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its acute stuee of uctiv is <br /> I-he reduction in the need for sleep is dewed b} the ma~orin of patients as a discomfort. since they <br /> have used drugs and sleep as an escape mechanism. 1'hesr patients ma} require sums mild tome u( <br /> sedation during the first duvs after treatment with Ibogaine. Normal precautions should be taken in <br /> providin: sedatives to persons with a history of chemical dependence. In a ntinoria of cases, patients <br /> have used this newly available time to advantage in their bust work schedules. <br /> LONG-fF.RN1PFFECI~S <br /> Long-feint arc those which ma} he noticed liom one [u menu-tour months aver treatment. and in <br /> some cases even longer. I have provided three examples <br /> t.x:unple One <br /> .Aheroin-dependent couple was treated. Che woman of'b was a relativeh new addict of three months <br /> whil< her _~-dear-utd husband had a histon of over ten soars of heroin use. At the time of their <br /> treatmem d protocol of treating one patient at a time was followed. These were each treatments and <br /> the medical and medical support staff were familiarizing themselves with what might be expected <br /> during such episodes. <br /> Portions of [he treatment episodes were observed b) Dr. ~ urlo Cumoreggi, Depot} ~1edical Director <br /> of the Addiction Research l enter of the National Insfitute un Drug Abuse in Baltimore and Dr <br /> Lister Gnnspuon of the Harvard School of Medicine. <br /> I he husband was mrated tSrst, and his wife was complereh atopera[ive and helpful during his <br /> treatment. fhe following duv, when [he wife': was administered her dose of Ibogaine, her husband <br /> demanded that he be allowed to Iruve his rtum and remain in bed with her. He intomted the medical <br /> and paramedical staff present that unless he gut his way he would create a disturbance m interfere <br /> with hi, wife's treanncnt. Rather than deal with a belligerent and nngrv patient. we decided i[ would <br /> be less hanntul to le[ him hove his wuv. He con[inuoush disturbed his wife donne her treatment. <br /> Ihis resulted in a polio of treating couples simultaneously in separate ruum>~. <br /> t le recovered before his vvite. us ,he had been admimstsed Ibogaine twenty-lour hotUS utter his <br /> treatment- He compluinad that he was netting bedsore and was nu longer able ?i stay in bed and <br /> us4,ed lur permission to go 0.x a bicv cle ride Cpun his leae mg, his wife broke down and cried in the <br /> amts ofa female puradiniaan, statine she did nut Lnuve it she could remain with her husband, but <br /> she was atFaid he wuuW die if she left him. hhis was a amcept he contimmush stresstd to her during <br /> their [reamtent_ <br /> .after treatment. he followed a pa[tem of controlling his wife's contacts with other persons including <br /> [he treanurnt tearu-which was dented access to enher of them. We later teamed that thev both <br /> retained to heroin use However, three months inter the wife determined that her husband was <br /> incapable of loving himself ur her and this was nut the life she wished She stopped using heroin. <br /> enrolled in nursing scttooh tiled div urce proceedings against her husbartd. and i, now specializin~~ m <br /> po~chiavic nursing. <br /> While minulh she did nut recognize that her decision m stop heroin use wns due w her Ibogaine <br /> <br /> treamtent..u [hr months went by ,he realized [hat her determination to chance her life veal <br /> <br /> wtalyred M her e~periencc with Ibogaine. <br /> <br />