Summary of Soltara’s Dietary and Medication Requirements

This section is organized to help you understand the range of physical activities and practices that can be helpful prior to and during your time at Soltara. Some of these are Strongly Recommended or Must Do activities (such as observing the dieta before your plant medicine experiences) and others are encouraged to enhance your experiences, or to help you through your ayahuasca journeys.

Dieta & Medical Guidelines

While many healing modalities offered at Soltara can be learned and experienced without prior knowledge, working with plant medicines in sacred ceremony requires preparation and understanding, both for your safety and in order to have a fulfilling healing experience.

Ultimately, the goal of your preparation is to help you potentiate your experience with the medicine work. You’ve invested your time, energy, resources, and commitment to your healing, and we encourage you to see your preparation work less as a set of limitations and more as an investment in yourself and in devotion to the plants and the Shipibo tradition that stewards this work. Remember to be gentle with yourself, and whatever you do, do it with love.

Medical Overview
During your intake process, you will review any and all medications (including over-the-counter) and supplements (herbal & vitamin) with our intake support team, who will be able to help you understand if there are any medical or psychological contraindications with ayahuasca. We always recommend consulting with your doctor if you have any medical diagnoses, and to receive their guidance for any tapering schedules. We do not recommend changing or discontinuing use of medications or medically necessary supplements without consulting with your primary care doctor first.

Some medications & supplements are contraindicated with ayahuasca medicine. Interaction with pharmaceutical drugs, supplements, and medications (including some over-the-counter drugs and certain herbs) can be potentially life-threatening. Others are recommended to discontinue because they interfere with the ability of the healers to observe one’s energy field & clearly address root cause in the energetic work done in ceremony, and this holds true for certain energetic practices and psychedelic medicines as well.

Again, please note that it is important to discuss with your doctor and let us know of any medications and supplements you are taking upon registration to ensure your complete safety and well-being. If your medication changes before your retreat begins, you must let us know.

Dietary Overview
Following the dietary requirements in preparation for your retreat helps to lay the groundwork for the medicine experience, demonstrates respect for the process and commitment to your healing, and prepares your body to receive the medicine. It can also reduce the amount of cleansing needed to be done in ceremony, in order to allow the healing work to unfold more easily. In general, we encourage you to eat whole foods, limiting processed foods and foods high in salt, sugar, oils, and animal fats, along with the additional foods listed below.

Dieta, Energetic, & Medical Guidelines

Along with the mental, emotional, and spiritual preparation, is the physical preparation of choosing a place and ensuring a safe experience. Not only are participants in need of screening, but so, also, are those who are providing the drink; they must have known reputations for ethical behavior and be trustworthy providers who work within a known protocol. Agreeing to drink with strangers about whom little is known is a condition that may lead to tragedy. Reports of sexual molestation and inappropriate behavior have increased as the culture of Northern spiritual seekers meets mestizo and indigenous culture in the rainforests, each group with their own cultural presuppositions.

Regarding the shaman or curandero as a doctor or psychiatrist in the Western model, or even as a priest or pastor in a religious model, does not offer a useful template for the role of the shaman in his community, and can blind participants to the breadth of behaviors that may transpire. It is best to wait to drink until mutual trust is established. In the United States, purveyors tend to be more cautious because of the risk of exposure and possible legal action due to the illegal nature of most ayahuasca activity in the States. In other countries, lack of knowledge of languages and customs can complicate the search for a safe provider, even if the medicine is not illegal. It is good to know what is in the brew one is consuming, and to avoid mixtures that contain Brugmansia (Toé) or tobacco—which can, in excess, be toxic or even fatal—unless one has worked with the provider and has a trusting relationship after several experiences with them.

Ayahuasca is challenging; the more intense aspects might involve extreme emotions, possibly of fear or sadness, wrenching vomiting, diarrhea, waves of chills, tiredness, the feeling of being invaded by outside forces, and a number of other phenomena that could be very unpleasant. The other side of the coin is that mystical revelations may be had, insights previously hidden come to view, and new understanding is possible. Many times, the best results are obtained after the most harrowing ayahuasca sessions. But, for people who for physical or mental reasons are not up to these challenges, more gentle therapies are recommended.

