Before You Arrive

Ayahuasca Ceremony Preparation & Integration

Preparing thoughtfully is an essential part of the ceremonial experience. Please read this page carefully before attending.

Important — health & medication safety

Read Before Registering

Ayahuasca/Daime contains compounds with MAOI activity. Medication, supplement, substance, and health interactions can be serious or life-threatening. You must disclose every prescription medicine, over-the-counter medicine, supplement, and substance you use on the medical form and contact the facilitator before attending.

Do not stop, start, or change prescribed medication on your own. Only your licensed prescriber can advise on a safe medication plan or washout period.

Read our confidential screening process →

Diet & Physical Preparation

Preparation is part of the ceremony. Follow a simple, fresh-food diet and avoid alcohol, recreational drugs, processed foods, excess sugar, and heavy or spicy meals in the days leading up to the retreat. Choose light, nourishing foods that support hydration, digestion, and rest.

Foods high in tyramine or that are aged, cured, fermented, overripe, or poorly stored can interact with MAOI-active substances and may cause severe symptoms. Follow the food restrictions below exactly and ask before the retreat if you are uncertain about any food, supplement, or preparation practice.

Foods to Avoid

Avoid the following for at least 72 hours before and after the ceremony:

  • Red meat that is not fresh, especially unfresh liver
  • Smoked, fermented, aged or dried fish, lox; any fish that is not fresh
  • Sausage, bologna, pepperoni, salami, corned beef
  • Aged cheeses (cottage cheese and cream cheese are safe)
  • Protein extracts; liquid and powdered protein dietary supplements
  • Brewer's yeast, yeast vitamin supplements, or yeast extracts
  • Fermented tofu, fermented bean curd, fermented soybean paste, soy sauce
  • Canned soups or soups made with protein extracts or bouillon
  • Miso soup (contains fermented bean curd)
  • Shrimp paste; sauerkraut
  • Bruised or slightly overripe fruits, especially bananas and apples; raisins and other dried fruits
  • Avocados, if ripe or overripe
  • Alcohol in all forms — recommended to avoid for at least one week prior
  • Dairy products close to expiration or unrefrigerated (fresh yogurt is safe)
  • Excessive salt, pepper, garlic, oils, butter, and other animal fats
  • Aspartame and refined sugar in all forms
  • Fava beans (especially if overripe), peanuts, raspberries, spinach, chocolate — in large quantities
  • Caffeine in large quantities

Medications & Recreational Drugs to Avoid Before the Ceremony

Do not combine Daime/Ayahuasca with recreational or synthetic drugs, alcohol, cannabis, mushrooms, or any medication or supplement that has not been individually reviewed. Never use this page to determine a washout period or to stop a prescribed medicine.

Some medications, substances, and herbs can cause dangerous interactions, including serotonin syndrome, changes in blood pressure, fainting, excessive sedation, seizures, or respiratory problems. Never rely on this page as a complete medication-interaction checker.

A note about timing and medication changes

Daime/Ayahuasca contains compounds with MAOI activity. Interactions with certain medicines, over-the-counter products, supplements, herbs, and recreational drugs may be severe or life-threatening. Two weeks is a common minimum mentioned for some prescription MAOI interactions, but it is not a universal washout period. Depending on the medicine, dose, duration of use, and your health history, a clinician may recommend a different plan or determine that participation is not appropriate.

Do not stop, taper, or change any prescribed medication for a ceremony. Speak with the clinician who prescribes it and disclose every medicine, supplement, and substance on your medical form before you travel or register.

Serotonergic medicines and serotonin syndrome

Medicines that affect serotonin — including SSRIs, SNRIs, tricyclic antidepressants, MAOIs, certain migraine medicines, stimulants, cough medicines containing dextromethorphan, lithium, tramadol, and some supplements such as 5-HTP or St. John's Wort — require individual review. Combining serotonergic medicines with MAOI activity can increase the risk of serotonin syndrome, a potentially life-threatening drug reaction.

Longer washout examples are medicine-specific

Fluoxetine (Prozac) is an important example: official prescribing information uses a five-week interval before starting a prescription MAOI in many circumstances because fluoxetine can remain in the body for a long time. This is an example of why a general two-week rule cannot be used for every medicine; only the prescribing clinician can determine an appropriate plan for an individual.

