Ibogaine Therapy: Forms and Dose Regimens Howard S. Lotsof, B.F.A., C.M.A. President Dora Weiner...

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Ibogaine Therapy: Forms and Dose Regimens Howard S. Lotsof, B.F.A., C.M.A. President Dora Weiner Foundation Staten Island, NY http://www.doraweiner.org

Transcript of Ibogaine Therapy: Forms and Dose Regimens Howard S. Lotsof, B.F.A., C.M.A. President Dora Weiner...

Page 1: Ibogaine Therapy: Forms and Dose Regimens Howard S. Lotsof, B.F.A., C.M.A. President Dora Weiner Foundation Staten Island, NY .

Ibogaine Therapy: Forms and Dose

Regimens

Howard S. Lotsof, B.F.A., C.M.A.President

Dora Weiner FoundationStaten Island, NY

http://www.doraweiner.org

Page 2: Ibogaine Therapy: Forms and Dose Regimens Howard S. Lotsof, B.F.A., C.M.A. President Dora Weiner Foundation Staten Island, NY .

Forms in Current Use

• Botanical - root bark

• Total alkaloid extract

• purified ibogaine

Page 3: Ibogaine Therapy: Forms and Dose Regimens Howard S. Lotsof, B.F.A., C.M.A. President Dora Weiner Foundation Staten Island, NY .

Tabernanthe iboga shrub

Page 4: Ibogaine Therapy: Forms and Dose Regimens Howard S. Lotsof, B.F.A., C.M.A. President Dora Weiner Foundation Staten Island, NY .

Roots contain ibogaine

Page 5: Ibogaine Therapy: Forms and Dose Regimens Howard S. Lotsof, B.F.A., C.M.A. President Dora Weiner Foundation Staten Island, NY .

Total Alkaloid Extract

Large piece 2cm x 2cm, approx 4 grams

Estimate 15% ibogaineCourtesy Sara Glatt

Page 6: Ibogaine Therapy: Forms and Dose Regimens Howard S. Lotsof, B.F.A., C.M.A. President Dora Weiner Foundation Staten Island, NY .

Ibogaine HCl

99.4% purity

Page 7: Ibogaine Therapy: Forms and Dose Regimens Howard S. Lotsof, B.F.A., C.M.A. President Dora Weiner Foundation Staten Island, NY .

All forms have multiple treatment applications1.Chemical use disorders

2.Pain management

3.Psychotherapy

4.Initiatory sessions

Page 8: Ibogaine Therapy: Forms and Dose Regimens Howard S. Lotsof, B.F.A., C.M.A. President Dora Weiner Foundation Staten Island, NY .

Each form has

1.Different onset

2.Different duration of action

3.And significant diversity across the patient population

Page 9: Ibogaine Therapy: Forms and Dose Regimens Howard S. Lotsof, B.F.A., C.M.A. President Dora Weiner Foundation Staten Island, NY .

Onset of Effects (min)

020406080

100120140160

HCl Extract

Full EffectOnset

Page 10: Ibogaine Therapy: Forms and Dose Regimens Howard S. Lotsof, B.F.A., C.M.A. President Dora Weiner Foundation Staten Island, NY .

Period of visuaization (hours)

02468

10121416

HCl Extract

Extended

Visualization

Onset

Page 11: Ibogaine Therapy: Forms and Dose Regimens Howard S. Lotsof, B.F.A., C.M.A. President Dora Weiner Foundation Staten Island, NY .

Duration of Action (days)

0123456789

10

HCl Extract

Residual

Principal

Page 12: Ibogaine Therapy: Forms and Dose Regimens Howard S. Lotsof, B.F.A., C.M.A. President Dora Weiner Foundation Staten Island, NY .

Effect on sleep (weeks)

0123456789

10

HCl

Residual

Principal

Page 13: Ibogaine Therapy: Forms and Dose Regimens Howard S. Lotsof, B.F.A., C.M.A. President Dora Weiner Foundation Staten Island, NY .

