Safety First
The safest Ibogaine treatment on the planet
Nekawa administers Ibogaine inside a fully licensed hospital with 24-hour ICU monitoring, licensed physicians, 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
At Nekawa, we do something radically different. We bring Ibogaine into a real hospital setting where it can be monitored, controlled, and supported with the highest level of medical care.
Prescription Access In Brazil
Ibogaine is physician-prescribed through ANVISA, allowing us to operate transparently and professionally.
24-Hour Hospital Admission
Patients are placed on continuous telemetry in a hospital suite with ICU staff monitoring.
Emergency Protocols for Arrhythmias
From magnesium sulfate to synchronized cardioversion and external pacing, our doctors are trained and prepared.
Advanced Wearable Biometric Monitoring
Real-time AI-supported telemetry captures heart rate, HRV, respiration, temperature, and movement to flag early warning signs.
Genetic Testing for CYP2D6 Metabolism
We assess how fast or slow your liver breaks down Ibogaine and noribogaine to personalize effective dosage.
Pharmaceutical-grade Ibogaine, prescribed for you specifically
The quality of the medicine matters as much as the medical setting. Our Ibogaine is not a grey-market compound — it is a precision pharmaceutical, manufactured under international standards and dispensed as an individual prescription.
Our medical consultation process
Every Nekawa patient undergoes a thorough multi-stage consultation before treatment is approved. This is not a formality — it is the foundation of our safety record.
Physician Consultation
A licensed physician reviews your full medical history, current medications, and cardiovascular status. A 12-lead EKG, QTc interval measurement, and CYP2D6 genetic testing are ordered to assess individual cardiac and metabolic risk before any treatment decision is made.
Psychological Consultation
Our psychotherapist 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.
Complete Lab Workups
A full panel of bloodwork including liver enzymes, kidney function, electrolytes, thyroid markers, and a complete blood count is required. Results are reviewed by our medical team and any values outside safe parameters are addressed before treatment proceeds.
Our medical staff
Every person on our clinical team is credentialed, experienced, and present. You are never left without eyes on you during or after treatment.
Medical Director
Oversees all clinical protocols, approves every patient intake, and holds final authority on treatment decisions. Board-certified with deep specialisation in addiction medicine and emergency cardiac care.
Physician
Conducts pre-treatment medical consultations, interprets lab results and EKGs, manages dosing protocols, and leads emergency intervention when needed. On-site throughout every treatment.
Psychotherapist
Leads psychological intake and screening, guides preparation sessions, facilitates integration therapy, and provides continued support through the Window of Wonder period.
ICU Nurses
ICU-trained nursing staff provide 24-hour bedside monitoring, manage continuous cardiac telemetry, and are the first responders to any clinical change during and after the treatment experience.
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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