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Ibogaine for Addiction: Efficacy, Risks, and Treatment Process


Clinically Reviewed by: Charee Marquez, LMFT

Ibogaine for Addiction

The opioid crisis has led to an urgent need for effective treatments for substance use disorders, particularly opioid dependence. Amidst this crisis, ibogaine, a naturally occurring substance derived from the iboga bark found in Central Africa, has emerged as a promising alternative for those struggling with opioid withdrawal, heroin addiction, and other forms of drug abuse. Ibogaine treatment centers and clinics have reported significant success in reducing opioid cravings and dependence, offering hope to opioid-dependent patients. While the psychedelic properties of ibogaine might raise questions, ongoing ibogaine research and human clinical trials aim to understand its efficacy and safety better. Despite the health risks and the need for medical monitoring, ibogaine appears to be a valuable tool in the fight against opioid use disorder, drug overdoses, and the broader spectrum of substance use disorders.

What is Addiction?

Addiction is a chronic disorder characterized by compulsive drug seeking, continued use despite harmful consequences, and long-lasting changes in the brain. It involves a complex interplay of genetic, environmental, and psychological factors. Addiction affects the brain’s reward system, leading to a powerful craving for the substance or behavior and a loss of control over its use. It can manifest in various forms, including substance abuse (e.g., drugs, alcohol) and behavioral addictions (e.g., gambling, internet use). Effective treatment often involves a combination of medication, therapy, and support systems to address both the physical and psychological aspects of the disorder.

What is Ibogaine?

Ibogaine is a naturally occurring psychoactive substance found in the root bark of the African shrub Tabernanthe iboga. Traditionally, it has been used in West African spiritual ceremonies and rituals, especially by the Bwiti people of Gabon, for its hallucinogenic properties. Ibogaine interacts with multiple neurotransmitter systems in the brain, including serotonin, dopamine, and NMDA receptors, leading to its intense, dream-like visions and deep introspective experiences, which can last several hours.

One of the most intriguing aspects of ibogaine is its potential to treat addiction. Research suggests that ibogaine can significantly reduce cravings and withdrawal symptoms associated with various addictions, particularly opioids. Some individuals report substantial reductions in addiction-related behaviors after a single dose. However, the use of ibogaine comes with serious risks and side effects, such as cardiac complications and neurotoxicity, especially at high doses. Consequently, its administration requires strict medical supervision to ensure safety.

The legal status of ibogaine varies around the world. It is illegal in the United States and several other countries but remains legal or unregulated in some places where it is sometimes used in addiction treatment clinics. Despite its controversial status and the potential dangers involved, ibogaine continues to attract interest as a potential alternative treatment for addiction. Ongoing research aims to further explore its safety, efficacy, and broader applications in addiction therapy, offering hope for new treatment options in the future.


What Causes Addiction?

Addiction is caused by a combination of genetic, environmental, and psychological factors. Genetics can predispose individuals to addictive behaviors, making them more susceptible to addiction. Environmental factors, such as exposure to substance use, peer pressure, and stressful life events, can trigger the onset of addiction. Psychological factors, including mental health disorders like depression and anxiety, as well as trauma and stress, can also contribute to the development of addiction. Together, these factors influence the brain’s reward system, leading to compulsive behaviors and a loss of control over substance use or activities.


Is Addiction Hereditary?

Yes, addiction can be hereditary. Genetic factors can make some individuals more susceptible to addiction by influencing how their brains respond to drugs and other addictive behaviors. Studies show that if a person has a family history of addiction, they are at a higher risk of developing an addiction themselves. However, genetics is just one part of the equation; environmental and psychological factors also play significant roles in the development of addiction.


What are the Types of Addiction?

There are two main types of addiction:

  1. Substance Addiction: This involves the compulsive use of substances such as alcohol, drugs (e.g., opioids, cocaine, marijuana), nicotine, and prescription medications.
  2. Behavioral Addiction: This involves compulsive behaviors that provide a rewarding experience, such as gambling, internet use, gaming, shopping, and eating.

Both types of addiction can lead to significant negative consequences and require appropriate treatment and support.


Traditional Treatments for Addiction

Detoxification: Medical supervision to manage withdrawal symptoms and safely remove the substance from the body.

Counseling and Therapy: Individual or group therapy, including cognitive-behavioral therapy (CBT) and motivational interviewing, to address the psychological aspects of addiction.