Opioids, alcohol, sedatives, and anesthetics

Opioids (including codeine, morphine, heroin, oxycodone, buprenorphine, tramadol, and related medicines), alcohol, sleeping pills, tranquilizers, and anesthetics can affect breathing, consciousness, and sedation. They must be disclosed and reviewed before participation. Alcohol and recreational drugs are not permitted before or during ceremony.

Blood-pressure, heart, respiratory, and herbal products

Diuretics, vasodilators, stimulants, decongestants, heart or blood-pressure medicines, asthma or breathing medicines, and products that affect the nervous system can alter blood pressure, heart rate, or alertness. Nutmeg at psychoactive doses and cowhage (Mucuna pruriens) are also not pre-approved. Review these products with a licensed prescriber or pharmacist before attending.

High-risk interaction categories include:

  • Antidepressants and other serotonergic medicines, including SSRIs, SNRIs, tricyclic antidepressants, and MAOIs
  • Prescription and non-prescription stimulants, decongestants, and ADHD medicines
  • Opioids and opioid-containing pain medicines
  • Sleep medicines, tranquilizers, anesthetics, and medicines that can cause sedation
  • Blood-pressure, heart-rhythm, respiratory, neurological, and Parkinson’s medicines
  • Herbal products and supplements that can affect serotonin, blood pressure, or the nervous system

Strictly Prohibited:

  • All recreational or synthetic drugs (cocaine, MDMA, LSD, amphetamines, heroin)
  • Alcohol
  • Cannabis in any form
  • Other psychedelics, including mushrooms
Medication and supplement review list (A–Z)

This is a screening list of medicines and substances that require disclosure and an individual review by your prescribing clinician, pharmacist, and the facilitation team before participation. It is not a complete interaction checker: a medicine appearing here is not automatically suitable or unsuitable, and an unlisted medicine is not automatically safe.

Actifed

Adderall

Alaproclate

Albuterol (Proventil, Ventolin)

Amantadine hydrochloride (Symmetrel)

Amiflamine

Amineptine

Amitriptyline

Amoxapine (Asendin)

Atomoxetine

Bazinaprine

Befloxetone

Befol

Benadryl

Benmoxinb (Nerusil, Neuralex)

Benylin

Benzedrine

Benzphetamine (Didrex)

Bicifadine

Brasofensine

Brofaromine (Consonar)

Buprenorphine

Bupropion (Wellbutrin)

Buspirone (BuSpar)

Butriptyline

Carbamazepine (Tegretol, Epitol)

Chlorpheniramine

Chlor-Trimeton

Cimoxetone

Citalopram (Celexa)

Clomipramine (Anafranil)

Clorgyline

Codeine

Cyclobenzaprine (Flexeril)

Cyclizine (Marezine)

D-deprenyl

Dapoxetine

Desipramine (Pertofrane, Norpramin)

Desvenlafaxine

Dextroamphetamine (Dexedrine)

Dextromethorphan (DXM)

Dibenzepin

Dienolide kavapyrone desmethoxyyangonin

Diethylpropion

Disopyramide (Norpace)

Disulfiram (Antabuse)

Dobutamine

Dopamine (Intropin)

Dosulepin

Doxepin (Sinequan)

Duloxetine (Cymbalta)

Emsam

Entacapone

Ephedrine

Epinephrine (Adrenalin)

Escitalopram (Lexapro)

Esuprone

Etorphine

Femoxetine

Fenfluramine (Pondimin)

Flavoxate hydrochloride (Urispas)

Fluoxetine (Prozac)

Fluvoxamine

Furazolidone (Furoxone)

Gabapentin

Guanethedine

Guanadrel (Hylorel)

Guanethidine (Ismelin)

Hydralazine (Apresoline)

Hydrazine

5-Hydroxytryptophan (5-HTP)

Imipramine (Tofranil)

Iprindole

Iproniazid (Marsilid, Iprozid, Ipronid, Rivivol, Propilniazida)

Iproclozide (Sursum)

Isocarboxazid (Marplan)

Isoniazid (Laniazid, Nydrazid)

