Yohimbe + Aspirin, Oxycodone
Aspirin, Oxycodone brand name: Percodan.
Aspirin, Oxycodone falls into 2 drug categories that Yohimbe can interact with; the most serious is rated moderate. Theoretically, yohimbe might increase the levels and adverse effects of CYP2D6 substrates.
Read the full interaction reportYohimbe and Aspirin, Oxycodone
These two interact in 2 distinct ways. Each one is explained separately below.
Why Are There 2 Interactions?
Yohimbe interacts with whole categories of medication. Aspirin, Oxycodone falls into 2 of those categories, so it can interact with Yohimbe in 2 different ways. We’ve listed each one below — your overall risk is driven by the most serious of them (Moderate).
CYTOCHROME P450 2D6 (CYP2D6) SUBSTRATES
1 of 2Why this applies to Aspirin, Oxycodone
Aspirin, Oxycodone falls under CYTOCHROME P450 2D6 (CYP2D6) SUBSTRATES — the group Yohimbe interacts with.
In vitro research suggests that yohimbine, a constituent of yohimbe bark, inhibits CYP2D6 enzyme activity.
Interaction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.
Percodan combines aspirin with oxycodone. The part that matters here is the oxycodone, which your liver partly processes through an enzyme called CYP2D6. Lab studies hint that yohimbine (the active piece of yohimbe) may slow that enzyme down. If that happened in real life, a bit more of the active opioid could hang around, which in theory could mean stronger effects like extra drowsiness, dizziness, slowed breathing, constipation, or nausea.
I'd keep this in perspective, though. This is based only on test-tube data, so it's more of a 'maybe' than a proven problem. Yohimbe also has its own risks like raising blood pressure and heart rate. Before combining the two, please check with your pharmacist or doctor first.
- VandenBrink, B. M., Foti, R. S., Rock, D. A., Wienkers, L. C., and Wahlstrom, J. L. Prediction of CYP2D6 drug interactions from in vitro data: evidence for substrate-dependent inhibition. Drug Metab Dispos. 2012;40(1):47-53. PubMed
ANTICOAGULANT/ANTIPLATELET DRUGS
2 of 2Aspirin, Oxycodone also falls under ANTICOAGULANT/ANTIPLATELET DRUGS.
Research in healthy adults shows that taking yohimbine, a constituent of yohimbe bark, in doses of 8 mg or more, seems to inhibit platelet aggregation in vitro by binding to the alpha-2 adrenoceptor. The effects of yohimbe bark itself are unclear; yohimbe bark contains 0.6% to 1.38% yohimbine, but it is unclear how much is absorbed.
Interaction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.
The pill you're asking about (Percodan) combines aspirin with oxycodone. The interaction here is really about the aspirin part. Aspirin already thins the blood a bit by quieting platelets, which are the cells that help form clots. Lab studies suggest yohimbine, the active compound in yohimbe, may also nudge platelets in that same direction. So in theory, taking them together could add up and make bleeding or bruising a touch more likely.
Honestly though, this is a theoretical, minor concern based on test-tube work, not real patient cases, so I wouldn't lose sleep over it. The bigger issue with yohimbe is its tendency to raise blood pressure and heart rate. Before adding yohimbe to any aspirin-containing product, run it by your pharmacist or doctor.
- Mustonen, P., Savola, J., and Lassila, R. Atipamezole, an imidazoline-type alpha(2)-adrenoceptor inhibitor, binds to human platelets and inhibits their adrenaline-induced aggregation more effectively than yohimbine. Thromb.Res 8-1-2000;99(3):231-237.
- Berlin, I., Crespo-Laumonnier, B., Cournot, A., Landault, C., Aubin, F., Legrand, J. C., and Puech, A. J. The alpha 2-adrenergic receptor antagonist yohimbine inhibits epinephrine-induced platelet aggregation in healthy subjects. Clin Pharmacol.Ther. 199
- Braddock, L., Cowen, P. J., Elliott, J. M., Fraser, S., and Stump, K. Binding of yohimbine and imipramine to platelets in depressive illness. Psychol.Med 1986;16(4):765-773. PubMed
- Boon, N. A., Elliott, J. M., Grahame-Smith, D. G., John-Green, T., and Stump, K. A comparison of alpha 2-adrenoreceptor binding characteristics of intact human platelets identified by [3H]-yohimbine and [3H]- dihydroergocryptine. J Auton.Pharmacol 1983;3
- Betz, J. M., White, K. D., and der Marderosian, A. H. Gas chromatographic determination of yohimbine in commercial yohimbe products. J AOAC Int 1995;78(5):1189-1194. DOI
- Cohen PA, Wang YH, Maller G, DeSouza R, Khan IA. Pharmaceutical quantities of yohimbine found in dietary supplements in the USA. Drug Test Anal. 2015 Sep 22. PubMed
What These Ratings Mean
Every interaction above is graded three ways — here’s the key to each label.