Medication: Use of medications to reduce cravings and manage withdrawal symptoms, such as methadone for opioid addiction or naltrexone for alcohol dependence.

Support Groups: Participation in support groups like Alcoholics Anonymous (AA) or Narcotics Anonymous (NA) for peer support and encouragement.

Rehabilitation Programs: Inpatient or outpatient programs that provide a structured environment for recovery and skill-building.

Behavioral Therapies: Techniques to change harmful behaviors and develop healthier coping strategies.


Types of Ibogaine

Ibogaine comes in several forms, each with distinct characteristics and uses:

  1. Ibogaine Hydrochloride (HCl): This is the most common form used in medical settings for addiction treatment. It is a purified extract of ibogaine, typically administered in a clinical environment to ensure precise dosing and reduce the risk of side effects.
  2. Total Alkaloid (TA) Extract: This form contains all the alkaloids present in the iboga root bark, not just ibogaine. TA extract is less refined than ibogaine HCl and is sometimes preferred for its broader spectrum of active compounds, which some believe enhances its therapeutic effects.
  3. Iboga Root Bark: This is the raw, natural form of the iboga plant, containing all the plant’s alkaloids. It is traditionally used in West African spiritual ceremonies and rituals. The root bark is typically consumed by chewing or making a tea, but its use in addiction treatment is less controlled and poses higher risks due to variable potency and higher chances of side effects.
  4. Ibogaine Freebase: This form is another purified version of ibogaine, but it is less common than ibogaine HCl. It can be used in similar contexts, but its solubility and administration may differ slightly.

Each form of ibogaine has its own advantages and drawbacks, and the choice of which to use often depends on the specific needs of the individual and the setting in which it is administered. Medical supervision is crucial in all cases to ensure safety and effectiveness.


Ibogaine Uses

Ibogaine is used for various purposes, primarily centered around its psychoactive and therapeutic properties:

  1. Addiction Treatment: Ibogaine is most widely studied and used for its potential to treat addiction, particularly to opioids, alcohol, and other substances. It is believed to help reduce withdrawal symptoms and cravings, enabling individuals to break the cycle of dependence. Some users report extended periods of abstinence following a single dose.
  2. Psychological Healing: The intense, introspective experiences induced by ibogaine are thought to help individuals confront and process past traumas and emotional issues. This can lead to significant psychological insights and personal growth, aiding in mental health treatment.
  3. Spiritual Ceremonies: Traditionally, ibogaine is used in spiritual and shamanic practices by the Bwiti people of Gabon and other West African tribes. It plays a central role in initiation ceremonies and other rituals, providing profound spiritual experiences and a sense of connection.
  4. Research and Study: Ibogaine is also the subject of ongoing scientific research aimed at understanding its mechanisms, potential therapeutic uses, and safety profile. Studies are exploring its effects on the brain, its potential to treat various addictions, and its broader applications in mental health.

Due to its potent effects and potential risks, the use of ibogaine, particularly for addiction treatment, is usually conducted under strict medical supervision in specialized clinics or research settings.


Ibogaine Onset and Duration

The onset and duration of ibogaine’s effects can vary depending on the form and dose, as well as individual factors such as metabolism and overall health.

Ibogaine for Addiction: Onset

  • Initial Onset: The effects of ibogaine, known for its psychoactive properties, typically begin within 30 to 60 minutes after ingestion.
  • Peak Effects: The most intense effects usually occur within 1 to 2 hours of onset, during which users may experience vivid visions and deep introspection.


  • Primary Phase: The peak hallucinogenic and introspective phase can last for 4 to 8 hours. During this time, users often report intense visual and auditory experiences, along with significant psychological insights.
  • Residual Effects: After the peak phase, the effects gradually taper off, but residual effects can last for an additional 12 to 24 hours. During this period, users may feel fatigued and reflective, with lingering psychological effects.
  • Aftereffects: Some users report feeling aftereffects, such as improved mood, reduced cravings, and enhanced mental clarity, for days or even weeks following the initial experience. Many users also experience therapeutic benefits during this time.



Given the prolonged and intense nature of ibogaine’s effects, it is crucial to use it under medical supervision, especially in a controlled clinical setting. The extended duration requires careful monitoring to ensure the safety and well-being of the individual.


