Pubdate: Fri, 22 Aug 2003
Source: LA Weekly (CA)
Copyright: 2003, L.A. Weekly Media, Inc.
Contact:  http://www.laweekly.com/
Details: http://www.mapinc.org/media/228
Author: Daniel Pinchbeck
Bookmark: http://www.mapinc.org/heroin.htm (Heroin)
Bookmark: http://www.mapinc.org/find?196 (Emery, Marc)

TURN ON, MEET GOD, GET STRAIGHT

An African Root Bark May Offer Clues To Addiction - If Only It Were Legal 
To Study

In 1962, a young junkie named Howard Lotsoff ordered iboga, a plant used in 
West African rituals, and tried it for extra kicks. After consuming the 
bitter root-bark powder, he experienced a visionary tour of his early 
memories. Thirty hours later, when the effects had subsided, he found that 
he had lost all craving for heroin, without withdrawal symptoms of any 
kind. He then gave it to seven other addicts, who were using either cocaine 
or heroin; five stopped taking drugs immediately afterward.

Thus were ibogaine's anti-addictive properties discovered accidentally. A 
little more than two decades later, Lotsoff patented the ibogaine molecule 
for purposes of addiction treatment, but the FDA wouldn't approve it; 
ibogaine was subsequently declared, along with LSD and a number of other 
psychedelic molecules, an illegal "Schedule 1" substance, with potential 
for abuse and no medical value. Despite the dedicated enthusiasm of a 
ragtag group of countercultural activists and leftover Yippies, the 
National Institutes of Health (NIH) discontinued research into the 
substance in 1995.

Now, suddenly, through a combination of anecdotal evidence, underground 
activism, journalism and scientific research, interest in ibogaine is 
approaching the proverbial tipping point: Articles have appeared in 
publications ranging from the Journal of the American Medical Association 
(JAMA) to The Star. The JAMA piece, "Addiction Treatment Strives for 
Legitimacy," describes ibogaine's stalled and tortured path through the 
regulatory agencies, noting that the treatment's frustrated supporters in 
the U.S. have set up an underground railroad to provide addicts access to 
the drug: "While unknowable scores of addicts continue ingesting ibogaine 
hydrochloride purified powder - or iboga whole-plant extract containing a 
dozen or more active alkaloids - few trained researchers witness the 
events." The Star, unsurprisingly, takes a more colorful approach: An 
article headlined "Rare Root Has Celebs Buzzing" trumpeted the treatment as 
the hot ticket for "the numerous celebs who look for relief from their 
tough lives in the bottom of a bottle of Jack Daniel's, a needle or 
prescription medicine." The article insinuates that "some of our favorite 
A-listers" not only get cured but enjoy the hallucinations as an illicit 
"fringe benefit."

Outside of the U.S., new clinics have opened in Mexico, Vancouver and 
Europe, offering reasonably priced and medically supervised opportunities 
to try ibogaine as a method of overcoming addiction. In fact, at one new 
Vancouver clinic, the treatment is free.

The Ibogaine Therapy House in Vancouver, British Columbia, opened last 
November. "So far, we have treated 14 people quite well," says Marc Emery, 
the clinic's founder as well as the head of the B.C. Marijuana Party. "They 
all say that their lives have improved." Emery, nicknamed "the Prince of 
Pot," is funding the free clinic with proceeds from his successful 
hemp-seed business. "Ibogaine stops the physical addiction without causing 
withdrawal, and it deals with the underlying psychological issues which 
lead to drug use."

The Vancouver clinic currently has three full-time employees: two 
facilitators and one screener. Emery estimates that treatment for each 
patient costs around $1,500, which includes two administrations of the 
drug. "When I first found out about ibogaine, I felt that someone should be 
researching this, but the drug companies aren't interested, because there 
is no commercial potential in this type of cure," he says. Emery is deeply 
concerned about ambiguous studies on ibogaine's toxicity. As the article in 
the JAMA noted, "One reviewer wrote that the drug's toxicology profile was 
'less than ideal,' with 'bradycardia [an abnormally slow heartbeat] leading 
the list of worrisome adverse effects.'"

"From the masses of reports I've studied, a total of six people have died 
around the time they took ibogaine," Emery says. "Some of them were in poor 
health, and some took other drugs at the time of their treatment. That 
doesn't scare me off. I have a lot of confidence in ibogaine." At this 
point, with little scientific study, the true toxicology of ibogaine is 
impossible to determine - the treatment is unlicensed in other countries 
and illegal in this one. Emery notes that the Ibogaine Therapy House 
screens for heart problems and other medical conditions that would 
contraindicate the treatment. His clinic also gives patients small daily 
doses of iboga for two weeks after their initial treatment. "Iboga tends to 
make anything bad for you taste really crappy. If possible, we want our 
patients to quit cigarettes at the same time. We think that cigarettes can 
lead people back to other addictions."

