Ibogaine Treatment for United States Residents

Is ibogaine legal in United States?

Ibogaine is a Schedule I controlled substance in the United States; treatment is not legally available anywhere in the country.

Under the federal Controlled Substances Act, ibogaine is Schedule I in all 50 states and the District of Columbia. No clinic in the United States can legally administer ibogaine treatment.

On April 18, 2026, a federal Executive Order directed a coordinated effort to prioritize ibogaine research, accelerate clinical development, and modernize regulatory pathways for emerging therapies, with a specific focus on Veterans. The order does not change ibogaine's Schedule I status or create a regulated treatment pathway inside the United States.

Several states have moved on ibogaine-related policy at the state level. Texas Governor Greg Abbott signed SB 2308 in June 2025, creating a $50M fund for FDA clinical trials; in April 2026 the Texas Health and Human Services Commission awarded that fund to UTHealth Houston and UTMB Galveston for the IMPACT consortium. California Governor Gavin Newsom signed AB 1103 in October 2025, streamlining state approval for federally authorized Schedule I research through December 2027. New York has multiple pending research bills (including S1817/A1522 and A9583) as of April 2026. Americans for Ibogaine tracks 18 U.S. states with active ibogaine-relevant legislation.

None of this state-level activity creates a legal treatment pathway for U.S. residents. Research funds and research-enabling bills support FDA clinical trials — not clinic access. The physician-prescribed option for Americans remains Brazil, where ibogaine is regulated by ANVISA and administered in licensed hospitals by independent Brazilian physicians.

Brazil is the world's leading country for physician-prescribed, hospital-administered ibogaine. Treatment is regulated by ANVISA (Brazil's federal health agency, the equivalent of the FDA), prescribed by licensed physicians, and delivered with full cardiac telemetry and hospital emergency infrastructure.

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Why Americans travel to Brazil

Americans who have exhausted conventional addiction or mental-health treatment options often arrive at ibogaine through word of mouth, veteran networks, or independent research. Because no legal treatment pathway exists in the United States, the regulated option is Brazil — where ibogaine has been prescribed by physicians and administered in hospitals for decades.

Nekawa combines that hospital-administered ibogaine pathway with a 15-day on-site integration program and 45-day at-home coursework on our 800-acre Costa Verde property near Paraty, Rio de Janeiro state.

Learn about Nekawa's safety protocols · What is ibogaine?

How the Nekawa program works

The program begins with a discovery call and medical screening. Eligible participants travel to Brazil for physician evaluation, cardiac workup, and hospital-administered ibogaine treatment by independent licensed Brazilian doctors — followed by nature-based integration at Costa Verde.

Nekawa is a wellness education program. We prepare participants, support them through integration, and connect them with independent Brazilian physicians. We do not operate a clinic and do not prescribe or administer ibogaine.

Getting started

Book a discovery call to discuss your situation, medical history, and whether the Nekawa program is appropriate for you. Our team can walk americans through travel logistics, timeline, and what to expect before you commit.