Is ibogaine treatment legal?

The legal status of ibogaine varies by country. It is illegal in the United States and several other countries but remains legal or unregulated in some places, such as Mexico, Canada, and parts of Europe.


How much does ibogaine treatment cost?

Ibogaine treatment can cost between $5,000 and $10,000 or more, depending on the clinic and location. Costs may include medical supervision, accommodation, and post-treatment care.


What is the process of ibogaine treatment?

The process includes a pre-treatment medical evaluation, detoxification, administration of ibogaine under medical supervision, and post-treatment care with continuous monitoring and support.


Is ibogaine treatment effective?

While many patients report significant reductions in cravings and withdrawal symptoms, and some experience long-term abstinence, more extensive research is needed to confirm its efficacy and safety. Additionally, psychedelic therapies are being explored as potential treatments for addiction, showing promising results in ongoing studies.


Are there alternatives to ibogaine for addiction treatment?

Yes, alternatives include medication-assisted treatment (MAT), behavioral therapies, support groups, inpatient and outpatient rehabilitation programs, and holistic therapies.


How Long Does Ibogaine Stay in Your System?

Ibogaine has a relatively short half-life of approximately 4 to 7 hours. However, its primary metabolite, noribogaine, has a much longer half-life, ranging from 24 to 48 hours or even longer in some cases. Noribogaine is believed to contribute to the sustained therapeutic effects of ibogaine, such as reduced cravings and withdrawal symptoms.


Duration in the System

  • Ibogaine: Due to its half-life, ibogaine itself is typically cleared from the body within 1 to 2 days.
  • Noribogaine: Noribogaine, a metabolite of ibogaine, can remain in the system for a considerably longer period. It may be detectable for several days to a couple of weeks after administration, depending on the individual’s metabolism and other factors.


Factors Influencing Duration of Opioid Withdrawal

  • Dosage: Higher doses of ibogaine can result in longer detection times.
  • Metabolism: Individuals with faster metabolic rates may process and eliminate ibogaine and noribogaine more quickly.
  • Frequency of Use: Repeated use of ibogaine can lead to accumulation of noribogaine in the body, extending the duration of its presence.
  • Health and Age: Overall health, liver function, and age can influence how quickly the body metabolizes and eliminates ibogaine and its metabolites.

Given the potential for prolonged presence of noribogaine, individuals undergoing ibogaine treatment should be aware that its effects can extend well beyond the initial dosing period, contributing to its therapeutic benefits but also necessitating careful monitoring for any delayed side effects. Additionally, ibogaine’s interaction with neurotransmitter systems can influence the duration of withdrawal symptoms.


Ibogaine Efficacy

Ibogaine’s efficacy in treating addiction is a subject of ongoing research and debate. While some studies and anecdotal reports suggest promising results, the evidence is not yet conclusive.

Positive Outcomes

  • Opioid and Heroin Addiction: Several small studies and anecdotal reports indicate that ibogaine can reduce withdrawal symptoms and cravings in individuals with opioid and heroin addiction. Some users report long periods of abstinence following treatment.
  • Alcohol and Other Substances: There is evidence that ibogaine may also be effective for alcohol and other substance dependencies, though data is more limited compared to opioids.
  • Psychological Benefits: The intense introspective experience and psychedelic effects may help individuals address underlying psychological issues contributing to addiction.

Limitations and Risks

  • Lack of Large-Scale Studies: Most evidence comes from small-scale studies, case reports, and anecdotal accounts. Large, controlled clinical trials are needed to confirm efficacy.
  • Safety Concerns: Ibogaine can cause serious side effects, including cardiac risks and complications, which necessitate medical supervision during treatment. Human clinical trials are essential to evaluate its safety and effectiveness in treating opioid addiction and other mental health conditions.
  • Variable Results: Not all individuals respond to ibogaine in the same way, and some may not experience significant benefits.

While ibogaine shows potential as an addiction treatment, more research is needed to fully understand its efficacy and safety. It should be used under strict medical supervision and as part of a comprehensive treatment plan.


How Does Ibogaine Work in the Brain and Body?

Ibogaine works in the brain and body through multiple mechanisms, affecting various neurotransmitter systems and physiological processes.

