“…Furthermore, female sex is among the additional risk factors for drug-induced TdP arrhythmias that should be considered before the use of ibogaine [ 6 ]. Previous results have shown that the bioavailability of ibogaine and its principal in vivo metabolite, noribogaine, is two to three times higher in female rats than in male rats [ 9 , 10 ] and that ibogaine has sex-specific effects on the central nervous system [ 11 , 12 , 13 ], liver, and kidneys, with ibogaine-induced pathological changes being more pronounced in female rats [ 10 , 14 , 15 ].…”