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Yohimbe
(Yohimbine)

Also
known as yohimbehe or johimbi in other parts of the world, the
benefits of using yohimbine for
treating erectile dysfunction is established by the medical community.
The active ingredient yohimbine is a prescription medication.
Bottom line. It works.
As there are potentially side effects and dangers so stay
within the recommended dosage. Always start at the
lowest dose possible and increase gradually until you get the benefits
of taking this herb without experiencing some of the side effects.
We have written a detailed
health article on the causes and possible cure for erectile
dysfunction (ED) using natural
remedies.
Table
of Contents

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Erectile Dysfunction
(ED) /
Impotence
Extensive research studies show that yohimbine (the most active
ingredient found in yohimbe) helps with impotence.
Research
conducted by Herz (June 2003) reported that "yohimbine is known as a
central amplifier of erection and is useful in psychogenic and mild
organic erectile dysfunction." As well, A.T. Guay et al. (February
2002) concluded in their research that "yohimbine is an effective
therapy to treat organic erectile dysfunction in some men with erectile
dysfunction."
A. Morales (March 2000) in stated that "... [a] few
controlled, randomized human studies have consistently shown an
advantage of yohimbine over placebo." Researchers A.A. Adeniyi et al.
(May 2007) also concluded that, "Yohimbine is a useful treatment option
in orgasmic dysfunction." Researchers A.M. Senbel et al. (July - August
2008) reported that yohimbine enhances the effect of Viagra
(sildenafil) on erectile process in rats. In addition, yohimbine also
increased the amount of ejaculated semen in a research study conducted
in dogs.
There are other extensive research studies conducted on
yohimbine (some dating back as far as 1987) and they all show that
yohimbine benefits mild to moderate ED in males.
For a list of other natural remedies that is used to treat ED, click here.
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Sexual Dysfunction from
Using Antidepressants
Research
studies also show that yohimbine helps to reverse the sexual
dysfunction caused by using SSRI antidepressant medications such as
Prozac (fluoxetine), Celexa (citalopram), Cipralex (escitalopram),
Luvox (fluvoxamine), Paxil (paroxetine) and Zoloft (sertraline).
The
benefit of yohimbine is found in research studies done in both humans
and animal models. J.T. Clark et al. (Aug 1984) concluded that, "These
results indicate that pharmacological treatment [by yohimbine] of
sexual (libido) dysfunction may be useful."
Researchers believe that
alpha 2-adrenoceptors (which yohimbine blocks) are involved in the
modulation of sexual arousal.
Other researchers in their studies
obtained similar results as well.
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Aphrodisiac
/ Increase Sexual
Desire
A
randomized double-blind placebo-controlled study conducted by C.M.
Meston and M. Worcel (August 2002) reported that yohimbine combined
with L-arginine significantly increased sexual arousal compared to
placebo in postmenopausal women.
Another independent study by T. Lebret
et al. (June 2002) show similar positive results in males.
We have written a detailed
health article on the causes and treatment of low sex drive
(libido) along with natural
remedies you can use.
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Fat Loss / Weight Loss
A
study conducted by S.M. Ostojic (October - December 2006) concluded
that the, "Percentage of body fat significantly decreased in the
yohimbine group after the supplementation protocol."
As well, M.F.
McCarty (June 2002) research study suggests that yohimbine can promote
weight loss.
Not all research results are positive.
A study conducted
by L. Sax (September 1991) found that yohimbine had no effect on body
weight, body mass index, cholesterol, body fat and fat distribution in
male subjects after a six month period.
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Facts about Yohimbe
What is it?
Yohimbe
is a tree found in Central Africa. The parts used is the bark and it
contains around 6%
of yohimbine. One of the most active
ingredient in yohimbe is yohimbine, a prescription drug in Canada and
the United States.
It has been used by people in Africa for
hundreds of years as an aphrodisiac in men.
How does it work?
It is believed
that yohimbine works by blocking alpha