Mechanisms in the Brain during Ibogaine Treatment

Neurotransmitter Modulation:

  • Serotonin: Ibogaine interacts with serotonin receptors, which may contribute to its hallucinogenic effects and mood regulation.
  • Dopamine: It affects the dopamine system, which is involved in reward and pleasure. This interaction can help reduce cravings and withdrawal symptoms.
  • NMDA Receptors: Ibogaine acts on NMDA receptors, which play a role in learning and memory. This may help reset neural pathways involved in addictive behaviors.


  • Growth Factors: Ibogaine may promote the release of neurotrophic factors like BDNF (brain-derived neurotrophic factor), which support the growth and survival of neurons. This can help repair brain regions damaged by addiction through neuroplasticity.

There is renewed interest in ibogaine research, highlighting its potential to treat addiction and other mental health issues.


Mechanisms in the Body


  • Conversion to Noribogaine: Ibogaine is metabolized in the liver to noribogaine, which has a longer half-life and continues to exert therapeutic effects, such as reducing cravings and improving mood.

Cardiac Effects:

  • Heart Risks: Ibogaine can affect heart function, leading to potential risks like arrhythmias. This is why medical supervision is crucial during treatment.


  • Withdrawal Management: By modulating various neurotransmitter systems, ibogaine can alleviate the physical and psychological symptoms of withdrawal, making the detoxification process more manageable. Additionally, ibogaine can help manage withdrawal symptoms and cravings associated with drug abuse.

Psychological Effects of Substance Abuse

Introspection and Insight:Dream-like State: The psychoactive properties of ibogaine induce a state of deep introspection and vivid, dream-like experiences. These introspective experiences can help individuals confront and process underlying psychological issues contributing to their addiction. Additionally, ibogaine can help individuals address underlying psychological issues contributing to substance use disorder.


Ibogaine Controlled Substance Classification

Ibogaine is classified as a Schedule I controlled substance in the United States, meaning it is considered to have a high potential for abuse and no accepted medical use. This classification makes it illegal to manufacture, buy, possess, or distribute ibogaine. Other countries have varying classifications; in some places, it remains legal or unregulated, allowing for its use in addiction treatment clinics.


What is Ibogaine Treatment?

Uses of Ibogaine Treatment

Ibogaine treatment is primarily used for:

  1. Addiction Treatment: To reduce withdrawal symptoms and cravings for substances like opioids, alcohol, and other drugs.
  2. Psychological Healing: To provide deep introspective experiences that help address underlying psychological issues and trauma.
  3. Detoxification Aid: To facilitate the detox process by managing withdrawal symptoms.
  4. Research: To study its effects on addiction and other potential therapeutic uses.

Ibogaine treatment should always be conducted under medical supervision due to potential risks and side effects.


Effectiveness of Ibogaine Treatment for Addiction

Ibogaine treatment shows promise for addiction but remains under-researched and controversial.

Positive Outcomes

  • Cravings and Withdrawal: Reports indicate significant reductions in cravings and withdrawal symptoms for opioids, alcohol, stimulants, and opioid use disorder.
  • Abstinence: Some users experience long-term abstinence and improved well-being, particularly in cases of substance dependencies.


  • Anecdotal Reports: Many personal accounts and anecdotal evidence highlight dramatic improvements.
  • Small Studies: Limited studies suggest benefits, but larger trials are needed.


  • Safety Concerns: Serious side effects, like cardiac issues, require medical supervision.
  • Variable Responses: Not all individuals respond, and relapse is possible. The importance of ibogaine treatment centers in providing comprehensive care and support to manage the risks and side effects of ibogaine treatment cannot be overstated.
  • Research Gap: More extensive studies are necessary to confirm efficacy and safety.


Ibogaine Treatment Process

The ibogaine treatment process involves several key steps:

  1. Pre-Treatment Assessment: Patients undergo medical and psychological evaluations to ensure suitability for ibogaine therapy.
  2. Preparation: Patients may need to detoxify and abstain from certain substances before treatment.
  3. Administration: Ibogaine is administered in a controlled, clinical setting under medical supervision.
  4. Monitoring: Continuous monitoring of the patient’s vital signs and psychological state during the treatment, which lasts 24 to 36 hours.
  5. Post-Treatment Care: After the acute phase, patients receive ongoing support, counseling, and follow-up care to aid recovery and manage any side effects.


