Choosing a provider
In an unregulated field, the questions you ask are the only inspection a clinic will ever face. Twelve of them — with the answers you should hear — plus the red flags that end the conversation.
The right mental model: you are not choosing a retreat. You are choosing a medical procedure in a foreign country, in a field with no regulator behind you. Precise questions get you past the brochure.
The twelve questions
Who performs medical screening?
A named, verifiable, licensed physician — involved before you travel.
What screening before dosing?
The only acceptable answer includes a 12-lead ECG and blood work — heart rhythm mentioned unprompted.
Is cardiac monitoring continuous?
Through at least the first 24 hours. “We check vitals regularly” is not the same thing.
What emergency capability is on site?
Defibrillator, IV access as standard, staff current in advanced life support.
How far is the nearest hospital?
Honest providers answer without flinching — and admit transfers have happened.
How do you handle methadone or fentanyl?
Structured transitions and extended timelines — never “come as you are.”
How is dose determined?
By body weight, adjusted for screening, often with a test dose. Never one-size-fits-all.
What form of ibogaine, and how tested?
Pharmaceutical-grade with certificates of analysis — not root bark of unstated potency.
Who is with the patient during the session?
Medical staff physically present — not a camera and a call button.
What does aftercare actually include?
Named follow-up contact, integration sessions, referral relationships — not a farewell dinner.
What are your outcomes, and how do you know?
Honest clinics describe follow-up attempts and limits. Precise success rates with no methodology are fiction.
Who should NOT come to you?
The most revealing question. A trustworthy provider answers immediately and specifically.
Red flags that end the conversation
- Guaranteed results, “cure” language, or booking pressure (“one spot left this month”)
- No physician involvement before arrival, or screening only after payment
- Dismissiveness about cardiac risk
- Unwillingness to name staff, location, or hospital arrangements
- Prices dramatically below market — see why
Wondering if ibogaine fits your situation?
Six questions, two minutes. A straight answer, and we'll tell you honestly if it's no.