Iboga is the sacred essence of the Bwiti religion of Gabon and Cameroon. 
Most members of the tribe ingest it just once in their lives, during an 
initiation ceremony in which massive amounts of the powdered bark are 
consumed. Through this ritual, each participant becomes a baanzi, one who 
has seen the other world. "Iboga brings about the visual, tactile and 
auditory certainty of the irrefutable existence of the beyond," wrote the 
French chemist Robert Goutarel, who studied the Bwiti.

The iboga bark's visionary power is produced by a complicated cocktail of 
alkaloids that seems to affect many of the known neurotransmitters, 
including serotonin and dopamine. Its complex molecular key may lock into 
the addiction receptors in a way that resets patterns and blocks the 
feedback loops that reinforce dependency. In an essay on ibogaine, Dr. Carl 
Anderson of McLean Hospital, Virginia, has speculated that addiction is 
related to a disrupted relationship between the brain's two hemispheres, 
and that ibogaine may cause "bihemispheric reintegration." Ibogaine also 
accesses REM sleep in a powerful way - many people need considerably less 
sleep for several months after an ibogaine trip.

Six years ago, I became a member of the Bwiti. I had heard about ibogaine 
from a clerk at an anarchist bookstore in New York's East Village. On a 
magazine assignment, I went to Gabon and took iboga in an initiation 
ceremony. It was one of the most difficult, yet rewarding, experiences of 
my life. I had heard the substance described as "10 years of psychoanalysis 
in a single night," but of course, I did not believe it. As the African 
tribesmen played deafening drums and sang around me until dawn, I lay on 
the temple's concrete floor and journeyed back through the entire course of 
my past up to that point, witnessing forgotten scenes from childhood. The 
experience lasted more than 20 hours. At one point, I was shown my habitual 
overuse of alcohol and the effect it was having on my relationships, my 
writing and my psyche. When I returned to the U.S., I steadily reduced my 
drinking to a fraction of its previous level - an adjustment that seems to 
be permanent.

Last winter, I had the chance to try ibogaine for a second time. I took it 
at the Ibogaine Association, a clinic in Rosarito, Mexico, just a 
half-hour's drive from San Diego, that's been open for 18 months. I went 
because I was contacted by a recovering heroin addict who had been inspired 
to take ibogaine after reading my account of it. Three months after his 
first treatment in Mexico, he was still clean - after a 12-year dependency. 
He gave Dr. Martin Polanco, the clinic's founder, a copy of my book, 
Breaking Open the Head, and the clinic offered me a free treatment. I was 
curious to see how the iboga experience differed when it was removed from 
its tribal context. My new friend wanted to take it again to reinforce the 
effect. We went down together.

Polanco estimates that his clinic has treated nearly 200 addicts since it 
opened. About a third of its patients have managed to stay clean; many have 
returned for a second treatment. "Ibogaine needs to be much more widely 
available," he says. "We still have a lot to learn about how to administer 
it, how to work with it." Polanco plans to set up several nonprofit 
clinics, including one for Mexican addicts who cannot afford the price for 
foreigners. "This is something that should be nonprofit," he says. "After 
all, it is a plant. It came up from the earth. It does give you some 
guidance. It shows you how you really are." He chuckles. "That can be scary."

Randy Hecken, a 27-year-old former heroin addict, drove us from San Diego 
to the Ibogaine Association. Randy had kicked the habit after two ibogaine 
treatments at the clinic, and he was now working for the association, going 
around to local methadone centers with fliers, keeping in contact with 
former patients. The first treatment costs $2,800, including an initial 
medical exam and several days' convalescence afterward, but subsequent 
visits are only $600 - and it seems that most addicts need at least two 
doses of ibogaine to avoid relapsing.

The Ibogaine Association is in a quiet, dignified house overlooking the 
Pacific, decorated with Huichol yarn paintings and Buddhist statues. 
Polanco gave me a medical examination and a test dose of the drug. Twenty 
minutes after ingesting the test dose, I started to feel nervous and 
lightheaded. As I took the other pills - a gel-capped extract of the 
root-bark powder - I realized I was in for a serious trip.

The nurse led me back to my room. My head already spinning, I lay back on 
the bed as she hooked me up to an EKG machine and headphones playing 
ambient music that calmed me down from a sudden attack of panic: Why was I 
doing this again? Ibogaine is no pleasure trip. It not only causes violent 
nausea and vomiting, but many of the "visions" it induces amount to a 
painful parading of one's deepest faults and moral failings. I had a loud, 
unpleasant buzzing in my ears - probably the Bwiti pound on drums 
throughout the ceremony to overwhelm this noise. With my eyes closed, I 
watched as images started to emerge like patterns out of TV static. I saw a 
black man in a 1940s-looking suit. He was holding the hand of a 5-year-old 
girl and leading her up some stairs. I understood that the girl in the 
vision was me, and the man represented the spirit of iboga. He was going to 
show me around his castle.

