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Nekawa

Last Updated: April 2026

Legal Status: Ibogaine

Last Updated: April 2026

Legal Status: Ibogaine

The legal landscape for Ibogaine and Ayahuasca is shifting rapidly as evidence mounts for their therapeutic value. Nekawa operates in Brazil, where ibogaine is unregulated. We provide natural ibogaine treatment as a cultural practice, led by spiritual guides and iboga facilitators with a licensed medical team on hand, and we are working with independent licensed physicians to set up a clinical pathway in a hospital environment.

Medically Permitted
Cultural / Religious
Unregulated
Illegal / Controlled
Exemptions Available
Research Happening

Note: Laws change. This information is provided as a general educational reference and should not be relied upon as legal advice. If you have specific legal concerns, consult a qualified attorney in your jurisdiction.

Nekawa's Legal Status

Natural ibogaine treatment, with a licensed medical team on hand, in an unregulated environment.

Ibogaine is unregulated in Brazil. That is the same environment clinics work in across Mexico, and it is where our program sits.

We offer natural ibogaine treatment, often called iboga, in the traditional manner, led by spiritual guides and iboga facilitators, with a licensed medical team on hand, ECG monitoring, and a gradual dosing protocol built for the safest possible experience in an unregulated environment.

Safety decides the protocol. Nobody meets the medicine until opioids, psychiatric medications, cannabis, nicotine and alcohol are out of the body, and we do not start with a flood dose. It begins with a Bwiti iboga initiation, then doses rise in steps over about two weeks, with an ECG every dosing day.

Brazil also has a physician-prescribed pathway, which is what sets it apart from every other country where ibogaine is unregulated. We are still setting that up, and it is not something we offer at this time.

Nekawa is a wellness and education program. It does not prescribe or sell ibogaine, and it does not provide medical services. Medical care connected to the program is provided by licensed professionals who hold their own licenses and bear clinical responsibility for their patients’ care.

Ayahuasca ceremonies at Nekawa are facilitated by indigenous practitioners under the full legal protection of Brazil’s national recognition of Ayahuasca as cultural heritage (CONAD Resolution 01/2010).

Brazil's Regulations

Brazil's regulations in an unregulated environment

Ibogaine is not a scheduled substance in Brazil. Two formal instruments sit alongside that, and both describe the physician-prescribed pathway rather than the unregulated space most treatment happens in. Expand either one to read it in full.

ANVISA: the medical import and prescription pathway

Brazil opened a medical import and prescription pathway for ibogaine in 2006 through ANVISA Resolution RDC No. 204, making it available under physician authorization for therapeutic and research purposes, not for commercial sale.

ANVISA's master import regulation (RDC No. 81/2008) confirms this distinction: ibogaine has no commercial registration (Chapter II, Item 1.1), but two pathways remain open: research samples (Chapter V, Item 5.1) and clinical treatment (Chapter IX, Item 3), which requires physician-backed case-by-case authorization from ANVISA's Diretoria Colegiada. The result is a structured, physician-accountable framework: not a free market, but a legitimate and documented medical pathway.

The work we are doing to create a clinical program falls under this pathway. It is not open yet.

São Paulo State Council on Drug Policy (CONED-SP), 2016

In January 2016, CONED-SP issued four formal statements on ibogaine compounds. They call for scientific investigation, ask that research be financially supported, and set out the conditions for administering ibogaine formulations in the treatment of substance use disorders under the prescribed pathway: in a hospital setting, under medical supervision and control, with thorough clinical, psychiatric, and psychological evaluation.

CONED-SP is a São Paulo state drug policy council, and these statements set out its position on that pathway.

