Ceremonial cacao is a heart-opening plant medicine that invites deeper connection — to oneself, to others, and to the natural world. While cacao is gentle and profoundly nourishing, it also contains active compounds that can interact with certain physiological and neurological processes. For this reason, it’s important to approach your experience with mindfulness, respect, and informed awareness.
Below are general considerations to support your wellbeing and safety when working ceremonially with cacao.
1. SSRIs and Antidepressant Medications
Ceremonial-grade cacao contains MAO inhibitors and high levels of tryptophan and theobromine, which can influence serotonin and dopamine pathways. For those taking SSRIs (Selective Serotonin Reuptake Inhibitors) or other antidepressants that modulate serotonin, combining the two may, in rare cases, contribute to serotonin overload or increase heart rate and blood pressure.
If you are currently taking any mood-regulating medication — including SSRIs, SNRIs, or MAOIs — it’s recommended to:
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Begin with a very small dose (½–1 tablespoon of ceremonial cacao).
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Notice how your body responds.
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Consult your primary healthcare provider before engaging in deeper ceremonial doses.
2. Pregnancy and Breastfeeding
Cacao in ceremonial quantities (typically 25–45 g) contains natural stimulants that may be too activating during sensitive stages of pregnancy or for those who are breastfeeding. Theobromine, in particular, increases blood flow and heart rate.
For most people, small amounts of cacao — such as a few teaspoons in a warm drink — are considered safe, yet ceremonial doses may not be appropriate during:
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The first trimester of pregnancy.
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Periods of high sensitivity, dehydration, or exhaustion.
Always listen to your body’s wisdom and, if unsure, consult your healthcare provider or midwife before partaking.
3. Cardiovascular Sensitivity
Cacao is a natural vasodilator and heart stimulant. Those with heart conditions, high or low blood pressure, or arrhythmia should approach with care. If you experience dizziness, palpitations, or excessive heat, drink water, rest, and lower the dose next time.
4. Caffeine and Stimulant Sensitivity
While cacao contains only trace amounts of caffeine, its theobromine content can still feel stimulating. If you are sensitive to caffeine, prone to anxiety, or have adrenal fatigue, consider a smaller ceremonial amount or pair your cacao with grounding practices such as breathwork, meditation, or gentle movement.
5. Detoxification and Emotional Release
Cacao may gently open the emotional and energetic body. Occasionally this can lead to detoxification symptoms such as mild nausea, tears, or emotional sensitivity — all part of the body’s way of clearing and integrating. Create a safe, resourced space for your ceremony, and allow the medicine to move at your pace.
6. General Guidance
Every body is unique. Start small, stay hydrated, and attune to how your system responds over time. Cacao’s intelligence works in partnership with your awareness — the most potent medicine is always the one taken in conscious relationship.
If you have any doubt, pre-existing medical conditions, or are taking medication, please consult your primary healthcare provider before participating in a cacao ceremony or consuming ceremonial doses.
Disclaimer
This information is intended for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of your physician or qualified health provider with any questions you may have regarding your health or a medical condition.