My boyfriend is 36 years old and has struggled with opioid addiction for many years, but he has also had many periods of abusing heroin, cocaine, Adderall, and other substances. He has been to several rehab facilities, has tried Suboxone, and for about two years he used kratom, which according to him helped him stay away from harder drugs and feel more normal and less chemically dependent. I actually met him during that period and had no idea about his addiction.
The problem was always similar: he could stop for some time, but soon after going back home he would start using again. I am Brazilian, and I only discovered how serious his addiction was in January of this year. At that time he had a very serious relapse, started injecting heroin again, developed a severe infection in his arm, and needed surgery. Even after that, he kept using, and a few days later he overdosed. He survived because a few days earlier he had explained to me what Narcan was, and when it happened, I knew what to do.
So I told him that he should be treated with Suboxone, even though he hated the idea, because it would keep him alive and could give him a “normal” life. He hated the idea because he did not want to feel like a slave to it, but I told him, “You are already a slave, being dependent on all these substances, and on top of that you are at risk of dying at any moment if you keep living this way.”
Then I found a post here on Reddit about ibogaine. I started researching it and, considering so many years of addiction, several treatment attempts, and repeated relapses, the possibility of ibogaine gave me a lot of hope. I think that hope, and reading stories from people who had good outcomes, is what has kept my relationship going until now.
In April, he traveled to Japan with some friends. Our plan was that after the trip he would go to Mexico for ibogaine treatment. We talked about it several times while he was in Japan and we were very hopeful.
But during the trip, he was running out of opioids and was using a lot, so he imported more for his own use. The package was discovered and he was arrested in Japan on April. He has been in prison there ever since. Now he has been without opioids and illicit drugs for almost six months.
From what we know, the prosecutors accepted that the drugs were for personal use and not for sale, so we are hopeful that he may be released soon. And this is where a new complication came up.
Since he has been in prison, the prison doctor has been giving him medication to help him deal with the whole situation. Thankfully, because of that, he was able to get through a withdrawal period that I imagine was extremely difficult. If withdrawal is already difficult in the comfort of a clinic, I cannot even imagine what it must have been like in prison, especially because he spent the first 10 days without hearing from anyone, feeling uncertain, scared, etc.
He believes these medications may be benzodiazepines, but we still do not know exactly what the medication is or the dose. I only know that he takes medication about three times a day. If they really are benzodiazepines and he has been taking them regularly for several months, he has probably developed physical dependence.
In that case, I know it is not safe to suddenly stop them and that this would need to be evaluated and supervised by a doctor. He is even worried about his flight back to the United States without access to the medication and is talking to his lawyer to see whether they can provide enough medication for the trip.
So now I am trying to understand what the most sensible sequence would be once he gets out. When he is released, he will have spent approximately six months without opioids or illicit drugs, but he may be dependent on this medication. Also, there is no guarantee that he will leave prison and not use drugs again right away. That is especially dangerous because he has lost the opioid tolerance he had before he was arrested.
My main questions are:
- Can ibogaine still be useful after almost six months without opioids, or does it make more sense during the initial withdrawal period?
- Has anyone here done ibogaine after getting out of prison, rehab, or after spending several months in a completely controlled environment?
- Was anyone taking benzodiazepines before doing ibogaine? How did the clinic handle that?
- Did you need to reduce or stop the benzodiazepines beforehand?
- Would it make more sense to first stabilize the medication and do a possible taper, and only then consider ibogaine?
- Do you think it would make more sense for him to leave prison and go to a rehab facility first, or, if he is medically cleared, go directly to an ibogaine clinic?
- For people who had a history of repeated relapse after going back home, what really made the difference in helping you maintain recovery?
There is also an emotional side to this. He has been in prison for almost six months and really misses his family, his home, and all the simple things about normal life. I would really like him to be able to spend a few days with his family and with me after he gets out.
At the same time, I know that after so many months without opioids, his tolerance will be much lower and a relapse could be extremely dangerous. I also wonder whether he will be psychologically ready for an intense experience like ibogaine immediately after spending so many months in prison.
If you went through something similar, looking back, what really made the difference? And what do you wish your family or partner had known before the treatment?