Dose and Dose Regimen

1.Single dose

2.Multiple

1.Escalating

2.Deescalating

3.Linear

Page 14: Ibogaine Therapy: Forms and Dose Regimens Howard S. Lotsof, B.F.A., C.M.A. President Dora Weiner Foundation Staten Island, NY .

All doses are representative. Doses, including single administration doses are determined on a patient by patient basis. The graphs of dose regimens and information that follow should not be used by persons without experience to self-administer or administer to others any dose of ibogaine or total alkaloid extract of Tabernanthe iboga.

Page 15: Ibogaine Therapy: Forms and Dose Regimens Howard S. Lotsof, B.F.A., C.M.A. President Dora Weiner Foundation Staten Island, NY .

Single dose regimens usually fall between 10mg/kg and 22mg/kg depending on type of therapy offered: opioid dependence, stimulant dependence, psychospiritual, etc. Most doses fall in the 15mg/kg - 20mg/kg dose range to reach full therapeutic effects.

Page 16: Ibogaine Therapy: Forms and Dose Regimens Howard S. Lotsof, B.F.A., C.M.A. President Dora Weiner Foundation Staten Island, NY .

ibogaine HCl (mg/hour)20mg methadonetotal - 1000mg

350

175 175 175125

050

100150200250300350400

0 h1 h2 h3 h4

HCl

Page 17: Ibogaine Therapy: Forms and Dose Regimens Howard S. Lotsof, B.F.A., C.M.A. President Dora Weiner Foundation Staten Island, NY .

ibogaine HCl (mg/kg/hour)stimulant therapy

courtesy Eric Taub

2.5

10

32468

10121416

0 h2 h3

HCl

Page 18: Ibogaine Therapy: Forms and Dose Regimens Howard S. Lotsof, B.F.A., C.M.A. President Dora Weiner Foundation Staten Island, NY .

ibogaine HCl (mg/kg/hour)heroin therapytotal 21.5mg.kg

courtesy Eric Taub

2.5

14

5

2468

10121416

0 1h h12

HCl

Page 19: Ibogaine Therapy: Forms and Dose Regimens Howard S. Lotsof, B.F.A., C.M.A. President Dora Weiner Foundation Staten Island, NY .

ibogaine HCl (mg/kg/hour)methadone therapy

total 36.5 mg/kgcourtesy Eric Taub

2.5 2.5 2.5 2.5 2.5

12

3 3 3 32468

10121416

013 23 30 34 36 59 68 77 89

100

HCl

Page 20: Ibogaine Therapy: Forms and Dose Regimens Howard S. Lotsof, B.F.A., C.M.A. President Dora Weiner Foundation Staten Island, NY .

extract (grams/hour)heroin therapytotal 7 grams

courtesy Sara Glatt

3 3

1

0123456

0 12 36 48

Exract

Page 21: Ibogaine Therapy: Forms and Dose Regimens Howard S. Lotsof, B.F.A., C.M.A. President Dora Weiner Foundation Staten Island, NY .

extract (grams/hour/day)methadone therapy

total 11 gramscourtesy Sara Glatt

3 3

1 1 1 1 1

0123456

0 12 36 d2 d4 d6 d8 d10

Exract

Page 22: Ibogaine Therapy: Forms and Dose Regimens Howard S. Lotsof, B.F.A., C.M.A. President Dora Weiner Foundation Staten Island, NY .

extract (grams/hour)HCl (mg/hour)

methadone 300mg/daytotal extract 9 grams

total HCl 400mgcourtesy Marc Emery

5.2

3.8

0.1 0.1 0.1 0.10123456

0h72 h96h120h168h192

ExractHCl

Page 23: Ibogaine Therapy: Forms and Dose Regimens Howard S. Lotsof, B.F.A., C.M.A. President Dora Weiner Foundation Staten Island, NY .

All doses and dose regimens shown or discussed are representative and are not indicated to be provided to any other patient or subject. All doses and dose regimens are made on a patient by patient basis upon knowledge and prior art.