Side Effects and Risks of Ibogaine Treatment

Ibogaine treatment carries several side effects and risks that necessitate careful consideration and medical supervision.


Side Effects

  • Nausea and Vomiting: Common during the treatment process.
  • Ataxia: Loss of coordination and balance, which can last several days.
  • Fatigue: Prolonged tiredness and exhaustion after treatment.
  • Visual and Auditory Hallucinations: Intense, dream-like experiences during the peak phase of this psychoactive substance.

An ibogaine clinic provides safe and supervised treatment to manage these side effects.



  • Cardiac Complications: Serious risks include arrhythmias and heart attacks, requiring continuous cardiac monitoring.
  • Neurological Effects: Potential neurotoxicity, especially with high doses or repeated use.
  • Psychological Distress: Intense psychological experiences can be distressing and overwhelming.
  • Drug Interactions: Adverse reactions with other medications or substances can occur.



  • Medical Supervision: Essential to monitor vital signs and manage any complications.
  • Pre-Treatment Screening: Thorough medical evaluation and psychological assessment to assess risk factors.
  • Post-Treatment Care: Continued monitoring and support to manage any delayed side effects.

While ibogaine shows potential for addiction treatment, its use comes with significant risks and side effects. Medical supervision and comprehensive care are crucial to ensure safety and effectiveness.


Is Ibogaine Treatment Addictive?

Ibogaine treatment is not considered addictive. Unlike many substances used to treat addiction, ibogaine does not produce a high or create a dependency. Its effects are intense and often challenging, reducing the likelihood of misuse. However, due to its powerful psychoactive properties and potential risks, it should always be administered under medical supervision.


Ibogaine Treatment and Pregnancy

Ibogaine treatment is not recommended during pregnancy. The effects of ibogaine on fetal development are not well-studied, and it poses significant risks, including potential toxicity and severe side effects. Pregnant individuals should avoid ibogaine due to the unknown impacts on the fetus and the potential for harm. Always consult with a healthcare provider for safe treatment options during pregnancy.


Ibogaine Treatment Cost and Accessibility

Ibogaine treatment can be expensive, often ranging from $5,000 to $10,000 or more per session, depending on the clinic and location. Accessibility is limited, as ibogaine is illegal in many countries, including the United States. Treatment is typically available in countries where it is legal or unregulated, such as Mexico, Canada, and some parts of Europe. The high cost and travel requirements can make ibogaine treatment inaccessible for many individuals.


Ibogaine Treatment Patient Experiences and Testimonials

Patient experiences and testimonials regarding ibogaine treatment are generally varied but often positive. Many individuals report significant reductions in cravings and withdrawal symptoms, along with long periods of abstinence from addictive substances. They frequently describe intense, introspective experiences that provide deep psychological insights and help address the root causes of their addiction.

However, not all experiences are positive. Some patients report challenging psychological experiences and side effects such as nausea, vomiting, and fatigue. The treatment’s intensity can be overwhelming for some, and the risk of serious side effects, like cardiac issues, remains a concern.

Overall, while many testimonials highlight ibogaine’s potential as a transformative treatment for addiction, individual responses vary, and the treatment’s risks must be carefully managed.


Ibogaine Treatment Criticism and Controversies

Ibogaine treatment faces several criticisms and controversies:

  1. Safety Concerns: Serious side effects, including cardiac complications and neurotoxicity, require stringent medical supervision.
  2. Lack of Large-Scale Studies: Limited research and absence of large, controlled clinical trials leave its efficacy and safety unproven.
  3. Legal Status: Ibogaine is illegal in many countries, including the U.S., complicating its accessibility and regulation.
  4. Variable Responses: Not all individuals benefit, and some may experience distressing psychological effects.
  5. Cost and Accessibility: High treatment costs and limited availability make it inaccessible for many.

These factors contribute to ongoing debates about the use and legitimacy of ibogaine as a treatment for addiction.


Alternative Treatment Options for Addiction

Alternative treatment options for addiction include:

  1. Medication-Assisted Treatment (MAT): Use of medications like methadone, buprenorphine, or naltrexone to manage withdrawal symptoms and reduce cravings.
  2. Behavioral Therapies: Approaches like cognitive-behavioral therapy (CBT), motivational interviewing, and contingency management to address underlying psychological issues and promote behavioral change.
  3. Support Groups: Participation in groups like Alcoholics Anonymous (AA) or Narcotics Anonymous (NA) for peer support and accountability.
  4. Inpatient and Outpatient Rehabilitation: Structured programs that provide medical care, therapy, and support in either residential (inpatient) or flexible (outpatient) settings.
  5. Holistic Therapies: Incorporating practices such as mindfulness, yoga, acupuncture, and nutritional counseling to support overall well-being and recovery.


