Side effects are not a single severity class
Reports may include nausea, vomiting, impaired coordination, tremor, ataxia, sleep disruption, and psychologically intense experiences. Their presence does not establish that a more serious event will occur, but neither does their familiarity make the overall exposure low-risk.
- Classify timing: before exposure, during acute effects, and after apparent recovery.
- Identify whether a symptom could obscure a developing cardiac, neurological, or interaction-related problem.
- Keep the absence of a reported event separate from evidence that an event was not present.
“Risk review is strongest when it states its limits plainly: ibogaine’s effects can be unpredictable, and a retrospective account cannot replace real-time assessment.”