Contraindications & cautions

CONTRAINDICATIONS and cautions applied to KAMBÔ


  • Serious Heart Problems (included: Arrhythmia, Heart Valve disease, Rheumatic Heart disease, Cardiomyopathy, Pericarditis, Heart failure, Coronary Heart disease…)
  • Strokes
  • Medicated for Low blood pressure
  • Brain Haemorrhage
  • Aneurism or blood clots
  • People who lack the mental capacity to make the decision to sit with Kambo
  • People undergoing chemotherapy and or radiation 
  • Serious mental health conditions (excluding depression and anxiety)
  • People who take immune-suppressants for organ transplant
  • Women who are pregnant or may be so
  • Women who are breast feeding
  • Addisons’s disease
  • Ehlers Danlos Syndrome
  • Current and severe Epilepsy
  • Recovering from a major surgical procedure
  • Under 18’s


CAUTION is required for the following issues:

  • Bufo 5-MeO-DMT (5-methoxy-N, N-dimethyltryptamine) or Iboga has been taken within the past 28 day or more
  • Immune suppressants for auto immune disorders
  • Slimming, serotonin or sleeping supplements
  • Long term (water) fasting 
  • Frequent colonics, enemas or any other detoxing
  • Ruptured Oesophagus or potential weakness in the oesophagus due to
    • history of multiple medical procedures involving the Oesophagus. eg: Endoscopy
    • Any form of neck surgery or surgical repair to a Hiatal Hernia. For example: Nissen Fundoplication.
    • Recent blunt force injury to the chest area which could cause a small tear with no symptom
    • Recent childbirth – within past 3 months
    • Frequent and longer term vomiting for any reason – active or history of bulimia
    • Episodes of infections and inflammation in the Oesophagus.
    • Long term use of certain medications: For example, antibiotics (especially Tetracyclines), NSAIDs, Paracetamol, Warfarin, Chemotherapeutic agents, Potassium Chloride and high doses of Vitamin C
    • Possible erosion of the Oesophagus wall from Chronic GERD (Gastroesophageal Reflux Disease),or ulcers.
    • Oesophageal varices – enlarged veins due to cirrhosis of the liver
    • Portal Hypertension – due to increased pressure in the portal vein which carries blood from the digestive organs to the liver. This is usually as a result of liver disease but can occasionally be due to chronic infection, genetic disorders, medications such as methotrexate, or parasites
    • Attendance at a multiple ceremony retreat where a person has vomited for a number of days or nights in a row.



PLEASE inform your teacher or practitioner if any of this applies to you or you have any doubts or questions regarding any of these points. 



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Esther is an IAKP Master Kambô Practitioner and Teacher with a worldwide practice.

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