Isoniazid/rifampin (Rifamate, Rimactane)

Isoproterenol (Isuprel)

L-dopa (Sinemet)

Ladostigil

Lazabemide (Pakio, Tempium)

Levodopa (Dopar, Larodopa)

Linezolid (Zyvox, Zyvoxid)

Lithium (Eskalith)

Lofepramine

Loratadine (Claritin)

Maprotiline (Ludiomil)

Mebanazine (Actomol)

Medifoxamine

Melitracen

Meperidine (Demerol)

Metaproterenol (Alupent, Metaprel)

Metaraminol (Aramine)

Metfendrazine (Inkazan)

Methamphetamine (Desoxyn)

Methyldopa (Aldomet)

Methylphenidate (Ritalin)

Metralindole

Mianserin

Milacimide

Milnacipran

Minaprine (Cantor)

Mirtazapine (Remeron)

Mofegeline

Moclobemide (Aurorix, Manerix)

Monomethylhydrazine

Montelukast (Singulair)

Nalbufrine

Naloxone

Naltrexone

Nefazodone

Nialamide (Niamid)

Nisoxetine

Nomifensine

Norepinephrine (Levophed)

Nortriptyline (Aventyl)

Octamoxin (Ximaol, Nimaol)

Oxybutynin chloride (Ditropan)

Oxycodone

Oxymetazoline (Afrin, Dimetapp)

Oxymorphone

Orphenadrine (Norflex)

Pargyline (Eutonyl)

Parnate

Paroxetine (Paxil)

Pemoline (Cylert)

Percocet

Pethidine (Demerol)

Phendimetrazine (Plegiline)

Phenelzine (Nardil, Nardelzine)

Pheniprazine (Catron)

Phenmetrazine

Phenoxypropazine (Drazine)

Phentermine

Phenylephrine (Dimetane, Dristan decongestant, Neo-Synephrine)

Phenylhydrazine

Phenylpropanolamine (in many cold medicines)

Phenergan

Pirlindole (Pirazidol)

Procarbazine (Matulane)

Procainamide (Pronestyl)

Protriptyline (Vivactil)

Pseudoephedrine

Quinidine (Quinidex)

Rasagiline (Azilect)

Reboxetine

Reserpine (Serpasil)

Risperidone

Salbutamol

Salmeterol

Selegiline (Eldepryl, Emsam, Zelapar)

Sercloramine

Sertraline (Zoloft)

Sibutramine

Sumatriptan (Imitrex)

Terfenadine (Seldane-D)

Temaril

Tesofensine

Tetrindole

Theophylline (Theo-Dur)

Thesbutiaint

Thioridazine (Mellaril)

Tianeptine

Tolcapone

Toloxatone (Humoryl)

Tramadol

Tranylcypromine (Parnate)

Trazodone

Tricyclic antidepressants (including Amitriptyline, Elavil)

Trimipramine (Surmontil)

Triptans

Tyrima

Vanoxerine

Venlafaxine (Effexor)

Viloxazine

Yohimbine

Zimelidine

Ziprasidone (Geodon)

No over-the-counter pain reliever, cold medicine, allergy medicine, or supplement is automatically pre-approved through this page. This includes products such as aspirin, ibuprofen, acetaminophen (paracetamol), decongestants, antihistamines, and herbal products. List every product on your medical form and obtain guidance from a licensed prescriber or pharmacist before attending.

Herbs to avoid at least 48 hours before and after:

St. John's WortBetelBoswelliaCarrot seedChamomileCowhageCurcuminDill seedEphedraFennel seedFo-TiGinsengHorny Goat WeedKannaKavaKratomLicorice RootNutmegParsley seedRhodiola RoseaScotch BroomSiberian GinsengSinicuichiTurmericYerba MateYohimbe

If you are unsure about a medication, do not assume it is safe. Record it on your medical form and contact the facilitator and your prescriber before arriving.

Important health screening

Conditions Requiring Review

The following conditions may increase risk and require disclosure and individual review before participation. They may make participation unsuitable; the facilitator cannot replace medical or mental-health care.