2-adrenergic receptors and stimulating other receptors. These events
lead to increase blood flow to the penis and decreased blood flow out
of the penis leading to a stronger and longer duration of erection.
It
is also believed to increase nervous signals to the tissues in
the penis
to increase sensitivity to sexual stimulation.
Suggested
Benefits and Traditional Uses
- aphrodisiac
/ increase sexual desire
- athletic performance enhancement
- erectile
dysfunction (ED)/ Impotence
- fat loss / weight loss
- fatigue
- high
blood pressure (hypertension)
- physical exhaustion
- sexual dysfunction (from using
selective-serotonin reuptake inhibitors (SSRI) type antidepressant
medications
Side
Effects, Toxicity and Warnings
One
of the active ingredient found in yohimbe is yohimbine, a prescription
medication. Reported yohimbe side effects include:
- dizziness
- nervousness
- irritability
- nausea and vomiting
- headaches
- skin flushing
- sweating
- fast heart rate
- heart palpitations
- tremor
- insomnia
- anxiety
- stomach discomfort and irritability
Higher doses
can result in greater side effects and additional side effects such as
severe drop in blood pressure, paralysis, heart problems and
respiratory depression (the slowing down of breathing).
However,
it is reassuring to note that S.W. Tam et al. reported in their
research paper in 2001 that yohimbine "has been found to be relatively
free of side effects over the dose range predicted to be effective in
ED."
Safety - In proper dose
yohimbine (the main active ingredient found in yohimbe) is safe.
Yohimbine, has been researched and is a prescription drug approved in
Canada (by Health Canada) and the United States (by the Food and Drug
Administration or the FDA).
Pregnancy and Lactation - Use in
pregnancy, breastfeeding mothers and children is suspected to be
unsafe. It is suspected that yohimbine might cause the
uterus to relax. Avoid using if possible.
Common
Drug & Health Condition Interactions
High blood pressure medications
- caution
Yohimbine
found in yohimbe can cause an increase in blood pressure. Monitor blood
pressure closely when starting or stopping yohimbe. Use under medical
supervision.
Antidepressants
- monoamine oxidase (MAO) inhibitors - avoid
Taking
yohimbine while on MAO inhibitors for treating depression can cause a
significant increase in blood pressure.
Common MAO
inhibitors include
Manerix (moclobemide) and Nardil (phenelzine).
Kidney
Disease - caution
Yohimbine
might cause excess water loss.
Liver Disease - caution
In individual
with liver disease, the metabolism of yohimbine might be
altered.
Heart Disease / Angina - avoid
or use under supervision
Yohimbine
can cause tachycardia (fast heart rate) and palpitations and high doses
can cause heart failure. Avoid if possible or use with caution under
medical supervision.
Diabetes - caution
Monitor blood
glucose levels closely when starting or stopping yohimbe
as it may cause a drop in blood glucose levels.
Psychiatric Disorder - caution
In
people with bipolar depression, schizophrenia and anxiety disorder it
might trigger or aggravate the condition. Avoid if possible or use
with caution starting with a low dosage first and only under medical
supervision.
Dosage
& How to Take It
Typical
dosage of the ingredient yohimbine used in research study is between 15
to 30 mg taken once daily.
When
buying yohimbe, read the label and find out what percent is yohimbine,
the active ingredient. (For example, a 451 mg of pure standardized
extract states that it contains 2% or 9 mg of yohimbine.)
See this article Yohimbine Dosage to get information on how to convert between the herb and the active ingredient yohimbine.
One study conducted by l. Sax (Sep 1991)
used a high dose of 43 mg daily. Higher dosage of yohimbine can be
dangerous. Always start with the lowest dose and increase slowing while
monitoring for side effects.
As well, higher dose (36 mg per day
orally) might not be effective in humans as reported by P. Kunelius et
al. (March 1997).
Cream / Gel Formulation - It is
unknown whether yohimbine crosses into the skin and can be absorbed
into the bloodstream. If not, it will not have an effect. Avoid this
formulation.
One research study conducted by F.L. Greenway (Nov
1995) showed that a cream containing yohimbine applied to the thighs
had no effect on fat loss on women's thighs.
Related Articles
What is sex drive and how do you
boost it?
Erectile dysfunction and natural
cures
Return to Natural Remedies List

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