For thousands of years,
indigenous cultures have used yohimbe, an evergreen shrub, as a naturopathic treatment for erectile
dysfunction, fatigue and some types of infertility. Today, yohimbe extract is
sold as an FDA-approved prescription treatment for ED. Overall, yohimbe is a
highly effective and relatively safe product.
However,
I don't, and shouldn't, use yohimbe myself. As a breastfeeding mother and a
person who suffers from an anxiety disorder, I am one of the many people who
should not take yohimbe.
If you
are interested in using yohimbe supplements, check this list to make sure that
you don't fall into a category of person who should not take yohimbe. Even if
you believe it may be safe, always check with a health-care provider before
using a medicinal herb.
Pregnant Women
Pregnant
women should not take yohimbe, because it stimulates contractions in the uterus
and can cause pre-term birth or miscarriage. Compounds in yohimbe can also
cross the placenta and poison the unborn baby, leading to its death or
congenital organ failure.
Breastfeeding Mothers
Do not
take yohimbe if you are nursing a child, especially if your baby is under three
months of age. It's not clear how much yohimbe enters breast milk, and it could
theoretically poison your baby and cause agitation, vomiting, and even liver
failure.
People with Schizophrenia
Yohimbe
might trigger psychotic episodes in people with schizophrenia, so many health
care providers believe that schizophrenics should not take yohimbe or its
extracts.
Men with Prostate Enlargement
If you
have benign prostatic hyperplasia, also known as BPH or prostate swelling, use
yohimbe with caution. You may experience worsened symptoms after using the
product.
PTSD Sufferers
You
should not use yohimbe if you have PTSD, or post-traumatic stress disorder.
Compounds in yohimbe can significantly worsen symptoms of this psychiatric
disoder, leading to panic attacks and flashbacks.
People with Anxiety Disoders
People
who suffer from anxiety disorders, such as Generalized Anxiety Disoder, should
not use yohimbe. It is a powerful stimulant and can trigger episodes of anxiety
similar to a caffeine overdose.
People with Bipolar Disorder
If you
have bipolar disorder or manic-depressive disorder, you should not take yohimbe
or any product that contains it. Yohimbe has been known to cause mania and
manic-like symptoms in people with bipolar disoder.
Depression Sufferers
People
with clinical depression should avoid yohimbe, because it may bring out
suicidal thoughts and ideation. You may be able to take yohimbe safely if you
have a history of depression but if your symptoms are currently well-managed;
talk to your health care provider.
People with Cardiovascular Disease
If you
have heart disease, you should not use yohimbe or yohimbe extracts. The
stimulants in yohimbe can cause abrupt changes in blood pressure, leading to
potentially fatal complications.
Blood Pressure Problems
Do not
take yohimbe if you have hypertension (high blood pressure) or hypotension (low
blood pressure). Yohimbine, the active compound in the herb, may trigger a
hypertensive crisis in low doses, or life-threatening hypotensin in high doses.
This risk is greatest for people with severe pre-existing blood pressure
problems.
People with Liver Disease
You
should not take yohimbe supplements if you have liver disease. Liver diseases
such as hepatitis, liver cancer, fibrosis and cirrhosis can all affect the way
the body processes yohimbe. This could lead to serious consequences.
People with Kidney Disease
Yohimbe
can temporary stop or slow the flow of urine, so it is not a good idea to use
yohimbe supplements if you have kidney disease. It could worsen conditions such
as renal failure.
Supplements
containing yohimbe can be very dangerous to people with diabetes. If you have
type 1 diabetes or type 2 diabetes, you should not take yohimbe supplements. It
can interact dangerously with insulin and blood-sugar lowering drugs, and it
can also cause dangerously low blood sugar.
If you
have any questions about yohimbe and its safety, consult a health care provider
who is intimately familiar with botanical medicine.
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