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PHYSICAL, ENERGETIC, EMOTIONAL

AYAHUASCA SAFETY

Ayahuasca is very safe when used properly. The primary physical risk involved in participating in ayahuasca ceremonies is contraindications with prescription medications and other drugs. Ayahuasca contains Monoamine oxidase inhibitors (MAOIs) which have negative interactions with many medications or herbal supplements. To ensure the safety of all our participants, we complete a thorough medical screening with every guest so we can discuss medical history, medications, and intentions for the retreat. We can only guarantee your safety to the extent that you are honest in the medial screening.

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We also safeguard the energetic container by maintaining a clear energetic ceremony house. The ceremonial space is exclusively used by Matthew and Jeanae and under the protection of the spirits and plants they have gained as allies and guardians during their plant medicine dietas. 

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Additionally, Matthew and Jeanae are both CPR-certified and we have an on-site AED. When considering the eligibility of participants for our retreats, we always err on the side of caution. 

CLIENT RESPONSIBILITY

We are only able to guarantee your safety to the extent that you are honest with us. It is necessary that you offer full transparency about your medical history, medications and supplements regardless of if you believe it is relevant or not. Please remember, your honesty and safety affect not only you, but the entire group. If we have a medical emergency because of one person's selfish or irresponsible actions, 13 other people are potentially traumatized by witnessing an emergency event during the ceremony. Blease bear this in mind. Thank you.

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CONTRAINDICATIONS

Physical

Those suffering from high blood pressure, cardiac disease, or liver disease should not consume ayahuasca. Ayahuasca is known to elevate blood pressure levels so those who already suffer from high blood pressure or cardiac conditions are at high risk for complications. Ayahuasca is processed through the liver so if an individual is in the advanced stages of liver disease, the added stress could be potentially dangerous.

Psychological

Overall, ayahuasca is considered to have positive psychological effects on its users. However, some psychological conditions such as schizophrenia, bipolar 1 or psychosis could be worsened with ayahuasca use. Anyone suffering from these conditions should not participate in ayahuasca therapy. Special caution should be used with those who suffer from suicidal ideations, dis-associative episodes, or Bipolar 2 disorder.

DRUGS/MEDICATIONS TO AVOID

​ICEERS (International Center for Ethnobotanical Education, Research) - Offers a free Drug Interaction Infromation Service.

Send them a message regarding any medication and you will receive a response within 1 week regarding its safety with ayahuasca.

 

NEVER STOP ANY MEDICATION WITHOUT FIRST CONSULTING WITH YOUR DOCTOR.​

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Medications/ Illegal or Recreational Drugs that are very dangerous and potentially fatal to combine with ayahuasca:

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  • All antidepressants (SSRIs, SSNIs, NASSAs, TCAs, SARIs)

  • Other MAOIs

  • ​Cocaine

  • Amphetamines (Adderall)

  • Opiates

  • Dextromethorphan (DXM)

  • Mescaline 

  • Barbiturates

  • Kratom

  • Kava

  • 5 MEO-DMT​

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These drugs and medications are potentially dangerous with MAOIs:​

  • Antihypertensives (high blood pressure medicine)

  • Appetite suppressants (diet pills)

  • Medicine for asthma, bronchitis, or other breathing problems; antihistamines, medicines for colds, sinus problems, hay fever, or allergies (Actifed DM, Benadryl, Benylin, Chlor-Trimeton, Compoz. These include Bromarest-DM or -DX, Dimetane-DX cough syrup, Dristan Cold & Flu, Phenergan with Dextromethorphan, Robitussin-DM, Vicks formula 44-D several Tylenol cold, cough, and flu preparations, and many others — any drug with DM or Tuss in its name.)

  • CNS (central nervous system) depressants

  • Antipsychotics

  • Alcohol

 

Illegal or recreational drugs that are very dangerous to combine with MAOIs:​

  • MDMA (Ecstasy)

  • MDA

  • MDEA

  • PMA

  • Dextromethorphan (DXM)

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Some specific pharmaceutical drugs that should not be combined with MAOIs - THIS IS NOT A COMPLETE LIST, please provide a list of all current medications:

  • Actifed

  • Adderall

  • Alaproclate

  • Albuterol (Proventil, Ventolin)

  • Amantadine hydrochloride (Symmetrel)

  • Amineptine

  • Amitriptaline

  • Amoxapine (Asendin)

  • Atomoxedine

  • Befloxetone

  • Benadryl

  • Benylin

  • Benzedrine

  • Benzphetamine (Didrex)

  • Bicifadine

  • Brasofensine

  • Brofaromine

  • Bupropion (Wellbutrin)

  • Buspirone (BuSpar)

