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Institutes u[ Health. I~he guidelines with regard to women call for [he inclusron of women a the <br /> earliest stages of clinical trials, as [his would provide the greatest determination of safes for women. <br /> fhim percent of NDA International's patients have been women who have Shawn no negative et3ects <br /> from Ming Lbogaine either during or after treatment. How es zr, considering all of the circumstartces. <br /> the Procedure should be administered onh in a hospital or clinic with the patient under cuntinuuus <br /> staff observation and electronic monirorine. <br /> :\n ongoing international research program is developing evidence ro de[etntinz a hypothesis for the <br /> cause of death of the woman in the Netherlands. We are additionalh seeking Swiss government <br /> cooperation concerning the death u[ the Swiss woman. I-he results ofthis research rnav tau litate <br /> zither an exclusion criteria or an antidote allowing Ibogainz safely to treat chemical dependence in <br /> women. <br /> COGNITI~ E: E\ ALGA IIUh <br /> Che second phase of Ibugame's action dtu-ing [he Lotsof Proceduresm is one ofThe patienn <br /> intellectual evaluation of their previous experiences' and decisions. 'Ibis occurs after the ~ isualizatiun <br /> phase. whtch generalh ends abrupth in three to tier hours. However. mdividuul reae[iuns and <br /> ~ ariatiuns are the numt and nut the exception within the paratne[ers of the Procedure. <br /> Regarding this process of ccaluatiun by the patient, in mum eases. when ~unuus decisions were <br /> made by [hr patient in the past. [hose decisions appeared at be the onh options aeutlable at the [imz. <br /> However, due [o Ibogame's abilin to allow the reevaluanun of one's li[e, actions and behas for , it i. <br /> pos's'ible for the patient to understand [hat alternatives m Ihzu original decisions were available. and <br /> this know ledge appears to allow the patient [u mudih their atRent behavior .tnd ~zase their dru_ <br /> depatdencz. <br /> HEFL4AlU1ZAL IMMUBII Il-\ <br /> Uuring the periods u[ ~ isualization, and extending into the stage u[ cognt[ive evaluation, patients <br /> will demonstrate a state of behav rural itnmobility IDepoortere. 19871 during which brain wave <br /> patterns associated with dreaming ;utd sleep, but distinct lium those sta[ea. are represented by <br /> rhythmic auw uctivin of 1-6 Hz. these EF.G patterns arc associated with a Stutz characterised by a <br /> luz6 of movement. Some zarh observers oRhe Lutsuf Pruzeduresm lKaplan. 1991h mitialh believed <br /> that the condition represented parch Sts, but when patients wise asked m stand and move uruund_ <br /> the patients vverz able ut do du, albeit wtth dithculq <br /> AI-~fENI VIIl)N OF M1ARCUIIC WffIIDRAWAL <br /> Unz o[ the nta~or acute efleas experienced vvtth Ibogamr Ireanuent is the uttznuauun ur elimutanun <br /> of narcotic withdrawal inopiate-dependent patients. Phis n cxtremeh important ro ihz <br /> nurcutio-dependent patients who live in fear of ,uing mtu withdrawal. <br /> the treatment team's experience m the held is u[ the umwst impurtattce m dealing with this aspect <br /> <br /> of the Procedure us withdrawal sy mpmms are a combination of physical and. i? mam cases. <br /> paychosumutic manifestations that are anxiety-driven. I~heref~re. it is imperative for [he medical :md <br /> <br /> paramedictd staff to have experience in identihing and distinguishing between Ihesz varieties of <br /> <br /> svmptunu. Pnn~ided below are examples of psychusomuuc withdrawal manifzstanuns demonstrated <br /> <br /> by rno of the patients treated ou[stde [he United States. <br /> <br />