Medically supervised care at MindScape Retreat, Cozumel

Medication & Eligibility

On antidepressants?
You don't have to quit first.

Most clinics tell you to come back once you're off your medication. That puts the hardest, most dangerous part of the process on you, alone, at home. We step you down here instead, with a physician on site and continuous cardiac monitoring.

Check my medication

100% Confidential · No Obligation

On-site

SSRIs, SNRIs, benzodiazepines

tapered here, not before you travel

462

medications in our interaction database

free to check, no signup

24/7

cardiac monitoring during treatment

physician and RN on site

Individual

plan per medication list

reviewed before any dosing decision

The honest version

Being on medication is the most common reason people are turned away

If you are on an SSRI, an SNRI, a benzodiazepine or something to help you sleep, you have probably already been told by someone that you need to be off it before treatment. That advice is common, and for a clinic without a physician on site it is even reasonable. It is also how people end up tapering themselves at home, badly, and deciding the whole thing is beyond them.

Our specialized programs manage the entire taper here. Patients arrive stable on their currently prescribed doses, and the medical team steps them down on-site using iboga TA boosters at low sub-psychoactive doses under continuous physician supervision. You are not asked to do the difficult part by yourself before you have even met us.

If you want to know where your specific medication falls before you talk to anyone, our clinical interaction checker is free and requires no signup. It reads the same curated database our medical team uses.

What is handled where

Two categories, and most people are in the first

Tapered on-site, change nothing beforehand

SSRIs and SNRIs, antidepressants generally, benzodiazepines and sleep medication, opioids including fentanyl, and kratom. Arrive on what you are prescribed. Do not reduce anything on your own before you travel.

Transitioned with your own prescriber

Methadone, Suboxone and other long-acting opioids are switched to a short-acting opioid before arrival for receptor-binding reasons, coordinated with the physician who prescribes them. The reduction itself still happens here.

Reviewed and adjusted before arrival→

MAOIs, tricyclic antidepressants, lithium, tramadol and certain QT-prolonging cardiac medications. Stimulants such as Adderall or Ritalin usually need a brief pause. This is a medical conversation with your prescriber, never something you do alone.

Recent ayahuasca counts as an MAOI

Ayahuasca preparations contain harmala alkaloids, which are MAOIs. If you have taken it recently, tell us before any date is discussed. Our team reviews the timing rather than estimating it.

Cardiac screening is the real gate→

Ibogaine affects the heart's QT interval, and several common medications do too. Screening is what makes any of this safe, and the ceiling is read against your whole cardiac picture rather than a single number.

Nobody sorts your medication from a website

Including this one. The categories above are how our programs are structured, not a decision about you. Your plan comes from your medication list, your ECG and your bloodwork.

What happens

From your medication list to a plan

Check your medication

Use the interaction checker to see whether our clinical database flags what you take, and why. Free, no signup, and it tells you the mechanism rather than just a colour.

Complete the confidential pre-screen

List everything you take, including doses and how long you have been on them. This is the single most useful thing you can be thorough about.

Medical team review

Our physicians review your full medication list alongside your ECG and bloodwork. Where something needs adjusting before you travel, we tell you what and coordinate with your prescriber.

Your taper runs here

The step-down happens on site with TA boosters and continuous monitoring, on a schedule your physician sets and adjusts as you go.

Why we can do this

The infrastructure is the difference, not the willingness

Accepting patients on psychiatric medication is not a matter of being more relaxed about it. It requires continuous cardiac telemetry, a physician and RN on site, a curated interaction database rather than general knowledge, and a protocol for stepping medication down alongside treatment rather than before it.

That is what the taper model exists for, and it is why we can say yes to people other clinics send away. It is also why we say no to some people other clinics might accept, when the cardiac picture says so.

If you are weighing this up, the confidential pre-screen is the honest next step. It costs nothing and it ends with a real answer from a physician rather than a guess from a website.

Questions

What people ask before they tell us what they take

No. Patients arrive stable on their currently prescribed doses. Our medical team steps you down on-site with iboga TA boosters at low sub-psychoactive doses under continuous physician supervision. Tapering yourself at home before travelling is unnecessary and can be dangerous.

SSRIs and SNRIs, antidepressants generally, benzodiazepines and sleep medication, opioids including fentanyl, and kratom are all managed here rather than before you arrive.

Yes, a small number. MAOIs, tricyclic antidepressants, lithium, tramadol, certain QT-prolonging cardiac medications, and stimulants such as Adderall or Ritalin are reviewed and adjusted before arrival, always with your own prescribing physician rather than by you alone. Methadone and Suboxone are transitioned in coordination with your prescriber. Recent ayahuasca counts here too, because it contains MAOIs.

Use our clinical interaction checker to see whether your medication is one our clinical database flags, then complete the confidential pre-screen. Our medical team reviews every medication you take and builds an individual plan. Never stop or change a dose based on a website, including this one.

Because managing a taper alongside ibogaine requires continuous cardiac monitoring, a physician on site, and a protocol for stepping medication down safely. Clinics without that infrastructure ask you to arrive already off your medication, which pushes the hardest and most dangerous part of the process onto you, alone, at home.

That is exactly the question our screening exists to answer, and it is answered per person rather than in general. Several medication classes interact with ibogaine through serotonin, through the QT interval, or through how the liver clears it. Our team reviews your full medication list, your ECG and your bloodwork before any dosing decision is made.

Next step

Tell us what you take

The pre-screen is confidential, it costs nothing, and it ends with an answer from a physician instead of a guess. If something needs adjusting before you travel, we will tell you exactly what and work with your prescriber.

Start the confidential pre-screen