Overview of Yohimbe
Scientific Name: Pausinystalia johimbe
Order: Gentianales
Family: Rubiaceae
Extracts from the bark of yohimbe are used as an aphrodisiac. Although there is not enough information about the use of yohimbe bark, yohimbine, a compound isolated from yohimbe is going through human clinical trials to treat male erectile dysfunction and boost testosterone. Do NOT confuse yohimbe with yohimbine.
Strong:
insufficient informationGood:
insufficient informationPromising:
insufficient informationConflicting (Unclear):
insufficient informationLimited Evidence:
- Frees up Fatty Acids for Energy, yohimbe with higenamine / caffeine [1]
No Evidence:
insufficient informationNo Clinical Research:
All other conditions.- Agitation
- Anxiety
- Appetite Loss
- Blurred Vision
- Diarrhea
- Dizziness
- Elevated Blood Pressure
- Exanthema
- Flushed Skin
- Genital Pain
- Headache
- Insomnia
- Irritability
- Nausea
- Nervousness
- Painful Urination
- Rapid Pulse
- Tachycardia
- Tremors
- Vomiting
- Weakness
- Avoid or contact a licensed healthcare practitioner, if you have psychiatric disorders, kidney disease, liver disease, ulcers, digestive problems, inflammation of the sexual organs or prostate gland, or are allergic to yohimbe and/or yohimbine.
- Purified yohimbine from yohimbe bark can cause severe adverse events and even death.
- A young child died within 90 minutes after ingesting several 100mg yohimbine tablets.
- There was a case of prolonged erection caused by taking yohimbe bark extract.
- Yohimbe may cause liver and kidney failure.
- Do NOT give yohimbe to children.
There is not enough research on the use of supplements containing yohimbe during pregnancy and breast-feeding, so consult a licensed healthcare practitioner before use or avoid use. However, it is advised that yohimbe should NOT be used during pregnancy and breast-feeding. [2-7]
Major:
- A patient taking yohimbe with Desipramine had a manic episode
- Desipramine
Moderate:
- Sibutramine
Potential:
- Alcohol
- Anti-Depressants
- Anti-Hypertensives
- Caffeine
- Carbamazepine
- Clomipramine
- Clonidine
- Guanabenz, Guanadrel, Guanethidine, and Guanfacine
- Lithium
- Minoxidil
- Morphine
- Naloxone
- Naltrexone
- Phenylephrine
- Phenylpropanolamine
- Reserpine
- Valproic Acid
- Tyramine Containing Foods, such as aged cheese and wine
Yohimbe is not a "drug", the best doses have not been thoroughly established. Make sure to follow the specific product instructions and take as directed on the label, or consult a licensed healthcare practitioner before use. Overdose may lead to salivation, dilation of pupils, evacuation, hypotension, and heart disorders and even death through heart failure. [11]
1. Lee SR, Schriefer JM, Gunnels TA, Harvey IC, Bloomer RJ. Acute oral intake of a higenamine-based dietary supplement increases circulating free fatty acids and energy expenditure in human subjects. Lipids Health Dis. 2013 Oct 21;12:148. 2. Fetrow CW, Avila JR. The complete guide to herbal medicines. Spring House, PA, USA: Springhouse Corporation; 2000. 3. Gruenwald J, Brendler T, Jaenicke C, editors. PDR for herbal medicines. 4th ed. Montvale, NJ, USA: Thomson Healthcare; 2007. 4. Haller CA, Anderson IB, Kim SY, Blanc PD. An evaluation of selected herbal reference texts and comparison to published reports of adverse herbal events. Adverse Drug React Toxicol Rev. 2002;21(3):143-50. 5. Myers A, Barrueto F Jr. Refractory priapism associated with ingestion of yohimbe extract. J Med Toxicol. 2009 Dec;5(4):223-5. 6. Pittler MH, Schmidt K, Ernst E. Adverse events of herbal food supplements for body weight reduction: systematic review. Obes Rev. 2005 May;6(2):93-111. 7. Tsai HH, Lin HW, Simon Pickard A, Tsai HY, Mahady GB. Evaluation of documented drug interactions and contraindications associated with herbs and dietary supplements: a systematic literature review. Int J Clin Pract. 2012 Nov;66(11):1056-78. 8. Fetrow CW, Avila JR. The complete guide to herbal medicines. Spring House, PA, USA: Springhouse Corporation; 2000. 9. Gruenwald J, Brendler T, Jaenicke C, editors. PDR for herbal medicines. 4th ed. Montvale, NJ, USA: Thomson Healthcare; 2007. 10. Tsai HH, Lin HW, Simon Pickard A, Tsai HY, Mahady GB. Evaluation of documented drug interactions and contraindications associated with herbs and dietary supplements: a systematic literature review. Int J Clin Pract. 2012 Nov;66(11):1056-78. 11. Gruenwald J, Brendler T, Jaenicke C, editors. PDR for herbal medicines. 4th ed. Montvale, NJ, USA: Thomson Healthcare; 2007. 12. Afendi FM, Okada T, Yamazaki M, Hirai-Morita A, Nakamura Y, Nakamura K, Ikeda S, Takahashi H, Altaf-Ul-Amin M, Darusman LK, Saito K, Kanaya S. KNApSAcK family databases: integrated metabolite-plant species databases for multifaceted plant research. Plant Cell Physiol. 2012 Feb;53(2):e1.