  • !Unstable Diabetes Mellitus
  • !Disorders of the kidneys
  • !Epilepsy
  • !Severe neurological malfunctions
  • !Illnesses of the circulation (angina pectoris, CVAs, pheochromocytoma, hyperthyroidism)
  • !Disorders of the liver
  • !Severe unstable mental health disorders (schizophrenia, psychoses, borderline personality disorders)

If you have a history of substance dependence, are under active medical or dental treatment, or have any other health concern, disclose it before travel so an appropriate plan can be considered.

Eating Prior to the Ceremony

Eat simply on ceremony day: a nourishing breakfast and a light lunch generally provide energy without creating unnecessary discomfort. Then fast or eat very lightly for several hours before drinking the sacrament, following the facilitator's specific timing instructions. Hydrate normally, but do not overconsume water immediately before the ceremony.

Appearance & Clothing

Wear comfortable, modest clothing in white or beige, free of prints or words. Avoid belts or restrictive pieces. Wear layers — body temperature may change during the ceremony.

Mental & Spiritual Preparation

Be mindful of what you take in — what you listen to, what you speak, and what you surround yourself with. Choose information and environments that feel uplifting, grounding, and nourishing. In the few days before ceremony, consider creating more quiet around yourself: reduce unnecessary information, limit social-media use, and make room for rest, reflection, and inner exploration. This gentle simplification can help you arrive feeling more present, centered, and connected to your intention.

  • Sit in silence to clarify your intentions. Meditate, journal, or reflect on what you are calling in.
  • Include movement — simple exercises, stretching, or dance.
  • Spend time in nature whenever possible.

After the Ceremony

Eating helps with grounding. We recommend light foods such as soup and fruit, with plenty of water, continuing the recommended diet for one to two more days.

Ayahuasca may continue working within you for up to three days. Use this time to integrate and reflect on what you've learned. Allow yourself gentleness, rest, and quiet time.

Integration

True change unfolds through integration — weaving the insights and lessons from ceremony into your daily life. This is how we live the medicine, transforming visions into action and wisdom into embodied awareness.

🌿

Create Space for Stillness

Give yourself moments of quiet each day — journal, meditate, or sit in nature. Allow the lessons to surface naturally.

🥦

Nourish the Body

Eat light, clean, whole foods. Include healthy fats like avocado, coconut, or olive oil. Avoid processed food, sugar, caffeine, alcohol, and heavy meats.

🌸

Support with Gentle Supplements

Magnesium, Vitamin C, B-complex, Probiotics, Tulsi, or Reishi. Avoid strong or psychoactive herbs for a few weeks.

☀️

Ground and Restore

Walk barefoot on the earth. Take Epsom salt baths. Practice gentle yoga, stretching, or dance.

💬

Emotional & Mental Care

Allow emotions to move freely. Share only with people who understand sacred experiences. Everything that surfaces is part of healing.

🌕

Bring Teachings into Daily Life

Ask yourself: What did I learn about love, truth, or myself? How can I live in alignment with that today?

Retreat Schedule

Retreats take place on the Maui, Hawaii. The program typically includes:

  • Preparation practices: breathwork, yoga, grounding exercises, sound bath
  • Ceremonial work in a respectful and supportive environment
  • Time for adventure and connection with nature
  • Group sharing circles
  • Integration guidance following the retreat

Medical Guidance

Participants are asked to carefully review their physical and mental health before attending. This work is not intended to replace professional medical or psychological treatment.

Conditions that carry additional risk:

  • Unstable Diabetes Mellitus
  • Disorders of the kidneys
  • Epilepsy
  • Severe neurological malfunctions
  • Illnesses of the circulation (angina pectoris, CVAs, pheochromocytoma, hyperthyroidism)
  • Disorders of the liver
  • Severe unstable mental health disorders (schizophrenia, psychoses, borderline personality disorders)
If you have any of the above conditions, please note it on your medical form. When drinking the Daime tea under medical treatment, inform your doctor that you will be using MAO inhibitors.

Spiritual Use Statement

Colibri Sanctuary offers retreats within a spiritual and contemplative context intended to support personal reflection, ethical development, and the exploration of consciousness. This work is not intended to diagnose, treat, or replace medical or psychological care.

Participation is voluntary and based on personal responsibility. Individuals are encouraged to consider their physical, emotional, and mental readiness before taking part.