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Ayahuasca safety and ethical guidelines

Care before, during and after every ceremony.

Ayahuasca safety and contraindications require honest information, individual screening, a prepared environment, trained people and respect for personal limits before, during and after a ceremony.

First-aid training with guardians of Santuário Céu de Aparecida
01

Before

Screening is mandatory

First-time participants complete a questionnaire and join an individual interview. Previous experience elsewhere does not replace this process.

The Sanctuary never tells anyone to stop medication or treatment. Questions about health conditions or possible interactions must be discussed with the responsible health professional and shared honestly with us.

02

During

Limited attendance and attentive guardians

We limit attendance so the team can organize the ceremony and support the group with care. Directors and guardians remain present throughout the work.

All guardians have taken first-aid training as part of the team’s ongoing preparation.

03

Ethical foundation

Nine guidelines for collective care

  • Non-specialism: no one owns spiritual knowledge.
  • Non-intervention: each person’s process is respected.
  • Free will: each person has their own pace and makes their choices within the ceremony’s safety limits.
  • Silent listening and presence are forms of care.
  • Words are used carefully, without imposed interpretations or diagnoses.
  • Spiritual humility recognizes mystery and the limits of what any one person can understand.
  • Service and fellowship express responsibility for the group.
  • Indigenous traditions are approached with ethics, gratitude and clear attribution.
  • Autonomy and personal responsibility guide each participant’s choices.
04

After

Support does not end with the ceremony

Participants may contact the leadership team after an intense experience or when they need help finding the right kind of support.

Psychologists connected to the Sanctuary may offer an initial listening session within professional limits. The Sanctuary does not promise outcomes and does not replace clinical care.

Questions and answers

Essential information

What are the main ayahuasca safety and contraindication considerations?

Assessment is individual and no short list is complete. Pregnancy or breastfeeding, significant or uncontrolled cardiovascular conditions, a personal history of psychosis or mania, acute emotional destabilization, epilepsy or seizures, and certain medications or substances may prevent participation or require professional assessment. All conditions and medication use must be disclosed. The Sanctuary never advises stopping treatment.

Can any ayahuasca ceremony be described as completely safe?

No ceremony can promise the absence of risk. A responsible ayahuasca ceremony reduces avoidable risk through honest screening, informed decisions, limited attendance, a prepared setting, attentive guardians and suitable professional or emergency referral when necessary.

Institutional content prepared by Santuário Céu de Aparecida and reviewed by Michael Luis Miguel Pereira e Bruno Lucas de Paula Luz · Updated September 1, 2026.

Sources and limits of this content

Sources