Dominica

Reimbursed Care Access

Dominica maintains strict national controls on classic psychedelics under its Drugs Misuse / drug control legislation; most tryptamines, phenethylamines, ibogaine and mescaline have no authorized medical use outside research. Ketamine is an accepted medical anesthetic (available for clinical use) but newer psychedelic/antidepressant products such as esketamine (Spravato) have no public record of national registration or reimbursed coverage. Clinical access to other psychedelics is limited to approved research protocols only.