Peru

Last updated 18 August 2026

Psychedelic Therapy Legal Landscape

Esketamine (Spravato)

Registration expired (Jul 2025)

Spravato is registered in Peru: registro sanitario EE08798 (J&J, 28 mg nasal spray, for treatment-resistant depression), currently commercialized — access via private psychiatry. But according to Digemid, the registry expired on 29-07-2025.

Ketamine Therapy

Anesthetic only (racemic)

Racemic ketamine is registered and listed only as a hospital anesthetic (national essential-medicines list) — no registered psychiatric indication and no documented clinic market; any private offer deserves extra scrutiny.

Psilocybin

No medical route

No medical framework; traditional plant contexts are a separate legal category from psilocybin therapy.

MDMA

No medical route

No medical framework. Possession of small personal amounts falls under Penal Code art. 299’s non-punishability rules (void if carrying two or more drug types).

Medical Cannabis

Legal (Rx)

Medical cannabis legal by prescription: Law 30681 (Nov 2017), current reglamento DS 004-2023-SA; implementation limited. Possession of cannabis and its derivatives for medicinal and therapeutic purposes is not punishable (Penal Code art. 299): the amount is determined by the patient’s needs.

Clinical Trials

Open route

Thin formal-trial scene; most research on traditional use is observational/ethnobotanical. Participation is free; screening is strict; never pay for “trial access”.

Frequently asked questions — Peru

Is ketamine therapy legal in Peru?
Anesthetic only (racemic). Racemic ketamine is registered and listed only as a hospital anesthetic (national essential-medicines list) — no registered psychiatric indication and no documented clinic market; any private offer deserves extra scrutiny.
Is psilocybin legal in Peru?
No medical route. No medical framework; traditional plant contexts are a separate legal category from psilocybin therapy.
Is MDMA therapy legal in Peru?
No medical route. No medical framework.
Is ayahuasca legal in Peru?
Traditional use legal — cultural heritage. Ayahuasca's traditional use is legal, and Peru declared the knowledge and traditional uses of ayahuasca part of the Nation's Cultural Heritage — Resolución Directoral Nacional Nº 836/INC of 24 June 2008 (published in El Peruano) — the strongest cultural protection anywhere.
Can I join a psychedelic clinical trial in Peru?
Thin formal-trial scene; most research on traditional use is observational/ethnobotanical. Participation is free; screening is strict; never pay for "trial access".