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Contraindicated

Ibogaine and Droperidol

Also known as: Inapsine, Droleptan

CredibleMeds Known Risk of TdP (category A) and carries a boxed warning for QT prolongation and torsades. Stacking it on ibogaine's own hERG blockade during the acute window is an additive, potentially lethal QT load.

Severity

Contraindicated

Mechanism

QT-interval prolongation

Protocol Status

Pre-arrival washout (under your prescribing physician)

Restart Delay

Physician discretion

What "Contraindicated" Means

Absolute prohibition without an enforced washout. Treatment cannot proceed safely until the medication has been cleared from the body for the protocol's required interval.

Clinical Action

What our medical team does for patients on Droperidol.

Do NOT use for ibogaine-induced nausea at any point in the acute window. Choose a non-QT-prolonging antiemetic; if no alternative exists, treat as a physician-level decision with continuous telemetry and a documented QTc.

Where the Washout Happens

Pre-arrival washout (under your prescribing physician)

Discontinuation is completed before arrival, under the patient's own prescribing physician, with the medication-specific washout interval observed before the flood dose.

Pre-Treatment Washout Window

Last dose at least 24 hours before treatment.

Post-Treatment Restart

Restart at physician discretion once acute window closes.

The Pharmacology

How Droperidol interacts with ibogaine: qt-interval prolongation.

Ibogaine and noribogaine block the cardiac hERG (IKr) potassium channel, which lengthens ventricular repolarisation and the QTc interval on a 12-lead EKG. Adding a second QT-prolonging drug compounds the effect and raises the risk of torsades de pointes — a polymorphic ventricular tachycardia that can be fatal. Every patient receives a baseline EKG, electrolyte panel, and continuous cardiac monitoring; medications in this class must be washed out long enough to return QTc into a safe range.

Same Mechanism

Other medications that interact via qt-interval prolongation.

Contraindicated

Citalopram

Celexa

Contraindicated

Escitalopram

Lexapro

Contraindicated

Amiodarone

Cordarone, Pacerone

Contraindicated

Sotalol

Betapace, Sorine

Contraindicated

Dofetilide

Tikosyn

Contraindicated

Dronedarone

Multaq

Same Severity Tier

Other contraindicated medications (different mechanism).

Serotonergic activity (serotonin syndrome)

Fluoxetine

Prozac, Sarafem

Serotonergic activity (serotonin syndrome)

Sertraline

Zoloft

Serotonergic activity (serotonin syndrome)

Paroxetine

Paxil, Pexeva

Serotonergic activity (serotonin syndrome)

Fluvoxamine

Luvox

Serotonergic activity (serotonin syndrome)

Vortioxetine

Trintellix, Brintellix

Serotonergic activity (serotonin syndrome)

Vilazodone

Viibryd

Common Questions

Droperidol and ibogaine treatment.

Can I take ibogaine if I am on Droperidol?

Contraindicated. CredibleMeds Known Risk of TdP (category A) and carries a boxed warning for QT prolongation and torsades. Stacking it on ibogaine's own hERG blockade during the acute window is an additive, potentially lethal QT load. Do NOT use for ibogaine-induced nausea at any point in the acute window. Choose a non-QT-prolonging antiemetic; if no alternative exists, treat as a physician-level decision with continuous telemetry and a documented QTc.

How long do I need to be off Droperidol before ibogaine treatment?

Pre-arrival washout (under your prescribing physician). Discontinuation is completed before arrival, under the patient's own prescribing physician, with the medication-specific washout interval observed before the flood dose. Last dose at least 24 hours before treatment.

What is the mechanism of the interaction?

QT-interval prolongation. Ibogaine and noribogaine block the cardiac hERG (IKr) potassium channel, which lengthens ventricular repolarisation and the QTc interval on a 12-lead EKG. Adding a second QT-prolonging drug compounds the effect and raises the risk of torsades de pointes — a polymorphic ventricular tachycardia that can be fatal. Every patient receives a baseline EKG, electrolyte panel, and continuous cardiac monitoring; medications in this class must be washed out long enough to return QTc into a safe range.

Can I switch to a different medication so I can have ibogaine treatment?

In many cases yes. Our medical team works with your prescribing physician to taper or substitute medications safely before treatment. The right substitution depends on the underlying condition you are treating with Droperidol — contact us for an individual review.

Checking more than one medication? Use the interactive Drug Interaction Checker to screen your full medication list at once.

Browse all 112 medications in the A–Z directory.

DA
Medically reviewed by Dr. Arellano, M.D.
Clinical Director, MindScape Retreat · Board-certified physician specializing in ibogaine-assisted detoxification with over 1,000 patients treated.
Last reviewed: May 2026 · See full medical team
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