The Boston Ibogaine Forum
-- from Shamanism to Cutting Edge Science
March 13, 2009 - Drug War Chronicle
On a cold and clear Presidents Day weekend, dozens of treatment
professionals, underground providers, patients, researchers and
entheogenic enthusiasts gathered at Boston's Northeastern University
for the Boston Ibogaine Forum, the 2009
installment of the annual ibogaine conference, sponsored the Northeastern
Students for Sensible Drug Policy (which is also hosting the Northeast SSDP Regional conference
on April 3-5), the National AIDS Brigade, and Cures
Not Wars.
Ibogaine is considered the
'active' compound in the Tabernanthe iboga
plant, used for centuries as a healer, teacher, and catalyst for
ceremonies by the Bwiti people indigenous to what is now the
Central-west African republic of Gabon. But the versatile plant has
remained virtually unknown in the West, where it has a very different
history.
Researcher Howard Lotsof, PhD, addicted to heroin and
methadone,
discovered the anti-addictive action of ibogaine in 1962. Given a
capsule of pure ibogaine HCL by a trusted friend who was familiar with
chemistry, Lotsof was simply seeking a new high. He was astonished when
coming out of this difficult experience 36-opiate-abstinent hours later
to realize he had no physical craving for opiates, and even more
remarkably, had experienced very little of the agonizing physical
symptoms normally associated with opiate withdrawal.
Although other early research was undertaken in the 1960s,
ibogaine's eventual acceptance as anti-addiction agent in the West was
tied to Lotsof's remarkable personal story. Off opiates, Lotsof turned
with enthusiasm toward ibogaine and other psychedelics, running trials
in the mid-1960s before going to prison under new federal drug laws
banning the psychedelics at the end of the decade. For another two
decades, Lotsof and ibogaine as addiction treatment wandered in the
wilderness, his research supported by groups such as Cures Not Wars.
It was only in 1989 that Lotsof made significant contacts with
mainstream researchers, who undertook their own pioneering researches.
In the years between then and now, thanks to the missionary efforts of
Lotsof and his supporters, ibogaine has ever so slowly become of
greater and greater interest to addiction researchers and others.
Valentine's Day morning found ibogaine aficionados at the
movies for Facing the Habit,
a 2007 film featuring heroin users who succeed -- or fail -- to kick
their habit through ibogaine treatments. Next up was ibogaine's most
prominent advocate, the mustachioed Cures not Wars co-founder and
Yippie! Dana Beal, who brought conference attendees up to speed on the
latest research on ibogaine's anti-addictive properties, including its
ability to regenerate dopamine pathways in the brain through its
activation of glial cell line-derived neurotrophic factor GDNF. This
exciting research had a panel of its own later in the day featuring
Roman Paskulin, founder and director of Slovenia's Open
Mind Institute and Dr. Tracy Blevins.
Beal was followed by a panel of ibogaine treatment providers
discussing the special safety challenges involved in treating multiple
addictions to different drugs, including Drs. Anwar Jeewa and A.R.
Gani, of the groundbreaking residential treatment center Minds
Alive in Durban, South Africa, Dr. Bruno Rasmussin of Brazil,
and long-time provider Rocky Caravelli.
Next up was one of the most interesting presentations of the
conference, by Justin Kirkland, Vice President of Sales and Marketing
for Obiter
Research
on the company's efforts to develop more cost-effective methods of
synthesizing 18 Methoxycorinaridine 18-MC, an ibogaine analog with
fewer side effects and greater potential for treating methamphetamine
and nicotine dependence. The day's events closed with McLean Hospital's
Dr. Carl Anderson discussing
ibogaine, dream states and fetal R.E.M.
Sunday started with another ibogaine documentary, the Dutch Rites of Passage,
followed by SSDP Northeastern's Arielle Torra presenting on the
subjective experiences of patients treated at Dr. Deborah Mash's Healing
Transitions Institute for Addiction clinic on St. Kitts.
The first scheduled panel of the day addressed the
controversial use
of ibogaine for other indications, including hepatitis C (HCV). Former
New Mexico Department of Health Harm Reduction Coordinator Phillip
Fiuty and Rocky Caravelli confirmed the existence of HCV patients whose
conditions have improved and even cleared the virus without interferon
treatment. Caravelli also described positive effects on herpes, MS and
asthma. Jason Farrell, founder and former executive director of Positive
Health Project
and currently CEO of Harm Reduction Consulting Services, Inc.,
suggested a collaborative study by clinics in South Africa, Mexico and
Brazil tracking the viral loads of HIV/HCV patients for six months to a
year.
Next, former High Times and drugwar.com
writer and editor Preston Peet gave dramatic personal testimony on
ibogaine's efficacy in managing chronic pain by drastically cutting
opioid tolerance.
