NATURAL PRODUCTS
Yohimbe Bark
Yohimbe is used primarily by men with sexual
disorders to improve performance. Its proponents also claim it has aphrodisiac
properties. It should not be used by females. Additionally, it contains
variants of Yohimbine, the active ingredient in the prescription drug Yocon, and has
similar actions. Both Yohimbe and Yohimbine are alkaloids, but Yohimbine is an ester
of the alkaloid and is found in Rubaceae and related trees. Yohimbe is found in the
bark of Pausinystalia yohimbe and contains other compounds besides the Yohimbine variants.
The active compounds in Yohimbe are indole alkaloids
that cause typical alkaloid reactions of increased blood pressure, increased heart rate,
nausea, insomnia, tremor, and anxiety. An overdose of Yohimbe results in alpha
adrenergic blockade and increased cholinergic effects. Under such conditions cardiac
nerve impulses are slowed, salivation is increased, blood pressure drops, pupils dilate,
and bowel constrictions are increased.
Yohimbe should not be used with many drugs used to
treat hypertension, because it may interfere with their actions. It also should be
avoided by people taking digoxin; other Yohimbine containing products, like Yocon; and in
people with high blood pressure or liver and kidney disease. Caution should be
exercised with tricyclic antidepressants because hypertension may occur when they are
taken with Yohimbe.
Prior to taking Yohimbe, you should have a discussion
with your physician and pharmacist.
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action of these products. It should not be used as the sole source of information on
these products. Many of the drug interactions listed are not found in current
literature but are based on likely interactions due to the actions of the interacting
drugs. It is recommended that a qualified and licensed healthcare professional be
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This page was last updated on 04/29/05. |