8 – São Paulo, 126 (8)  |  Diário Oficial Poder Executivo — Seção I  |  quinta-feira, 14 de janeiro de 2016

CONSELHO ESTADUAL DE POLÍTICAS SOBRE DROGAS

Comunicado:

O Presidente do Conselho Estadual de Políticas sobre Drogas-CONED-SP, em atendimento à deliberação adotada na 90ª Reunião Ordinária de 29-10-2015, Edita, nos termos do Art. 9° da Resolução SJDC-055, de 26-6-2013, os seguintes Enunciados:

Enunciado CONED-SP Nº 01, de 29-10-2015

O uso de substâncias alucinógenas ou onirofrênicas para o tratamento do uso problemático de substâncias psicoativas deve ser considerado uma opção que exige investigação científica.

Enunciado CONED-SP Nº 02, de 29-10-2015

A pesquisa científica com o uso de substâncias alucinógenas ou onirofrênicas, inclusive para o desenvolvimento de opções de tratamento para o uso problemático de substâncias psicoativas, deve ser estimulada financeiramente pelas instituições de fomento de modo a garantir a realização de pesquisas quantitativas, qualitativas e estudos clínicos aleatorizados controlados.

Enunciado CONED-SP Nº 03, de 29-10-2015

Os compostos semissintéticos ou sintéticos baseados nos princípios ativos da Tabernanthe iboga e outras espécies do gênero Tabernaemontana (família Apocynaceae), devem ter o seu potencial terapêutico no tratamento do uso problemático de substâncias psicoativas investigado por intermédio de pesquisa científica.

Enunciado CONED-SP Nº 04, de 29-10-2015

Os princípios ativos derivados da Tabernanthe iboga e outras espécies do gênero Tabernaemontana (família Apocynaceae), particularmente as formulações de ibogaína, somente podem ser administrados, para o tratamento do uso problemático de substâncias psicoativas, em ambiente hospitalar, com supervisão e controle médicos, atendendo ao exercício da profissão e às recomendações da boa prática clínica, incluindo criteriosos exames clínicos e psiquiátricos, bem como avaliação psicológica e acompanhamento psicoterapêutico.

Click to open original PDF
English Translation: São Paulo Official Gazette, January 14, 2016

SÃO PAULO STATE COUNCIL ON DRUG POLICY

Communiqué:

The President of the São Paulo State Council on Drug Policy — CONED-SP, in compliance with the deliberation adopted at the 90th Ordinary Meeting of 29-10-2015, pursuant to Art. 9° of Resolution SJDC-055, of 26-6-2013, issues the following Statements:

Statement CONED-SP No. 01, of 29-10-2015

The use of hallucinogenic or mind-altering substances for the treatment of problematic use of psychoactive substances should be considered an option that requires scientific investigation.

Statement CONED-SP No. 02, of 29-10-2015

Scientific research on the use of hallucinogenic or mind-altering substances, including for the development of treatment options for problematic use of psychoactive substances, should be financially encouraged by funding institutions so as to guarantee the carrying out of quantitative and qualitative research and randomized controlled clinical trials.

Statement CONED-SP No. 03, of 29-10-2015

Semi-synthetic or synthetic compounds based on the active principles of Tabernanthe iboga and other species of the genus Tabernaemontana (family Apocynaceae) must have their therapeutic potential in the treatment of problematic use of psychoactive substances investigated through scientific research.

Statement CONED-SP No. 04, of 29-10-2015

Active principles derived from Tabernanthe iboga and other species of the genus Tabernaemontana (family Apocynaceae), particularly ibogaine formulations, may only be administered for the treatment of problematic use of psychoactive substances in a hospital setting, under medical supervision and control, in compliance with professional practice and good clinical practice recommendations, including careful clinical and psychiatric examinations, as well as psychological evaluation and psychotherapeutic follow-up.

Ibogaine: Global Legal Status

A country-by-country overview of where Ibogaine stands legally as of 2026.

AustraliaIllegal / Controlled

Currently Schedule 9 (prohibited substance). TGA (Therapeutic Goods Administration) is reviewing psychedelic-assisted therapies; rescheduling discussions are ongoing.

