Contraindications — treatment cannot be given if you are:

• Under 18 years of age
• Pregnant or may be pregnant
• Breastfeeding a child under 1 year
• Living with serious heart conditions (pacemaker, valve disease, bypass surgery, enlarged heart)
• Experiencing extremely low blood pressure controlled by medication
• History of stroke, aneurysm, or brain bleed
• Living with serious mental health conditions
• Taking immune-suppressants for organ transplant
• Diagnosed with Addison’s disease
• Diagnosed with Ehlers–Danlos Syndrome
• Currently experiencing severe epilepsy
• Recovering from major surgery
• Currently undergoing chemotherapy
• History of ruptured oesophagus

Cautions — treatment may require additional care if you:

• Have taken Bufo 5-MeO-DMT within the past 28 days
• Are taking immune suppressants for autoimmune disorders
• Are experiencing active drug or alcohol addiction
• Have engaged in long-term or water fasting within 7 days before or after Kambô (beyond the required fasting)
• Have done colonics, enemas, or liver flushes within 3 days before or after Kambô
• Are menstruating (Kambô may increase flow for 24–36 hours due to vasodilators)
• Are asthmatic (ensure you have your inhaler with you)
• Are diabetic (must discuss treatment in advance)

Mental health & medication

You must inform your practitioner if you have ever, or are currently, experiencing a mental health condition (with the exception of depression). In most cases it is safe to continue your usual medications and supplements, but this must always be discussed in advance.