Safety First
Ibogaine treatment with the safest medical structure available.
Through our program, ibogaine is administered by an independent licensed Brazilian physician inside a fully licensed hospital, with 24-hour ICU monitoring, qualified clinical staff, and emergency cardiac protocols on standby. Profound healing, without compromise.
What makes Ibogaine unsafe?
Ibogaine offers significant benefits whilst posing real risks if not administered properly. Unregulated countries, such as Mexico and Costa Rica, operate more as wellness spas than medical facilities, facing three critical safety limitations:
No pre-treatment prep
The weeks before treatment are vital to prepare the body for the ibogaine experience. It’s important to enter Ibogaine as healthy as possible. Some detox is required ahead of time.
No hospital or ICU
Cardiac events happen! Most clinics are far from hospital emergency care and rely on ambulances, so if a patient has a cardiac event, it can take too long to receive proper intervention.
Not enough time
What many don’t realize is that after ibogaine is the most critical window. Our in-person integration period is 15 days, that’s longer than other ibogaine clinics’ full programs. More days means better results.
We built Nekawa in Brazil because Ibogaine is an officially prescribed medicine
Nekawa was built in Brazil specifically because of Brazil's regulated medical pathway for ibogaine. Through our program, students access ibogaine treatment that is delivered by an independent licensed physician in a real hospital setting — not in a private home or wellness center, as is common in unregulated jurisdictions.
Prescription Access In Brazil
Ibogaine is physician-prescribed through ANVISA, allowing us to operate transparently and professionally.
24-Hour Hospital Admission (under the physician’s care)
Patients are placed on continuous telemetry in a hospital suite with ICU staff monitoring.
Emergency Protocols for Arrhythmias
The physician’s clinical team is trained in advanced cardiac protocols, from magnesium sulfate to synchronized cardioversion and external pacing.
Advanced Wearable Biometric Monitoring
The physician’s clinical setup includes advanced wearable biometric monitoring with real-time AI-supported telemetry — capturing heart rate, HRV, respiration, temperature, and movement to flag early warning signs.
Genetic Testing for CYP2D6 Metabolism
The physician assesses how fast or slow your liver metabolizes ibogaine to personalize effective dosage.
Pharmaceutical-grade Ibogaine, prescribed for you specifically
The quality of the medicine matters as much as the medical setting. The ibogaine prescribed by the physician is not a grey-market compound — it is a precision pharmaceutical, manufactured under international standards and dispensed as an individual prescription by a licensed pharmacist.
Medical and program screening before treatment
Every prospective student undergoes a multi-stage screening before ibogaine treatment is cleared for prescription access and treatment. Each screening is independent.
Nekawa Program-Fit Screening
Our team conducts a separate conversation about whether the program structure and community are a fit for you. This screening is independent of the medical and psychological assessments.
Physician Consultation (independent)
A licensed Brazilian physician reviews your full medical history, current medications, and cardiovascular status. A 12-lead EKG, QTc interval measurement, CYP2D6 genetic testing, and comprehensive bloodwork are ordered to assess cardiac and metabolic risk before any treatment decision is made by the physician.
Psychological Consultation (independent)
A licensed psychologist conducts a structured intake to assess your mental health history, trauma background, current psychiatric status, and readiness for treatment. This shapes your preparation protocol and ensures ibogaine is the right intervention at the right time.
The clinical and program team
The professionals you’ll work with through the program are credentialed and experienced. The independent clinical professionals operate under their own medical licenses and are not employed by Nekawa. The Nekawa program team supports your stay, integration, and community experience.
Medical Team
- Independent licensed Brazilian physicians
- Registered nurses
- Psychedelic-experienced psychotherapists and psychologists
Nekawa Wellness Team
- Indigenous teachers and ceremony facilitators
- Peer mentors and counselors with lived experience recovery
- Integration specialists and certified coaches
Frequently Asked Questions
Ready to experience Ibogaine the safe way?
Click below to begin your intake screening and speak with a guide. It’s free and completely confidential.
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