Clinically significant. Avoid the combination, or use only under close professional supervision.
Usually worth avoiding or managing — may need monitoring, a dose change, or timing apart.
Generally not serious. Be aware of it and mention it to your pharmacist.
- LikelyWell-controlled human studies have demonstrated the likely existence of this interaction.
- ProbableInteraction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
- PossibleInteraction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.
- UnlikelyInteraction has been demonstrated in animal or in lab research but has been shown not to occur in humans.
- AHigh-quality meta-analysis (quantitative systematic review).
- BCase-control study.
- CConsensus.
- DAnecdotal evidence.
These ratings are for information only. Never start, stop, or otherwise change your therapy before speaking with your provider.
Yohimbe Also Interacts With Other Medications
Yohimbe has 9 major, 679 moderate, 436 minor known drug interactions in our database — the Aspirin, Oxycodone one above is among them. If you take anything else, check it against the full list below.
Check Another of Your Medications Against Yohimbe
We haven’t checked that one against Yohimbe yet — ask our pharmacists directly.
Covers the 2,830 medications we’ve checked against Yohimbe. Pick one to open its full report.
See Every Supplement That Interacts With Aspirin, Oxycodone
This page covers Yohimbe only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Aspirin, Oxycodone page lists 328 supplements it has a documented interaction with, worst first, each one explained.
The most serious there right now: 1,4-butanediol (major), Activated Charcoal (major), Asarabacca (major), Beer (major) and Danshen (major).
By severity: 12 major · 281 moderate · 35 minor.
Taking Yohimbe as Part of a Dietary Supplement Product? Check It for Interactions
We hold 1,054 real supplement products containing Yohimbe, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Yohimbe. Your product may carry other ingredients that interact with Aspirin, Oxycodone too, on top of Yohimbe — and those would not show on this page. Find your product and we’ll check every ingredient on its label:
Where Yohimbe and Aspirin, Oxycodone Sit Against Everything Else
Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.
#163 of 1,452 supplements looked up here in the last 7 days
#1,839 of 2,830 medications looked up here in the last 7 days
Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.
About Yohimbe
What is Yohimbe?
- Erectile dysfunction
- Low sex drive
- Sexual performance
- Weight loss
- Athletic performance
Yohimbe is a West African tree bark that contains yohimbine, a compound mainly promoted for erectile dysfunction and as an aphrodisiac. A prescription form of yohimbine has some evidence for erectile dysfunction, but over-the-counter yohimbe supplements vary widely in content and can cause serious side effects like high blood pressure and fast heart rate. Because of these safety concerns, talk to your pharmacist or doctor before using it.
Other Drugs & Yohimbe
Browse every other medication we’ve checked against Yohimbe — both the ones with a known interaction and the ones without. Select any drug for the full detail.
No drugs match “”.
9 interactions
679 interactions
- Diltiazem ›
- Nifedipine ›
- Metronidazole ›
- Phentermine ›
- Diphenhydramine ›
- Methylphenidate ›
- Erythromycin ›
- Estradiol ›
- Propranolol ›
- Lidocaine ›
- Ranitidine ›
- Hydrochlorothiazide ›
- Norethindrone ›
- Verapamil ›
- Phenylpropanolamine ›
- Prednisone ›
- Quinidine ›
- Cyclosporine ›
- Bupropion ›
- Chloroquine ›
- Ciprofloxacin ›
- Fentanyl ›
- Nicotine ›
- Oxycodone ›
- Dextromethorphan ›
- Formoterol ›
- Hydralazine ›
- Miconazole ›
- Morphine Sulfate ›
- Phenylephrine ›
- Pseudoephedrine ›
- Trimipramine ›
- Diethylpropion ›
- Everolimus ›
- Lofepramine ›
- Nortriptyline ›
- Propoxyphene ›
- Trichlormethiazide ›
- Aripiprazole ›
- Bendroflumethiazide ›
- Caffeine (otc Drug) ›
- Cimetidine ›
- Cyclobenzaprine ›
- Desipramine ›
- Doxepin ›
- Duloxetine ›
- Erythromycin Ethylsuccinate ›
- Erythromycin Stearate ›
- Fluphenazine ›
- Isoniazid ›
- Itraconazole ›
- Lisinopril ›
- Metolazone ›
- Minoxidil ›
- Modafinil ›
- Nicardipine ›
- Oxymetazoline Hydrochloride ›
- Paroxetine ›
- Prazosin ›
- Spironolactone ›
Showing 60 of 679 moderate interactions — see all 679 on the Yohimbe page.
