# Multiple Episodes of Cardiac Arrest Induced by Treatment With Ibogaine: A Case Report

## TL;DR

A patient experienced multiple cardiac arrests after taking a low dose of ibogaine, highlighting its dangerous heart-related risks.

## Contribution

This case report demonstrates the lethal cardiotoxic potential of ibogaine, even at low doses.

## Key findings

- A patient had multiple cardiac arrests after a 200mg ibogaine dose.
- The patient had no structural heart disease, indicating ibogaine's direct cardiotoxic effect.
- Low-dose ibogaine can cause life-threatening QT prolongation.

## Abstract

Opioid dependence is a common problem, and therapeutic alternatives are scarce and ineffective. Ibogaine, illegal in several countries, has been reported as a possible therapy in alternative clinics and it is also used as a recreational drug, despite its cardiotoxic potential, including QT prolongation.

We report a case of long QT leading to multiple episodes of cardiac arrest after a single dose of ibogaine (200mg, 2.6mg/Kg) in a patient without structural heart disease. This case highlights the fact that even low doses of ibogaine can be lethal and warns us about the consequences of its use.