Clinical boundary Schedule I in the U.S. Serious cardiac risk Not FDA-approved No dosing or referrals Schedule I · cardiac risk Not FDA-approved · no referrals

Evidence · condition

Depression and mood symptoms

LAST REVIEWED 2026-09-22 · SECONDARY / LIMITED · NOT PROVEN

Ibogaine is not an established depression treatment. Mood-scale improvements appear mainly as secondary outcomes inside other observational cohorts (notably veteran magnesium–ibogaine work) or in case-level reports. Secondary signals ≠ an antidepressant indication.

Evidence: Very limited Usually secondary outcomes Not proven

Is ibogaine proven for depression?

No — not established. Depression-specific controlled trials of ibogaine were not identified as confirmatory in this review pass. TED/media framing of mood benefits stays media-labeled.

Evidence level
Very limited human evidence; often secondary to TBI/PTSD/OUD studies
Design quality
Open-label / observational mood changes; expectation and concurrent recovery confounders
What is not proven
Ibogaine as a labeled antidepressant or anxiety cure
Safety
Suicidality, bipolar/psychosis risk themes, serotonergic medication interactions, sleep disruption, and cardiac / QT risk — Safety / QTc
Self-treatment
Out of scope — DIY refusal

What exists (source-labeled)

Secondary mood outcomes inside veteran Mg-ibogaine observational work

Cherian et al., “Magnesium–ibogaine therapy in veterans with traumatic brain injuries,” Nature Medicine 2024;30:373–381. PMID 38182784, DOI 10.1038/s41591-023-02705-w. Primary framing is TBI (with PTSD comorbidity reporting); mood improvements discussed in that open-label context should be read as secondary / exploratory, not a depression RCT. Methods critique context: Gorman 2026 / PMID 42330793.

Listening Library media (not primary)

Examples: Tim Ferriss #714 (Williams); TED Talks Daily Nolan Williams mood framing (medium confidence in LL). Route listeners to this page + TBI/PTSD desks rather than repeating heal/cure titles. Related claim extract: Williams / Ferriss extract.

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