  • Butriptyline

  • Carbamazepine (Tegretol, Epitol

  • Chlorpheniramine

  • Chlor Trimeton

  • Cimoxetone

  • Citalopram

  • Clomipramine (Anafranil)

  • Codeine

  • Cyclobenzaprine (Flexeril)

  • Cyclizine (Marezine)

  • Dapoxotine

  • Desipramine (Pertofrane, Norpramin)

  • Desvenlafaxine

  • Dextroamphetamine (Dexedrine)

  • Dextromethorphan (DXM)

  • Dibenzepin

  • Dienolide kavapyrone desmethoxyyangonin

  • Diethylpropion

  • Disopyramide (Norpace)

  • Disulfiram (Antabuse)

  • Dopamine (Intropin)

  • Dosulepin

  • Doxepin (Sinequan)

  • Duloxetine

  • Emsam

  • Ephedrine

  • Epinephrine (Adrenalin)

  • Escitalopram

  • Femoxitine

  • Fenfluramine (Pondimin)

  • Flavoxate Hydrochloride (Urispas)

  • Fluoxetine (Prozac)

  • Fluvoxamine

  • Furazolidone (Furoxone)

  • Guanethedine

  • Guanadrel (Hylorel)

  • Guanethidine (Ismelin)

  • Hydralazine (Apresoline)

  • 5 Hydroxytryptophan

  • Imipramine (Tofranil)

  • Iprindole

  • Iproniazid (Marsilid, Iprozid, Ipronid, Rivivol, Propilniazida)

  • Iproclozide

  • Isocarboxazid (Marplan)

  • Isoniazid (Laniazid, Nydrazid)

  • Isoniazid rifampin (Rifamate, Rimactane)

  • Isoproterenol (Isuprel)

  • L dopa (Sinemet)

  • Levodopa (Dopar, Larodopa

  • Linezolid (Zyvox, Zyvoxid)

  • Lithium (Eskalith)

  • Lofepramine

  • Loratadine (Claritin)

  • Maprotiline (Ludiomil)

  • Medifoxamine

  • Melitracen

  • Meperidine (Demerol)

  • Metaproterenol (Alupent, Metaprel)

  • Metaraminol (Aramine)

  • Methamphetamine (Desoxyn)

  • Methyldopa (Aidomet)

  • Methylphenidate (Ritalin)

  • Mianserin

  • Milnacipran

  • Minaprine

  • Mirtazapine (Remeron)

  • Moclobemide

  • Montelukast (Singulair)

  • Nefazodone

  • Nialamide

  • Nisoxetine

  • Nomifensine

  • Norepinephrine (Levophed)

  • Nortriptyline (Aventyl)

  • Oxybutynin chloride (Ditropan)

  • Oxymetazoline (Afrin)

  • Orphenadrine (Norflex)

  • Pargyline (Eutonyl)

  • Parnate

  • Paroxetine (Paxil)

  • Pemoline (Cylert)

  • Percocet

  • Pethedine (Demerol)

  • Phendimetrazine (Plegiline)

  • Phenergen

  • Phenmetrazine

  • Phentermine

  • Phenylephrine (Dimetane, Dristan decongestant, Neo Synephrine)

  • Phenylpropanolamine (in many cold medicines)

  • Phenelzine (Nardil)

  • Procarbazine (Matulane)

  • Procainamide (Pronestyl)

  • Protriptyline (Vivactil)

  • Pseudoephedrine

  • Oxymetazoline (Afrin)

  • Quinidine (Quinidex)

  • Rasagiline (Azilect)

  • Reboxetine

  • Reserpine (Serpasil)

  • Risperidone

  • Salbutemol

  • Salmeterol

  • Selegiline (Eldepryl)

  • Sertraline (Zoloft)

  • Sibutramine

  • Sumatriptan (Imitrex)

  • Terfenadine (Seldane D)

  • Tegretol

  • Temaril

  • Tesofensine

  • Theophylline (Theo Dur)

  • Tianeptine

  • Toloxatone

  • Tramidol

  • Tranylcypromine (Parnate)

  • Trazodone

  • Tricyclic antidepressants (Amitriptyline, Elavil)

  • Trimipramine (Surmontil)

  • Triptans

  • Vanoxerine

  • Venlafaxine (Effexor)

  • Viloxezine

  • Yohimbine

  • Zimelidine

  • Ziprasidone (Geodon)

 

Also avoid the following herbs:

  • St. Johns Wort

  • Kava

  • Kratom

  • Ephedra

  • Ginseng

  • Yohimbe

  • Sinicuichi

  • Rhodiola Rosea

  • Kanna

  • Boswellia

  • Nutmeg

  • Scotch Broom

  • Licorice Root

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Additional Information and Contraindications

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Using stimulants with MAOIs is particularly dangerous and can be potentially fatal. Using cocaine, amphetamines, or MDMA (ecstasy) with MAOIs may cause a severe increase in blood pressure, increasing the chances for stroke and cerebral hemorrhage and making it possible to overdose on a relatively small amount of cocaine. (A fatality has been recorded involving combining peganum harmala and cocaine. Fatalities resulting from combining amphetamines with pharmaceutical MAOIs have been recorded in the medical literature.)

