The High Guide Podcast: Ibogaine Therapy Safety & Ethics: What Responsible Care Really Looks Like

[Tokeativity]

117. Ibogaine Therapy Safety & Ethics: What Responsible Care Really Looks Like

A grounded conversation on ibogaine therapy safety and ethics—covering medical oversight, risks, integration, and responsible psychedelic care.

Episode Summary

Ibogaine is often described as a breakthrough for addiction, trauma, and PTSD—but it’s also one of the most medically complex psychedelic therapies in use today. In this episode, April Pride sits down with Tom Feegel and Talia Eisenberg, co-founders of Beond Ibogaine, to explore what ethical, medically supported ibogaine care actually requires.

Together, they unpack the difference between iboga and ibogaine, why cardiac screening and clinical monitoring are non-negotiable, and how integration—not intensity—is where real change happens. Talia shares her personal recovery story, Tom explains Beond’s safety-first model, and April grounds the conversation in harm reduction, nervous system care, and responsibility. This episode will help you understand the real risks, the emerging science, and the ethical questions shaping ibogaine’s future—without hype or shortcuts.

Key Takeaways

Iboga and ibogaine are not the same—and that distinction matters for safety, dosing, and ethics.

Ibogaine carries real cardiac risk and should never be used without medical screening and monitoring.

Post-acute withdrawal can last weeks or months and is a major relapse risk without support.

Whole-plant medicines vary in potency; predictability is a safety issue, not a comfort preference.

Integration starts before the medicine and continues long after—it’s a way of living, not a checklist.

Timestamps

[00:00] Safety disclaimer, why harm reduction matters, and setting the context[01:00] Iboga vs. ibogaine: what’s the difference and why it matters[03:00] Tom’s story: trauma, recovery, and building the place that didn’t exist[07:30] Talia’s first ibogaine experience and the risks of unregulated care[09:00] What post-acute withdrawal really looks like[12:00] Spiritual seeking, Osho, and early inner guidance[14:00] “Root medicine” and why support after the experience is critical[17:00] Potency variability: mushrooms, cannabis, and iboga compared[18:00] Cardiac risk, medical screening, and ethical boundaries[23:00] PTSD, TBI, and what the emerging research suggests[27:00] Cannabis use disorder, ketamine, kratom, and modern dependency patterns[31:00] What a medically supported ibogaine program actually includes[34:00] Integration vs. activation: turning insight into lived change[38:00] How to evaluate whether ibogaine care is right for you

Guests

Follow Tom Feegel & Talia Eisenberg: Beond Ibogaine | https://beondibogaine.com | https://www.instagram.com/beondibogaine

Additional Resources

SetSet Psychedelic Cards

Women in the Wild application

Learn more about this episode: https://aprilpride.substack.com/p/ibogaine-therapy-safety-and-ethics

Hosted by April Pride

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