Nicaragua

Reimbursed Care Access

Nicaragua regulates narcotics and psychotropic substances under a national controlled‑substances framework (Law No. 177 as amended by Law No. 285) that criminalizes unauthorized production, possession, importation and trafficking. Medical use of certain substances (notably ketamine as an anesthetic) is permitted under Ministry of Health (MINSA) regulation and import controls, but novel psychiatric indications (e.g., esketamine for depression, supervised psychedelic therapy) are not established within public reimbursement programs and are effectively limited to authorized clinical research or tightly controlled medical/anaesthetic use.