Medical Considerations Regarding Ayahuasca

The main purpose of screening is to ensure the safety of all participants in a ceremony. Health conditions and medications are also screened. Ayahuasca is not recommended for people with psychosis and bipolar disorders. Sometimes, when these individuals take it, it potentiates a reaction that can last beyond the ceremony, and requires further intervention. Sometimes ayahuasca may trigger psychosis in a person who is not apparently psychotic prior to taking it. In addition to this, there have been reports of suicides and violence after ayahuasca sessions. For these reasons, screening for mental health disorders is important, and honesty about any conditions.  There have been no deaths attributed directly to the physical effects of ayahuasca, though people often feel sick or as if they may die. These effects wear off.

Ayahuasca may be contraindicated in people with heart problems or high blood pressure. However, anecdotal reports indicate that these conditions have rarely caused problems in sessions. This may be due in part to screening such individuals out.

Ayahuasca works on the serotonergic system. This has resulted in the theory that taking medications that boost serotonin, such as the serotonin reuptake inhibitor antidepressants, could result in a condition known as “serotonin syndrome” that could be life threatening. However, from 1998 to today, there has not been a single report of serotonin toxicity elicited by an ayahuasca-SSRI combination.

Medical practitioners in the União do Vegetal (UDV, a Brazilian religious organization that uses ayahuasca as a sacrament) have monitored people on SSRIs who have continued to use ayahuasca and have found them to be able to be used in combination, beginning with lower doses of ayahuasca and gradually increasing. Some report anecdotally that it can be more or even less intense, and may increase vomiting. They recommend discontinuing use one to three days prior to the session. However, most places [including Soltara] feel that it is safer to stop using SSRIS 2 to 4 weeks before, and consider this part of the dieta to be followed. The discontinuance of medications such as this must be decided on a case-by-case basis, depending on several factors, such as the previous experience of the participant, their health, other medications they may be taking, etc.

Recreational drugs of all kinds are discouraged by all traditions. Cocaine, amphetamines, MDMA, LSD, and other hallucinogens are not recommended in combination with ayahuasca. Many healers, particularly in the Shipibo tradition, recommend avoiding marijuana for 2 weeks before a session.

There are many lists on the Internet telling what drugs to avoid. However, there are few reports of harm. Any drug that raises blood pressure, such as cocaine, may be a problem in combination with ayahuasca. Drugs like heroin will interfere with the experience, but there is no evidence that it is more dangerous than heroin alone. The addition of other hallucinogens may increase chances of a negative experience. Some traditions incorporate alcohol into the ritual, but most consider it contraindicated. Tobacco is often used sacramentally, either in smoke form or in ground rapé mixtures that are insufflated.

A great number of drugs have not been tested for compatibility with ayahuasca, and therefore should not be used with it. Drugs that raise blood pressure, psychiatric medications, asthma medications, and antihistamines are often listed as contraindicated. In the case of these drugs, caution should be used and, depending on the medication, it should be discontinued for at least a day and possibly more. The severity of the illness being treated, the amount of the medication, and the overall health of the person attending will all factor into whether it is advisable to serve ayahuasca to an individual.

Assessing Risk Before an Experience

When clients are screened for sessions, it is helpful to outline the benefits and harms that may result from the session. Benefits should outweigh harms and, in the case of ayahuasca, though the benefits are great, there is usually some level of discomfort associated with the drink. Harms include feelings of being unwell during the session, and vomiting and possible diarrhea with intestinal upset that may continue to the next day. Intense psychological distress may occur. There is the possibility in some people of having a psychotic episode. It is possible at times to be unaware of one’s surroundings, which could lead to accidents. The next day, feelings of exhaustion may prevail.

There have been some news reports about people dying in ayahuasca sessions. These accidents have not been from the medicine itself, but from lack of proper care and supervision during sessions, or from additives besides the two plants necessary to make the brew. It is possible to aspirate on one’s own vomit if consciousness is lost and there is no one to clear an airway. It is possible to misjudge physical space and fall, or get lost if unsupervised. These harms and others may befall people in poorly supervised sessions. Unethical leaders and healers may result in harm for participants, including sexual assault while participants are under the effects of the medicine. This is why seekers must be very careful with whom they drink.