“…The benefits of ibogaine may be associated with its effects on serotonin and dopamine transporters, sigma, N-methyl-d-aspartate, nicotinic acetylcholine, and opioid receptors, 29,33,34 and the production of glial-derived neurotrophic factors 35 and brain-derived neurotropic factor 36 which are identified sites of interest in the treatment of cognitive impairment in neuropsychiatric disorders. [37][38][39][40][41][42] The primary adverse effects of ibogaine include cardiovascular effects (e.g., Q-wave/Twave interval prolongation, bradycardia, arrythmias, and in rare cases, sudden cardiac death), 43 ataxia, nausea, and vomiting, 44 and psychological effects (e.g., auditory and visual hallucinations, re-experiencing traumatic memories, acute fear, distress, or guilt). 31,45 5-Methoxy-N,N-Dimethyltryptamine 5-MeO-DMT is a psychedelic tryptamine found in plant species 46 and notably in the venomous secretions of the Sonoran Desert/Colorado River toad.…”