijk et al. demonstrated reduction in cocaine self-administration in rats in 1993,[53] and Rezvani reported reduced alcohol dependence in three strains of "alcohol-preferring" rats in 1995.[54]
As the use of ibogaine spread, its administration varied widely; some groups administered it systematically using well-developed methods and medical personnel, while others employed haphazard and possibly dangerous methodology. Lotsof and his colleagues, committed to the traditional administration of ibogaine, developed treatment regimens themselves. In 1992, Eric Taub brought ibogaine to an offshore location close to the United States, where he began providing treatments and popularizing its use.[55] In Costa Rica, Lex Kogan, another leading proponent, joined Taub in systematizing its administration. The two men established medically monitored treatment clinics in several countries.[56]
In 1981, an unnamed European manufacturer produced 44 kg of iboga extract. The entire stock was purchased by Carl Waltenburg, who distributed it under the name "Indra extract" and used it in 1982 to treat heroin addicts in the community of Christiania.[8] Indra extract was available for sale over the Internet until 2006, when the Indra web presence disappeared. Various products are currently sold in a number of countries as "Indra extract", but it is unclear if any of them are derived from Waltenburg's original stock. Ibogaine and related indole compounds are susceptible to oxidation over time.[57][58]
The National Institute on Drug Abuse (NIDA) began funding clinical studies of ibogaine in the United States in the early 1990s, but terminated the project in 1995.[59] Data demonstrating ibogaine's efficacy in attenuating opioid withdrawal in drug-dependent human subjects was published by Alper et al. in 1999.[60] A cohort of 33 patients were treated with 6 to 29 mg/kg of ibogaine; 25 displayed resolution of the signs of opioid withdrawal from 24 hours to 72 hours post-treatment, but one 24-year-old female, who received the highest dosage, died. Mash et al. (2000), using lower oral doses (10–12 mg/kg) in 27 patients, demonstrated significantly lower objective opiate withdrawal scores in heroin addicts 36 hours after treatment, with self-reports of decreased cocaine and opiate craving and alleviated depression symptoms. Many of these effects appeared sustainable over a one-month post-discharge follow-up.[61]
Society and culture
Legal status
As of 2024, the legal status of ibogaine varies widely among countries, as it may be illegal to possess or use, may be legalized, may be decriminalized, or is under consideration for future legislation.[62]
In the United States, although some cities and states have decriminalized psychedelic chemicals, plants and mushrooms, ibogaine has had minimal legislation, and remains illegal under federal law, as of 2023.[62][63] The US Drug Enforcement Administration enforces ibogaine as a Schedule I substance under the Controlled Substances Act.[64]
Treatment clinics
Ibogaine treatment clinics have emerged in Mexico, Canada, the Netherlands, South Africa, and New Zealand, all operating in what has been described as a "legal gray area".[65][66] Costa Rica also has treatment centers.[56] Covert, illegal neighborhood clinics are known to exist in the United States, despite active DEA surveillance.[67] While clinical guidelines for ibogaine-assisted detoxification were released by the Global Ibogaine Therapy Alliance in 2015,[68][69] addiction specialists warn that the treatment of drug dependence with ibogaine in non-medical settings, without expert supervision and unaccompanied by appropriate psychosocial care, can be dangerous — and, in approximately one case in 300, potentially fatal.[66]
Media
Documentary films
- Detox or Die (2004). Directed by David Graham Scott. David Graham Scott begins videotaping his heroin-addicted friends. Before long, he himself is addicted to the drug. He eventually turns the camera on himself and his family. After 12 years of debilitating, painful dependence on methadone, Scott turns to ibogaine. Filmed in Scotland and England, and broadcast on BBC One as the third installment in the documentary series One Life.[70]
- Ibogaine: Rite of Passage (2004). Directed by Ben Deloenen. Cy, a 34-year-old heroin addict, undergoes ibogaine treatment with Dr. Martin Polanco at the Ibogaine Association, a clinic in Rosarito, Mexico. Deloenen interviews people formerly addicted to heroin, cocaine, and methamphetamine, who share their perspectives about ibogaine treatment. In Gabon, a Babongowoman receives iboga root for her depressive malaise. Deloenen visually contrasts this Western, clinical use of ibogaine with the Bwiti use of iboga root, but emphasizes the Western context.
- Facing the Habit (2007). Directed by Magnolia Martin. Martin's subject is a former millionaire and stockbroker who travels to Mexico for ibogaine treatment for heroin addiction.
- Tripping in Amsterdam (2008). In this short film directed by Jan Bednarz, Simon "Swany" Wan visits Sara Glatt's iboga treatment center in Amsterdam.[71] Current TV broadcast the documentary in 2008 as part of their "Quarter-life Crisis" programming roster.