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Using other serotonin agonists or precursors with an MAOI can lead to serotonin syndrome. The main symptom of serotonin symptom may be a severe and long-lasting headache (the same symptom as MAOI tryptamine interaction) and/or fever (as high as 40 °C / 104 °F or more) Other symptoms of serotonin syndrome may include rapid heartbeat, shivering, sweating, dilated pupils, intermittent tremor or twitching, overactive or over-responsive reflexes, hyperactive bowel sounds, or high blood pressure. Severe serotonin syndrome may lead to shock, agitated delirium, muscular rigidity and high muscular tension, renal failure, or seizures, and can be life-threatening.

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Using tricyclic antidepressants within two weeks of taking MAOIs may cause serious side effects including sudden fever, extremely high blood pressure, convulsions, and death.

Using Fluoxetine (Prozac) within five weeks of taking MAOIs may cause high fever, rigidity, high blood pressure, mental changes, confusion, and hypomania.

Using Benzedrine, Benzphetamine, Desipramine, Desoxyn, Dexedrine, Dopamine, Ephedrine (contained in Marax, Quadrinal, and other asthma drugs), Epinephrine, Guanadrel, Guanethidine, Hydralazine, Isoproterenol, L-dopa, Metaraminol, Methyldopa, Mirtazamine, Norepinephrine Oxymetazoline, Phendimetrazine, Phentermine, Phenylephrine, Phenylpropanolamine, Pseudoephedrine, Ritalin, or Venlafaxine with MAOIs may cause a hypertensive crisis (severe spike in blood pressure).

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Using Adderall with MAOIs can result in high body temperature, seizure, and in some cases, coma.

Using Bupropion (Wellbutrin) within two weeks of taking MAOIs may cause serious side effects such as seizures.

Using Buspirone (Buspar) with MAOIs may cause high blood pressure and increased sedative effects.

Using Carbamazepine (Tegretol) with MAOIs may result in fever and may increase seizures, especially in epileptics.

Using Clomipramine with MAOIs may cause high fever (hyperpyrexic crisis) and seizures.

Using CNS depressants with MAOIs may increase the depressant effects.

Using Desipramine (Norpramin, Pertofrane) with MAOIs may result in hypertensive crisis.

Using Dextromethorphan with MAOIs may cause excitement, high blood pressure, and fever, or brief episodes of psychosis.

Using Fenfluramine with MAOIs may result in fever (hyperpyrexic crisis).

Using Kava with MAOIs may result in hypotensive crisis (severe blood pressure drop).

Using Lithium with MAOIs may cause fever and serotonin syndrome.

Using Meperidine (Demerol) with pharmaceutical MAOIs has resulted in deaths from a single dose.

Using Metaproterenol or other beta-adrenergic bronchodilators with MAOIs may cause blood pressure elevation and rapid heartbeat.

Using Mirtazapine (Remeron) with MAOIs may result in hypertensive crisis.

Using Nefazodone (Serzone) may result in high fever.

Using Temaril with MAOIs may increase chance of side effects.

Using Terfenadine with MAOIs may cause an increase in MAOI blood levels.

Using Theophylline with MAOIs may cause rapid heartbeat and anxiety.

Using Trazodone (Desyrel) with MAOIs may result in high fever.

Using Tryptophan or L-tryptophan with MAOIs may cause disorientation, confusion, amnesia, delirium agitation, memory impairment, hypomanic signs, or shivering.

Using Venlafaxine (Effexor) with MAOIs may result in hypertensive crisis.

Using Ziprasidone (Geodon) with MAOIs may cause serotonin syndrome.

Using alcohol with MAOIs may cause side effects like angina (chest pain) or headaches. The headache may mask or be mistaken for hypertensive crisis caused by MAOI interaction. MAOIs can also increase the sedative effect of alcohol.

Using opiates with MAOIs carries a risk of respiratory depression.

Using diuretics with MAOIs may cause a greater drop in blood pressure than normal and increase in MAOI blood levels.

Using anesthetics with MAOIs may potentiate the anesthetic effect.

Using sleeping pills, tranquillizers (major or minor), or barbiturates with MAOIs may increase the sedative effect.

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