Inpatient and Outpatient Treatment Options for Addiction

Inpatient Treatment for Opioid Dependence

  • Residential Programs: Patients stay at a facility for an extended period, typically 30-90 days.
  • Intensive Care: Provides 24/7 medical supervision, structured schedules, and a supportive environment.
  • Detoxification: Managed in a safe, controlled setting.
  • Therapies: Includes individual and group therapy, counseling, and holistic treatments.

Outpatient Treatment

  • Flexible Schedules: Patients live at home and attend treatment sessions several times a week.
  • Less Intensive: Suitable for those with milder addictions or as a step-down from inpatient care.
  • Therapies: Offers similar therapies as inpatient treatment, including counseling and support groups.
  • Continued Support: Allows patients to maintain daily responsibilities while receiving treatment.

Both options can be tailored to individual needs and combined for a comprehensive approach to addiction recovery.


Does Insurance Cover Addiction Treatment?

Yes, many insurance plans cover addiction treatment. Coverage typically includes inpatient and outpatient programs, medication-assisted treatment (MAT), counseling, and therapy. The extent of coverage varies by plan and provider, so it’s important to check specific policy details. Some plans may require pre-authorization or have network restrictions, co-pays, and deductibles.


Common Insurance Plans Used for Addiction and Mental Health Treatment

Common insurance plans that cover addiction and mental health treatment include:

  1. Medicaid and Medicare: Government programs that provide coverage for various addiction and mental health services.
  2. Employer-Sponsored Insurance: Plans offered through employers often include mental health and addiction treatment coverage.
  3. Private Health Insurance: Individual plans from providers like Blue Cross Blue Shield, Aetna, Cigna, and UnitedHealthcare typically cover these treatments.
  4. Affordable Care Act (ACA) Plans: Marketplace plans required to cover mental health and addiction services as essential health benefits.



In conclusion, ibogaine presents a compelling option in the arsenal against opioid dependence and substance use disorders. Its ability to alleviate opioid withdrawal symptoms and reduce cravings has shown promise in various ibogaine clinics and treatment centers worldwide. However, its use comes with significant health risks, requiring careful medical supervision and ongoing research to ensure safety and efficacy. As the opioid crisis continues to devastate communities, innovative solutions like ibogaine treatment, alongside traditional methods and new synthetic compounds, offer a glimmer of hope. The collaboration of drug companies, medical personnel, and researchers is crucial in advancing psychedelic therapies and integrating them into mainstream opioid treatment protocols. By supporting these efforts, we move closer to controlling the disease of addiction, reducing overdose deaths, and providing a lifeline to those in need.


Seeking Treatment? We Can Help!

At California Prime Recovery, as an in-network provider we work with most insurance plans, such as:

If you or a loved one are struggling with mental health challenges or substance abuse, reach out to California Prime Recovery today. Our team of compassionate professionals is here to support your journey towards lasting well-being. Give us a call at 866-208-2390


Ibogaine is a naturally occurring psychoactive substance derived from the root bark of the African shrub Tabernanthe iboga. It is used for its potential to treat addiction and induce intense introspective experiences.
Ibogaine is believed to reduce cravings and withdrawal symptoms by interacting with multiple neurotransmitter systems in the brain, including serotonin, dopamine, and NMDA receptors. It may also promote neuroplasticity, helping to reset neural pathways associated with addiction.
Ibogaine treatment carries risks such as cardiac complications, neurotoxicity, nausea, vomiting, fatigue, and intense psychological experiences. Medical supervision is crucial to manage these risks.
Ibogaine has a half-life of 4 to 7 hours, and its primary metabolite, noribogaine, has a half-life of 24 to 48 hours, remaining in the system for several days to a couple of weeks.
Most insurance plans do not cover ibogaine treatment due to its legal status and lack of FDA approval. However, insurance may cover alternative addiction treatments such as MAT, counseling, and rehabilitation programs.

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