- I'm Dangerous with Love (2009). Directed by Michel Negroponte. Negroponte examines Dimitri Mobengo Mugianis's long, clandestine career of treating heroin addicts with ibogaine.
- "Hallucinogens" (2012). In one of five segments from this episode of National Geographic Channel, a former heroin user treats addicts with ibogaine in Canada. He himself used ibogaine to stop his abuse of narcotics.
- "Addiction" (2013). This episode of the HBO documentary series Vicedevotes a segment to the use of ibogaine to interrupt heroin addiction.
- The Ibogaine Safari (2014). A documentary by filmmaker Pierre le Roux which investigates the claims of painless withdrawal from opiates such as Canada International Film Festival.[citation needed]
- Iboga Nights (2014). Directed by David Graham Scott.
- Dosed (2019). A documentary by Tyler Chandler and Nicholas Meyers. Synopsis- After many years of prescription medications having failed her, Adrianne (a suicidal woman) turns to underground healers to try and overcome her depression, anxiety, and opioid addiction with illegal, psychedelic medicines like magic mushrooms and iboga. Adrianne's first dose of psilocybin mushrooms catapults her into an unexpected world of healing, where plant medicines are redefining our understanding of mental health and addiction.[72]
- "Synthetic Ibogaine - Natural Tramadol" (2021). This episode of the documentary series Vice on TV, follows a struggling local addict to a Ibogaine ritual.
- "Lamar Odom Reborn" (2022). A documentary by Keeping Up With the Kardashians star) Lamar Odomseeks out ibogaine and other therapies to heal PTSD, anxiety, and addiction.
Print media
While in Wisconsin covering the primary campaign for the United States presidential election of 1972, gonzo journalist Hunter S. Thompson submitted a satirical article to Rolling Stone accusing Democratic Party candidate Edmund Muskie of being addicted to ibogaine. Many readers, and even other journalists, did not realize that the Rolling Stone piece was facetious. The ibogaine assertion, which was completely unfounded, did significant damage to Muskie's reputation, and was cited as a factor in his loss of the nomination to George McGovern.[73] Thompson later said he was surprised that anyone believed it.[74] The article is included in Thompson's post-election anthology, Fear and Loathing on the Campaign Trail '72 (1973).[75]
Author and
American author Daniel Pinchbeck wrote about his own experience of ibogaine in his book Breaking Open the Head (2002),[77] and in a 2003 article for The Guardian titled "Ten years of therapy in one night".[78]
Author and musician Geoff Rickly based his debut novel Someone Who Isn't Me on his real-life experiences with heroin addiction and an ibogaine clinic in Mexico.[79]
Television drama
Ibogaine factors into the stories of these episodes from television drama series:
- "Patent Pending". FBI: Most Wanted. Season 4. Episode 6. 15 November 2022. CBS.
- "Via Negativa". The X-Files. Season 8. Episode 7. 17 December 2000. Fox Broadcasting Company.
- "Getting Off". CSI: Crime Scene Investigation. Season 4. Episode 16. 26 February 2004. CBS.
- "Users". Law & Order: Special Victims Unit. Season 11. Episode 7. 4 November 2009. NBC.
- "Echoes". The CW Television Network.
- "One Last Time". Homeland (TV series). Season 3. Episode 9. 24 November 2013. Showtime.
- "Bon Voyage". Graceland (TV series). Season 3. Episode 7. 6 August 2015. USA Network.
Radio
- "Sink or Swim. Act Two. I'm Not a Doctor But I Play One at the Holiday Inn.". This American Life. Episode 321. 1 December 2006. — A former heroin addict realizes that he wants to help other addicts kick their habits. The problem is, he wants to do this using a hallucinogenic drug - ibogaine - that is completely illegal, and which requires medical expertise he doesn't have.[80]
Research
Addiction treatment
The most-studied therapeutic effect of ibogaine is the possible reduction or elimination of addiction to opioids. Research suggests that ibogaine may be useful in treating dependence on other substances such as alcohol, methamphetamine, and nicotine, and may affect compulsive behavioral patterns not involving substance abuse or chemical dependence.[medical citation needed] Researchers note that there remains a "need for systematic investigation in a conventional clinical research setting."[49]
Many users of ibogaine report experiencing visual phenomena during a waking dream state, such as instructive replays of life events that led to their addiction, while others report therapeutic
Psychotherapy
Ibogaine was used as an adjunct to psychotherapy by Claudio Naranjo, documented in his book The Healing Journey.[82] He was awarded patent CA 939266 in 1974.
See also
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