436 interactions
- Diclofenac Sodium ›
- Theophylline ›
- Ibuprofen ›
- Aspirin ›
- Hydrocortisone ›
- Naproxen ›
- Minocycline ›
- Testosterone ›
- Levonorgestrel ›
- Dexamethasone ›
- Triazolam ›
- Zopiclone ›
- Colchicine ›
- Oxybutynin ›
- Prednisolone ›
- Tacrolimus ›
- Temazepam ›
- Budesonide ›
- Carbamazepine ›
- Clindamycin ›
- Diclofenac Potassium ›
- Dipyridamole ›
- Doxorubicin ›
- Fluticasone ›
- Acetaminophen ›
- Buprenorphine ›
- Conjugated Estrogens ›
- Diazepam ›
- Ivabradine ›
- Ketoprofen ›
- Medroxyprogesterone ›
- Medroxyprogesterone Acetate ›
- Rifampin ›
- Testosterone Undecanoate ›
- Bendamustine ›
- Bivalirudin ›
- Ciclesonide ›
- Clonazepam ›
- Dapsone ›
- Etoposide ›
- Fluticasone Propionate ›
- Hydroxyzine ›
- Midazolam ›
- Omeprazole ›
- Pantoprazole ›
- Progesterone (prescription Drug) ›
- Riluzole ›
- Warfarin Sodium ›
- Zolpidem ›
- Almotriptan ›
- Alprazolam ›
- Asenapine ›
- Beclomethasone ›
- Beclomethasone Dipropionate ›
- Bromfenac Sodium ›
- Budenoside ›
- Buprenorphine Hydrochloride ›
- Busulfan ›
- Cabazitaxel ›
- Cyclophosphamide ›
Showing 60 of 436 minor interactions — see all 436 on the Yohimbe page.
No interaction 1,705 drugs checked — show the list
We also checked Yohimbe against these medications and found no known interaction in our sources. Open any page to confirm.
- Levothyroxine ›
- Ivermectin ›
- Rosuvastatin ›
- Docusate ›
- Valacyclovir ›
- Hydroxyurea ›
- Sumatriptan ›
- Semaglutide ›
- Tirzepatide ›
- Metformin ›
- Amoxicillin ›
- Acyclovir ›
- Doxycycline ›
- Methotrexate ›
- Lamotrigine ›
- Gabapentin ›
- Pregabalin ›
- Azithromycin ›
- Isotretinoin ›
- Methylene Blue ›
- Levothyroxine, Liothyronine ›
- Cyclopentolate ›
- Cephalexin ›
- Acetaminophen, Dextromethorphan, Doxylamine ›
- Pegunigalsidase Alfa-iwxj ›
- Daptomycin ›
- Hexobarbitone ›
- Levothyroxine Sodium ›
- Levetiracetam ›
- Factor 7a ›
- Thyroid Hormone ›
- Carbidopa, Levodopa ›
- Mitomycin ›
- Levodopa ›
- Ezetimibe ›
- Cefaclor ›
- Phentermine, Topiramate ›
- Lenvatinib ›
- Vancomycin ›
- Dirithromycin ›
- Bentoquatam ›
- Pentobarbitone ›
- Amoxicillin, Clavulanate Potassium ›
- Procainamide ›
- Digoxin ›
- Azelaic Acid ›
- Triptorelin ›
- Dextrothyroxine ›
- Lomustine ›
- Tocainide ›
- Pizotifen ›
- Sodium Valproate ›
- Rocuronium ›
- Succimer ›
- Mitomycin C ›
- Lorazepam ›
- Halothane ›
- Desflurane ›
- Chenodiol ›
- Niacin (prescription Drug) ›
Showing the 60 most looked-up of 1,705 medications checked with no known interaction — see the full Yohimbe list.
Sources & How We Checked
Interaction details are evidence-graded and sourced from the Natural Medicines database. The medication overview comes from MedlinePlus.
- Natural Medicines (Therapeutic Research Center) — Evidence-graded clinical reference for vitamins, herbs and supplements — the basis for our interaction data.
- MedlinePlus, U.S. National Library of Medicine — NIH consumer drug information, used for the medication overviews.
- NIH Dietary Supplement Label Database (DSLD) — Official supplement product labels.
Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.
Parts of this content are provided by the Therapeutic Research Center, LLC.
DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.
© 2021 Therapeutic Research Center, LLC
Aspirin, Oxycodone Is Linked to Lower Levels of 3 Nutrients
Natural Medicines records Aspirin, Oxycodone as a medicine that can lower these. This is not an interaction with Yohimbe — it is a separate effect of the medicine, and it is a reason some people are advised to supplement rather than to avoid one:
Read the full Aspirin, Oxycodone nutrient depletion report ›
Depletion records come from the licensed Natural Medicines database. Do not start a supplement on the strength of this page — ask your pharmacist or doctor whether it applies to you.
Taking Yohimbe and Aspirin, Oxycodone Together: Common Questions
Can you take Yohimbe with Aspirin, Oxycodone?
Why are there 2 interactions listed for Yohimbe and Aspirin, Oxycodone?
How serious is the Yohimbe and Aspirin, Oxycodone interaction?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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