The liveliest panel of the conference came up next, comparing
ibogaine's effectiveness with other treatment modalities. Patrick
Kroupa, a pioneer hacker and long-time activist whose multiple roles
include High Priest of the Transition Sacrament
of Transition,
an Eastern European based iboga religion religion, Dr. Deborah Mash,
Peet and Lenny of the New York City ibogaine support group and Harvard
Assistant Professor of Psychiatry John H. Halpern compared ibogaine's
effectiveness to other entheogens sometimes given as treatment
modalities for drug addiction, most notably peyote use in the possible
treatment of alcoholism among the Native American population, and the
sacramental use of ayahuasca among American members of the Santo Daime
and UDV churches. They also discussed ibogaine in comparison with more
conventional treatments, such as 12-step cold turkey, methadone taper,
buprenorphine and ultra-rapid opiate detox (UROD). UROD -- the direct
injection of the opiate blocker naltrexone under benzodiazepine
sedation -- was denounced by all panelists as ineffective and inhumane.
The next panel, comparing the anti-addictive effects of
ibogaine to other entheogens, featured Halpern and Jon Harrison, the
principal investigator for the Multidisciplinary Association for
Psychedelic Studies ibogaine outcome study at Pangea
Biomedics in Playas de Tijuana, Mexico.
This observational case study is examining changes in
substance use
in 30 individuals seeking ibogaine-based addiction treatment, and is
intended to gather information to evaluate whether ibogaine-assisted
therapy helps opiate-dependent people stop using opiates or practice
moderated use after the therapy. Twelve-month follow-up data is being
collected from participants in the study to examine whether
ibogaine-assisted therapy facilitates improvements in quality of life
that result in decreased harms associated with chronic or mismanaged
opiate use. The study has received Institutional Review Board approval
from the California
Institute of Integral Studies
and has enrolled 11 of the 30 subjects. For many months, MAPS had no
success in raising funds for the study, but received its first
significant donation at the conference, and by March 2nd, had raised
all the funds for the study.
Halpern, who's published some of the only research on peyote
use by Native Americans, surprised the crowd by revealing that the
National Institute on Drug Abuse
had so constrained his research that he wasn't allowed to directly
study peyote's manifest anti-addictive effects. He also had no data on
receptor-mediated anti-addictive effects, ascribing it all to
"psychedelic glow."
Sunday's program closed with Makky, Boston University
Professor of Classical Studies Carl Ruck
and Beal discussing shamanic scenes in South America vs. Africa, a
possible iboga role in the ancient world, and the dangers of "The
Mushroom and the Cross" approach offending fundamentalists,
respectively.
Presidents Day opened with a roundup of the international
ibogaine
scene. Venezuelan Drs. Rosaria Davalos and Zulema Medrano described
great progress in promoting ibogaine treatments, but also obstacles due
to continued deference to the US. Drs. Jeewa and Gani gave details on
their residential treatment center. Australian treatment provider Jason
Chamon described a smaller, informal treatment scene -- clandestine in
Australia, legal in New Zealand. De Loenen finished up, appearing live
via Skype to contrast the more relaxed attitudes in Spain and Portugal
with a forum in Holland on arrhythmia in ibogaine patients.
The international ibogainesters were followed by a panel on
ibogaine's role in harm reduction, featuring Jason Farrell, Phil Fiuty
and Cures not Wars cofounder and veteran drug policy activist Doug
Greene. Farrell stressed the need for ibogaine treatment providers to
be careful about whom they treat to minimize risks, citing a recent
case in Netherlands where a patient refused to stop alcohol use before
a treatment and had a seizure and then two days of arrythmia. At the
same time, he urged greater availability of ibogaine treatment,
advising potential providers to get a space and cots and "just do it."
Greene praised ibogaine as the most libertarian option for drug
treatment, and called on the drug policy reform movement to center its
efforts on marijuana and ibogaine.
The conference closed with a panel that included the National
AIDS Brigade's Jon Stuen-Parker discussing his lawsuit
against the federal government for inattention to crack and heroin.
MAPS founder and President Rick Doblin then gave the attendees a road
map to promote ibogaine to state and federal policymakers, while Dana
Beal suggested a letter from members of Congress to President Obama's
forthcoming DEA Administrator.
This was the first ibogaine conference to be streamed live on
the
Internet, with twice as many people often logged-on as were in the
room. Although speakers and attendees alike were frustrated by the
conference's uneven pacing and complete disregard of the announced,
reaction to the content of the conference was generally positive. Jason
Farrell said: "It was a very impressive conference that opened my eyes
to the serious, international work that's being done on ibogaine. It's
unfortunate that it didn't get the news coverage it deserved."
Harvard student and long-time drug policy reform activist
Valerie
Vande Panne said: "It's good to see ibogaine getting the research and
recognition it deserves. Clearly, it has been beneficial in a holistic,
dignified, and humane way to the lives of many who considered
themselves addicts ready for a life change."
Rick Doblin said: "Many of the speakers were fascinating and
had
lots of experience and important information to share, and the future
of ibogaine is bright. The clinics are moving toward more of an
above-ground, responsible medical model and are realizing the
importance of aftercare programs. I'm not sure where resources would
come from for clinical studies to make ibogaine legal in the US -- that
may be a stretch too far for NIDA, even under Obama. While I don't see
commercial drug development happening in the near term in the US, or
anywhere else, there will be more prospective research at the clinics
which will, over time, build support for more clinical studies."
Streaming video of the conference can be found here.