BrazilMedically PermittedResearch Happening

Not a scheduled substance, so treatment sits in the same unregulated space as Mexico. Brazil is unusual in also having a physician-prescribed pathway: medical importation under ANVISA Resolution RDC No. 204, and hospital-based treatment described by the 2016 São Paulo State Council on Drug Policy (CONED-SP) statements.

CanadaExemptions Available

Ibogaine is a controlled substance (Schedule III) but Health Canada has granted Special Access Program exemptions for therapeutic use in specific clinical settings.

Costa RicaUnregulated

Not specifically controlled. Retreats operate with limited regulatory oversight and outside of hospital settings.

FranceIllegal / Controlled

Classified as a narcotic. No clinical framework for therapeutic use.

GabonCultural / Religious

Iboga and Ibogaine are recognized as part of the national heritage. The Bwiti ceremony is protected cultural practice.

GermanyIllegal / Controlled

Controlled substance (Anlage I of the BtMG). No approved therapeutic use.

MexicoUnregulated

Not explicitly scheduled under Mexican law. Clinics operate in a legal grey area without the regulatory framework or hospital infrastructure available in Brazil.

NetherlandsUnregulated

Ibogaine is not on the Dutch controlled substances list. Some providers operate; regulatory clarity is limited.

New ZealandMedically PermittedResearch Happening

Classified as a prescription medicine; ibogaine can be prescribed by licensed physicians for therapeutic use under medical supervision. Active academic research includes the University of Auckland's clinical studies on ibogaine for opioid dependence.

PortugalUnregulated

Personal drug use was decriminalized in 2001; Ibogaine is not specifically scheduled but remains in a grey area for clinical use.

South AfricaMedically Permitted

Ibogaine is unscheduled and can be prescribed by licensed physicians. Several treatment centers operate legally with medical supervision.

SpainUnregulatedResearch Happening

Ibogaine is not specifically scheduled under Spanish law. ICEERS (International Center for Ethnobotanical Education, Research and Service) is based in Barcelona and supports clinical research on ibogaine and related plant medicines.

United KingdomIllegal / Controlled

Class A controlled substance under the Misuse of Drugs Act 1971. No approved therapeutic pathway currently exists.

United StatesIllegal / ControlledResearch Happening

Schedule I controlled substance under the Controlled Substances Act since 1970. However, legislative momentum is building: bipartisan support in Texas and other states, along with advocacy from military veteran groups, is pushing for rescheduling and clinical access. Texas is funding a $50M ibogaine research initiative.

Ayahuasca: Global Legal Status

Ayahuasca's legal landscape is shaped by whether countries schedule DMT (the active compound), the brew itself, or both, and whether religious or cultural exemptions exist.

AustraliaIllegal / Controlled

DMT is Schedule 9. The Ayahuasca brew is considered illegal. However, therapeutic psychedelic reforms in 2023 introduced TGA approval pathways for MDMA and psilocybin, with DMT potentially to follow.

BrazilCultural / ReligiousResearch Happening

Legal since 1987 for religious practice and cultural heritage. CONAD Resolution 01/2010 formally recognized Ayahuasca as part of Brazil's national cultural heritage and granted full legal protection to its religious and ceremonial use by indigenous and syncretic religious communities.

CanadaExemptions AvailableResearch Happening

DMT is controlled under the CDSA. Religious communities have sought and in some cases received exemptions. Ceremonial use exists in a contested legal space.

ColombiaCultural / Religious

Legal as part of indigenous and traditional ceremonial practice. The Constitutional Court has protected ceremonial use.

Costa RicaUnregulated / Grey Area

DMT is controlled but Ayahuasca is not specifically scheduled. Numerous retreat centers operate, though without formal regulatory oversight.

Czech RepublicUnregulated / Grey AreaResearch Happening

Personal drug use is decriminalized. Ayahuasca is not specifically scheduled, though DMT is controlled. Czech researchers are active participants in European psychedelic research.

EcuadorCultural / Religious

Recognized as an ancestral medicine and cultural practice for indigenous communities. Ceremonial use is protected.

