These are some notes from Doctor Frederic Baretto’s (aka Dr Fred) presentation at the European Ibogaine Forum. Dr Fred is the ibogaine doctor at Tabula Rasa ibogaine treatment centre in Portugal.
Below we outline the main points taken from his presentation. Link to the full video at the bottom of the page.
• Synthetic opiates account for a large amount of drug deaths and are not suitable with ibogaine
• Tramadol is QT prolonging so not good with ibogaine and there are other issues with it too
• Fentanyl – needs a special test as it doesn’t show up as an opiate in standard urine tests.
Cardiac Care & Emergency Care
• Ibogaine can trigger an already unbalanced autonomic nervous system (speedballs do this as give both “rest” and “adrenaline” responses)
• The parasympathetic nervous system (PNS) controls homeostasis and the body at rest and is responsible for the body’s “rest and digest” function. The sympathetic nervous system (SNS) controls the body’s responses to a perceived threat and is responsible for the “fight or flight” response. Speedballs trigger both of these at the same time putting stress on the heart.
• Manual difibillator is best but you must know the correct joules for different cardiac conditions etc
• Difibillators with external pacing / use with benzo as painful contracts chest
• Pay attention to the patients Oxygen O2 as it should relate to the patients state (might drop during the deep trip for example)
• Learn all the heart algorithms check American heart association https://www.acls.net/aclsalg.htm
• Normally the person will feel bad if there is bad stuff with heart, don’t worry too much about the ECG monitor
• Drug test everyone, especially psycho-spirituals as people lie to try and get in cheaper
• Get family medical history regarding the heart
• Make sure that no other drugs are using the CYP2D6 liver enzyme,
• If frequent users of drugs, benzos, anxiety medication, herbal remedies, supplements, etc (natural or otherwise) that hit the Gaba receptors, they are at high risk of seizures.
• HIV / Hep tests for I.V users
• Creatinine Levels – if elevated signifies impaired kidney function
• Drug test on arrival and again before the flood
• Prepare with electrolytes, probiotics, no harsh detox
• If dodgy heart stop ibogaine and use other meds for comfort
• Put on their side if at risk of vomiting
• People with premature ventricular contractions get worse when they moved (to bathroom etc) or got agitated better to use a diaper or bowl
• Premature ventricular contractions (PVCs) are extra heartbeats that begin in one of your heart’s two lower pumping chambers (ventricles). These extra beats disrupt your regular heart rhythm, sometimes causing you to feel a fluttering or a skipped beat in your chest
• Purging often helps (vomit or defecate) with restoring electrical activity in the heart
If you see a Wide QRS call emergency services (if recurrent)
• Wide QRS complex tachycardia can be originated by Ventricular tachycardia (VT) and Supraventricular tachycardia (SVT)
• A “wide QRS complex” refers to a QRS complex duration ≥120 ms. Widening of the QRS complex is related to slower spread of ventricular depolarization.
Respiratory Oxygen tanks vs concentrator
Its sometimes necessary to give oxygen during an ibogaine treatment, especially for those with respiratory conditions.
Oxygen tanks aren’t so great as they are difficult to get refilled etc.
Concentrators serve the same amount of oxygen, are portable and lightweight and easy to get (300 euros and up).
• ACLS – Atropine, Adrenaline, Magnesium Sulphate I.V and more
• Naloxone / flumazenil for O.D
• NSAIDS – Toradol – If struggling with pain
• Oral Morphine Sulphate
• Serum – Hartmann / Ringer / Dextrose – when Blood pressure is low
• Benzos – Oral and I.V (IV lorezapam best)
• Electrolytes – Potassium Chloride, Sodium Chloride, Chelated Magnesium Oral (better absorbed), Oral potassium, oral hydration formulas.
• Thiamine, Bvit, IV/IM for alcoholics
• IV corticoids
• Anti-nausea – make sure you choose one that matches their blood pressure as this can effect bp.
o Ginger tea / tablets, CBD good preventative
Youtube Video of Dr.Fred’s talk at the European Ibogaine Forum
Dr.Fred starts his talk at 1:46:00 in the youtube video below
Tabula Rasa Ibogaine Treatment Centre
Dr.Fred works at Tabula Rasa an ibogaine treatment centre in Portugal, Europe.
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valuable information! Thanks Dr Fred!