This kind of encounter with a seeming "spirit of iboga" is a typical vision 
produced by the Bwiti sacrament. In many accounts, people describe meeting 
a primordial African couple in the jungle. Sometimes the iboga spirit 
manifests as a "ball of light" that speaks to the baanzi, saying, "Do you 
know who I am? I am the Chief of the World, I am the essential point!" Part 
of my trip took the form of an interview that was almost journalistic. I 
could ask direct questions of "Mr. Iboga" and receive answers that were 
like emphatic, telegraphed shouts inside my head - even in my deeply stoned 
state, I managed to scrawl down many of the responses in my notebook.

I asked Mr. Iboga what iboga was. I was told simply:

"PRIMORDIAL WISDOM TEACHER OF HUMANITY!"

Later, my personal faults and lazy, decadent habits were replayed for me in 
detail. When I asked what I should do, the answer was stern and paternal:

"GET IT STRAIGHT NOW!"

This ideal of straightness, uprightness, kept returning during the trip - a 
meaningful image for me, as I suffer from scoliosis, a curvature of the 
spine. When other faults were shown to me that seemed rather petty and 
insignificant, I tried to protest that some of these things really didn't 
matter. Iboga would have none of it, insisting:

"EVERYTHING MATTERS!"

Iboga told me that I had no idea of the potential significance of even the 
smallest actions. I reviewed some events in my life and my friends' lives 
that seemed bitterly unfair. Yet in this altered state, I felt I could 
sense a karmic pattern behind all of them, perhaps extending back to 
previous incarnations. Iboga affirmed this, dictating:

"GOD IS JUST!"

Delivered with great force and minimalist precision, these insights might 
have been manifestations of my own mind, but they seemed like the voice of 
an "other." Generally, I never think in such direct terms about "God," and 
"primordial wisdom teacher" is not my syntax.

During the night, I had numerous visions and ponderous metaphysical 
insights. I seemed to fly through the solar system and into the sun, where 
winged beings were spinning around the core at a tremendous rate. Up close, 
they looked like the gold-tinged angels in early-Renaissance paintings. At 
one point, I thought of humans as an expression of the "Gaian Mind," the 
Earth's sensory organs and self-reflective capacities, at the planet's 
present state of development. If we are changing quickly right now, I 
considered, it is only because the Earth has entered an accelerated phase 
of transformation, forcing a fast evolution in human consciousness. The 
loud buzzing sound that ibogaine produced seemed to be something like a 
dial tone, as if the alkaloid was in itself a device for communicating on a 
different frequency from the usual one. Thinking of my girlfriend and our 
child, I realized that I was lucky - "YOU ARE LUCKY!" Iboga echoed. I felt 
tremendous, tearful gratitude that I had been given a chance to live and 
love, to explore and try to understand so many things.

As I do so often these days, I pondered the terrible state of the world - 
wars and terrors and environmental ruin. I saw sheets of radioactive flame 
devouring cities, huge crowds reduced to cinders. I asked Mr. Iboga if this 
was going to be the tragic fate of humanity. The answer I received was 
startling - and reassuring:

"EVERYTHING IS SAFE IN GOD'S HANDS!" This message has stayed with me; it 
has alleviated much paranoia and anxiety. While tripping, I decided that 
Mr. Iboga was a form of enlightenment, like a Buddha, who had chosen a 
different form, as a plant spirit rather than human teacher, to work with 
humanity, imparting a cosmic message of "tough love." I asked if Iboga 
would consider incarnating as a person, and the answer I got was, 
basically, "ALREADY DID THAT!" - implying that, in some previous cycle, he 
had passed through the perilous stages of evolution we are now navigating. 
I also came away from this trip with the suspicion that iboga was the 
original inspiration for the "Tree of the Knowledge of Good and Evil" in 
the biblical tale. The plant's placement in equatorial Africa, cradle of 
humanity, would support this idea, as well as its sobering moral rectitude. 
The "good and evil" iboga reveals is not abstract but deeply personal and 
rooted in the character of the individual.

Late in the night, I retched and vomited out bitter root-bark residue. I 
put on a CD of African drumming. Closing my eyes, I watched a group of 
smiling Bwiti women dance around a jungle bonfire. After that, the visions 
died down, although it was impossible to sleep until late the next night.

My friend in recovery had a less visionary experience than mine. His faults 
were also paraded in front of him in repetitive loops that seemed endless. 
At one point, I heard him scream out, "No! No! No!" He saw a possible 
future for himself if he went back on heroin - becoming a dishwasher, 
sinking into dissolute old age with a bad back and paunch. He asked what he 
could do to help save the world. He was told:

"CLEAN UP YOUR ROOM!"

Meditating on his experience, my friend quipped, "ibogaine is God's way of 
saying: 'You're mine, bitch!'"

Daniel Pinchbeck is the author of Breaking Open the Head: A Psychedelic 
Journey Into the Heart of Contemporary Shamanism.
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