FranceIllegal / Controlled

DMT is scheduled. Ayahuasca imports and ceremonies have been raided and prosecuted. No legal framework for ceremonial or therapeutic use.

GermanyIllegal / Controlled

DMT is a controlled substance. Ayahuasca brewing and possession are illegal under German narcotics law.

NetherlandsUnregulated / Grey AreaResearch Happening

DMT is illegal, but the Ayahuasca brew has historically existed in a legal grey zone. Multiple court cases have produced inconsistent rulings.

PeruCultural / ReligiousResearch Happening

Declared part of Peru's national cultural heritage in 2008. Ayahuasca ceremonies are widely practiced and internationally recognized as traditional medicine.

PortugalUnregulated / Grey Area

Personal use decriminalized. Ayahuasca ceremonies operate in a grey area, more tolerated than formally legal.

SpainUnregulated / Grey AreaResearch Happening

No specific prohibition on Ayahuasca as a brew, though DMT is controlled. Some ceremonial organizations operate. Legal status varies by region.

SwitzerlandUnregulated / Grey AreaResearch Happening

DMT is a controlled substance, but Switzerland hosts significant clinical research institutions studying psychedelic compounds. Ayahuasca ceremonies exist in a legal grey area alongside an active research culture.

United KingdomIllegal / Controlled

DMT is Class A. Ayahuasca is considered a controlled preparation. No religious exemptions exist. Possession and supply carry serious criminal penalties.

United StatesExemptions AvailableResearch Happening

DMT (the active compound) is Schedule I. However, two religious organizations, União do Vegetal (UDV) and Santo Daime, have received federal exemptions to use Ayahuasca as a sacrament. State-level decriminalization is expanding (Oregon, Colorado).

Organizations Advancing the Field

The expanding legal access to psychedelic medicines globally is the result of sustained scientific, legal, and advocacy work by a number of organizations. We recognize their contributions.

MAPS: Multidisciplinary Association for Psychedelic Studies

The Multidisciplinary Association for Psychedelic Studies has funded and published pivotal clinical trials on MDMA, psilocybin, and other psychedelic medicines, building the evidence base that legislators and regulators require to reform drug policy.

maps.org
ICEERS: International Center for Ethnobotanical Education, Research and Service

The International Center for Ethnobotanical Education, Research and Service provides direct legal support to individuals, communities, and organizations navigating prosecution related to Ayahuasca and other traditional plant medicines. It defends cultural and religious rights in courts across Europe and beyond.

ICEERS Legal Support
ICEERSAyahuasca
Defense Fund

A program of ICEERS dedicated to protecting the religious freedom and legal rights of Ayahuasca practitioners and communities. The fund provides legal resources, supports test cases, and advocates for the recognition of Ayahuasca use as a protected religious and cultural practice under international law.

ADF Legal Support
Chacruna Institute for Psychedelic Plant Medicines

The Chacruna Institute for Psychedelic Plant Medicines bridges scientific research and public understanding. It publishes peer-reviewed journalism, advocates for indigenous practitioners' rights, and promotes equitable access to psychedelic plant medicines through education and policy engagement.

chacruna.net

Legal Disclaimer

This page is provided for general educational and informational purposes only. The legal status information presented here reflects our best understanding as of the date noted above and is subject to change without notice. Laws vary by jurisdiction and change frequently, particularly in the rapidly evolving field of psychedelic medicine.

Nekawa does not provide legal advice. Nothing on this page should be construed as legal counsel or as a representation that any particular activity is legal in your jurisdiction. For specific legal questions, consult a qualified attorney in the relevant jurisdiction.

Nekawa operates exclusively within the legal framework of the Federative Republic of Brazil and does not encourage or facilitate activity that contravenes the laws of any country.


Nekawa's Role: Referral Only

Nekawa is a wellness and education program and does not provide medical services or sell or dispense ibogaine. Medical care connected to the program is provided by licensed medical professionals under their own licenses.

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