Noribogaine (12-Hydroxyibogamine)
Noribogaine is the principal active metabolite of ibogaine, formed by demethylation. It is longer-lived than ibogaine and has been studied for opioid withdrawal and addiction interruption. Like ibogaine it carries a documented risk of QT prolongation and potentially fatal cardiac arrhythmia.
01 Overview
Noribogaine (12-hydroxyibogamine) is produced when the body metabolises ibogaine and is thought to mediate much of the drug's persistent effects. It has a substantially longer half-life than ibogaine and has been the subject of early-phase pharmaceutical development for opioid dependence, including small clinical safety and pharmacokinetic studies.
While it lacks ibogaine's strong acute psychedelic/oneiric intensity, it shares the class's principal danger: blockade of the hERG potassium channel, which prolongs the cardiac QT interval and can trigger life-threatening arrhythmias. Human data remains limited to early trials.
02 Mechanism
Acts on multiple targets including opioid receptors (partial kappa/mu activity), serotonin transporter modulation and nicotinic receptors; blocks the hERG channel, prolonging QT.
03 Dosing
| Tier | Dose | Route | Notes |
|---|---|---|---|
| Clinical study range | 60–120 mg | Oral | Single-dose ranges used in early-phase human safety/PK trials. |
04 Effects
| Effect | Magnitude | Evidence | |
|---|---|---|---|
| Opioid withdrawal suppressionReduction of opioid withdrawal signs, the primary therapeutic interest in early trials. | variable | Clinical | |
| Mild mood and craving changesReduced craving and mood shifts reported; less acutely psychoactive than ibogaine. | variable | Anecdotal |
05 Side effects
| Effect | Severity | Frequency | Evidence | Countermeasures |
|---|---|---|---|---|
| Nausea and dizzinessNausea, light-headedness and unsteadiness reported in trials. | Moderate | Common | Clinical | |
| QT prolongation and arrhythmiaDose-dependent QT-interval prolongation observed in trials, with risk of torsades de pointes and sudden death, mirroring ibogaine fatalities. | Life-threatening | Common (dose-dependent) | Clinical |