Guinea

Reimbursed Care Access

Guinea maintains a strict national drug control regime that criminalizes unauthorized possession, production and trafficking of controlled substances and explicitly adopts international drug-scheduling conventions; however, conventional anesthetic ketamine is used in medical practice and is listed on the WHO Model List of Essential Medicines. There is no evidence of national regulatory approval or public insurance reimbursement for novel psychedelic medicines (e.g., esketamine Spravato) or for therapeutic uses of classic psychedelics outside of sanctioned research, and recreational or spiritual uses remain subject to criminal penalties under the Penal Code.