Country GuideMedical AccessStrictly Illegal

Country Access Report

Medical Access in Algeria

Algeria maintains a prohibitionist, tightly regulated regime for psychoactive/hallucinogenic substances: national narcotics and psychotropes law explicitly criminalises trafficking, possession and use (with narrow medical/scientific exemptions) while the health system uses certain controlled substances (notably ketamine) for approved medical/anesthetic purposes. There is no established, reimbursed clinical program for classical psychedelic therapies (psilocybin, MDMA, mescaline, DMT, 5‑MeO‑DMT, ibogaine, ayahuasca, 2C‑X) outside of specially authorised research; most of those compounds are treated as illicit psychotropic/stupefiant substances under Law No. 04‑18 and its implementing rules. UNODC: Loi n°04-18 ONLCDT (Algeria) – legislation summary

Access Level
Strictly Illegal
Compounds Covered
10
Active Trials
0

How To Use This Guide

Read the access level as a starting point, then check the compound notes below. The practical question is whether a patient can move through a real pathway today, or whether access still depends on a trial, exception route, private-care model, or future reimbursement decision.

Available Today

Look for approved use, named specialist settings, eligibility rules, and whether care is routine or exceptional.

Research Or Exception

Separate clinical trials, special access, compassionate use, and unlicensed-medicine routes from routine medical availability.

Payment And Delivery

Check who pays, where care can happen, and whether trained teams, product supply, and site governance are in place.

Access By Compound

These notes separate what is available today from research, exceptional-access, private-care, and payment routes. When the guide has not verified a pathway, the compound stays marked as incomplete rather than treated as unavailable.

Compound Access

Psilocybin

Strictly Illegal

Currently classified as a strictly controlled psychotropic/hallucinogenic substance under Algeria’s drug law framework with no authorised medical therapy or reimbursed clinical program outside of formally approved research. The national narcotics/psychotropes statute (Loi n°04‑18) implements Algeria’s obligations under the UN Single Convention and 1971 Psychotropics Convention and treats hallucinogens as controlled substances, subject to criminal penalties for possession, use and trafficking unless a specific ministerial medical or scientific authorization is issued. [1]

Compound Access

MDMA

Strictly Illegal

Currently classified as a strictly controlled substance under national drug scheduling laws, with no authorized medical use or reimbursed access outside of approved clinical research or a specific, exceptional ministerial authorization. (Algeria’s Loi n°04‑18 broadly controls psychotropic substances including synthetic empathogens/hallucinogens.) [1]

Compound Access

Esketamine

Clinical Trials Only / Not Marketed

There is no publicly available evidence that intranasal esketamine (Spravato®) has been registered, authorised for national therapeutic use, or included in a national reimbursement scheme in Algeria. Algeria’s medicines procurement and hospital lists explicitly include injectable ketamine among standard anaesthetic agents used in hospitals and procurement procedures, but I found no entry or national approval record for esketamine as a specifically authorised marketed antidepressant product in Algeria’s public sources or in Algeria’s drug‑control legislative summaries. As a practical consequence: esketamine is not a reimbursed or standard treatment option in Algerian practice; access would require either an authorised clinical trial import permit or a special ministerial authorisation for scientific use. Evidence of ketamine on Algerian procurement/essential lists: ketamine appears on Algerian clinical/essential‑medicines procurement lists and training curricula for anesthesiology (showing routine anaesthetic use). [1] [2].

Compound Access

Ketamine

Medical Use (Hospital) — Not Reimbursed for Psychedelic Indications

Ketamine (racemic injectable) is an accepted and widely used anaesthetic/analgesic agent in Algerian hospitals and appears on national procurement/essential medicines lists and in local anaesthesia training materials, indicating routine medical/operative use under Ministry of Health oversight. These uses are governed by Algeria’s medicines regulation and hospital procurement systems and fit within the Loi n°04‑18 carve‑out permitting medical and scientific uses of controlled substances under authorisation. [1] [2]

Clinical/psychiatric use of ketamine (e.g., off‑label infusions for depression) is not established as a reimbursed or standard care pathway in Algeria: there is no publicly available national guideline or reimbursement programme for ketamine as a psychiatric intervention. In practice, ketamine is available for licensed medical purposes (principally anaesthesia and acute pain), administered within hospitals and surgical centres; any psychiatric/off‑label programmes would be provided at the discretion of treating institutions/clinicians and would not be part of a dedicated, publicly reimbursed psychedelic therapy pathway. For regulatory status: medical use is permitted under ministerial supervision while non‑medical possession/trafficking remains criminalised by Loi n°04‑18. [2] [1]

Compound Access

DMT

Strictly Illegal

Currently classified as a strictly controlled psychotropic substance under Algeria’s drug law framework, with no authorised medical use or reimbursed access outside approved scientific/clinical research. The national statute adopts the UN psychotropics scheduling approach and treats naturally occurring and synthetic psychodysleptics as controlled. [1]

Compound Access

5-MeO-DMT

Strictly Illegal

Currently classified as a strictly controlled psychotropic substance under national drug scheduling laws, with no authorized medical use outside approved clinical research. Algeria’s law groups hallucinogens/psychodysleptics under controlled substances unless a specific medical or scientific authorisation is issued. [1]

Compound Access

Ibogaine

Strictly Illegal

Currently classified as a strictly controlled substance under Algeria’s psychotropic/narcotics law, with no authorised medical programme or reimbursement for addiction treatment; access would be limited to specially authorised clinical research if permitted by the Ministry of Health and judicial authorities. [1]

Compound Access

Ayahuasca

Strictly Illegal

Brew preparations containing DMT and other psychotropic constituents fall under Algeria’s control of psychotropic substances; ayahuasca is therefore effectively illegal for unapproved use and has no authorised medical/reimbursed pathway. Any importation/administration would require a specific scientific or ministerial exemption. [1]

Compound Access

Mescaline

Strictly Illegal

Classified among controlled hallucinogens under Algeria’s psychotropes/narcotics law; no authorised medical or reimbursed uses exist and the compound is subject to criminal penalties for possession, trafficking or distribution except under narrow ministerial research/medical authorisations. [1]

Compound Access

2C-X

Strictly Illegal

Substituted phenethylamines and novel synthetic psychedelics are controlled as psychotropic substances under the national drug law; 2C‑series compounds have no authorised medical use or reimbursement and are criminalised outside approved scientific research. [1]

Sources and Review

Last updated 14 May 2026. Source links come from the medical access guide.

  1. 1Algerian procurement/essential medicines listing – example slide listing Ketamine
  2. 2Algerian procurement/essential medicines listing – Ketamine
  3. 3Example procurement listing showing Ketamine
  4. 4ONLCDT – Loi n°04‑18
  5. 5UNODC: Loi n°04-18