The second phase of the Ayahuasca Health Guide will begin later than expected so as to allow for more public debate about the ESC's work. We apologize for the delay and hope to resume public consultations in the near future.

About this guide

This draft Ayahuasca Health Guide is a response to the need for a free, easy to use, community-vetted, and accessible source of up-to-date information on health and safety relating to ayahuasca, and on how to reduce safety risks. Sections are tailored both to seekers and to those holding ceremonies.

First public comment period closed

The first 60 day public comment period on the Health Guide is now closed. You can still read and make comments on the Guide, but we will not formally respond to or integrate these comments until the start of the 2nd 60 day public comment period starting in January 2015.

Contribute to the Guide

Click the button below to access a Google Document which you can use to make comments and suggestions:

Have your say!

If you cannot use Google Documents a PDF is available below. Please send PDF comments via email to:

ayahealthguide [at] ethnobotanicalcouncil.org


The Ethnobotanical Stewardship Council (ESC) is facilitating the development of this guide in consultation with Plantaforma, UMIYAC, ICEERS and others who have already done much to lead the way to safer ayahuasca use.

Guide Development Process

The Guide will be developed in two public consultation stages:

  • The pilot draft of the Ayahuasca Health Guide will be developed through public participation and consultation, starting with a presentation and comment period at the 2014 World Ayahuasca Conference in Ibiza on September 27th 2014, followed by a 60-day public consultation process following the ISEAL Code of Good Practice, where the Guide will be hosted on its own website and all interested persons can make suggestions and comments. The ESC will read all suggestions and comments, feed back on the issues raised, and integrate changes accordingly. For instance, if we receive information about specific, regularly occurring dangerous practices, and if measures to avoid these have not been outlined in the Health Guide, we will constructively work to identify and include safer alternative practices, which the public can then feed back on. When all suggestions have been integrated we will see if consensus has been reached on the document. Consensus is defined as general agreement, characterized by the absence of sustained opposition to substantial issues by any significant portion of the concerned interests (such as indigenous groups, ayahuasca centers, policy makers, activists or researchers). If consensus is not reached, the ESC will hold another 60-day public consultation and comment period.
  • The final draft of the Ayahuasca Health Guide will be integrated into public consultations during the Ayahuasca Dialogues in late 2015. The Ayahuasca Dialogues will aim to define good practices for the safe use and sustainability of ayahuasca (ultimately leading to the Ayahuasca Agreement).

License and Usage Rights

The Ayahuasca Health Guide is open source and can be used in whole or in part by anyone.

Creative Commons License
The Ayahuasca Health Guide is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.


All material is accurate at the time of writing. The aims of this document are to help people to make responsible decisions, reduce risks and maximize potential benefits. However, the ESC and partners cannot be held legally responsible for any adverse effects experienced. Ayahuasca is illegal or has restricted legality in several countries; we cannot condone illegal activities.

Works we have drawn upon include: