Speak to Your Doctor
If you are not used to being in the jungle, your body is about to be stressed in new ways -- novel food, unaccustomed heat and humidity, unfamiliar pathogens. There is nothing in the jungle, of course, that you can’t handle; people do it all the time. But, unlike other travelers, you will be adding the extra stress of ingesting a powerfully psychoactive botanical with very intense physical effects. You should be in good physical condition to handle these stressors, and you should pay a visit to your doctor to make sure that you are.
This is especially important if you have any physical or psychological condition -- definitely including pregnancy -- for which you are currently under the care of a health professional. Tell your doctor that you are going to be taking ayahuasca or iboga, even if you fear the doctor will be disapproving. Provide your doctor with information about the physiological and psychological effects of the substance you will be taking. Such information is very important, especially if you are taking psychotropic medication such as an SSRI or an MAOI antidepressant, if you will be taking ayahuasca, or any medication that inhibits cytochrome P450, if you will be taking iboga. Don’t forget to add that these botanicals also induce physically stressful emetic and purgative effects, and that you will be in a jungle environment, perhaps far from definitive care, since these facts may also impact your current health situation.
Your health care provider may offer you persuasive reasons why such an expedition would be a bad idea at this time, and you may then decide to wait until your current condition has improved or resolved. It may also be that your doctor will see no significant problem in your taking ayahuasca or iboga, or may recommend some conditions that would increase your safety, or may be willing to modify your medication regimen temporarily to accommodate your intention.
Seeing your doctor and having a straightforward conversation will allow you to make informed decisions about the best way to make your journey as safe as possible.