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Yohimbe (aphrodien, corynanthe yohimbi, corynine, johimbi, pausinystalia yohimbe, quebrachine)

 

Classes: Urology, Herbals

Suggested dosing of Aphrodien, corynanthe yohimbi (yohimbe)

 

Sexual Dysfunction

15-30 mg PO daily

Bark tincture: 5-10 gtt PO TId

Yohimbe bark: Potential for side effects

Numerous regimens available, follow mfct recommendations

 

Suggested uses of Aphrodien, corynanthe yohimbi (yohimbe)

Erectile dysfunction, sexual dysfunction (male or female), sexual dysfunction (SSRI-induced)

 

Efficacy

Possibly effective for impotence

 

Aphrodien, corynanthe yohimbi (yohimbe) adverse (side) effects

Anxiety, cardiac coduction disturbances, cardiac failure, dizziness, excitation, fluid retention, gastric intolerance, headache, hypertension, hypotension, insomnia, irritability, nausea/vomiting, paralysis, respiratory depression, salivation, sinusitis, tachycardia, tremor, urinary frequency

 

Warnings

Contraindications

Angina, anxiety, BPH, concomitant MAO inhibitors, concomitant sympathomimetic drugs, depression, diabetes mellitus, heart disease, hypertension, hypotension, kidney disease, liver disease, post-traumatic stress disorder, prostate inflammation, tyramine-containing foods

 

Cautions

Schizophrenia

 

Pregnancy and lactation

Pregnancy category: unsafe

Lactation: avoid use

 

Pregnancy categories

A: Generally acceptable. Controlled studies in pregnant women show no evidence of fetal risk.

B: May be acceptable. Either animal studies show no risk but human studies not available or animal studies showed minor risks and human studies done and showed no risk.

C: Use with caution if benefits outweigh risks. Animal studies show risk and human studies not available or neither animal nor human studies done.

D: Use in LIFE-THREATENING emergencies when no safer drug available. Positive evidence of human fetal risk.

X: Do not use in pregnancy. Risks involved outweigh potential benefits. Safer alternatives exist.

NA: Information not available.

 

Pharmacology of Aphrodien, corynanthe yohimbi (yohimbe)

Metabolism: N/A

Excretion: N/A

 

Mechanism of action

Yohimbine is an alpha-2-adrenergic blocker