Yohimbe + Cyclobenzaprine
Cyclobenzaprine brand names: Cyclobenzaprine, Flexeril, Cycloprine.
Cyclobenzaprine falls into 3 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 Cyclobenzaprine
These two interact in 3 distinct ways. Each one is explained separately below.
Why Are There 3 Interactions?
Yohimbe interacts with whole categories of medication. Cyclobenzaprine falls into 3 of those categories, so it can interact with Yohimbe in 3 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 3Why this applies to Cyclobenzaprine
Cyclobenzaprine 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.
Here's the gist for these two. Your body partly relies on an enzyme called CYP2D6 to clear cyclobenzaprine. Lab studies suggest yohimbine, the active piece of yohimbe, can slow that enzyme down. If that happens in real life, cyclobenzaprine could hang around a bit longer and feel stronger than usual. That could mean extra drowsiness, dry mouth, dizziness, blurry vision, or a faster heartbeat.
I'll be honest though, this is theoretical and based only on test-tube research, not on people, so I wouldn't lose sleep over it. Still, yohimbe on its own can spike your heart rate and blood pressure, which doesn't pair nicely with a sedating muscle relaxer. Please run this combo by your pharmacist or doctor before mixing them.
- 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
CYTOCHROME P450 1A2 (CYP1A2) SUBSTRATES
2 of 3Cyclobenzaprine also falls under CYTOCHROME P450 1A2 (CYP1A2) SUBSTRATES.
In vitro research shows that yohimbe extract induces CYP1A2 enzymes.
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.
Here's the gist for these two together. Your body relies on a liver enzyme called CYP1A2 to help break down cyclobenzaprine (Flexeril). Lab studies suggest yohimbe may speed up that enzyme, which in theory could clear the muscle relaxant a little faster and make it work less well, so you might notice less relief from your muscle pain or stiffness.
I want to be honest though: this is graded as a minor, theoretical interaction based only on test-tube research, not on real people. So I wouldn't lose sleep over it. The bigger concern with yohimbe is its own punch, things like a racing heart, jitteriness, and spikes in blood pressure. Before adding it, please check in with your pharmacist or doctor first.
- Haron MH, Dale O, Martin K, et al. Evaluation of the Herb-Drug Interaction Potential of Commonly Used Botanicals on the US Market with Regard to PXR- and AhR-Mediated Influences on CYP3A4 and CYP1A2. J Diet Suppl 2022. PubMed
CYTOCHROME P450 3A4 (CYP3A4) SUBSTRATES
3 of 3Cyclobenzaprine also falls under CYTOCHROME P450 3A4 (CYP3A4) SUBSTRATES.
In vitro research shows that yohimbe extract induces CYP3A4 enzymes.
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.
Here's the gist for this pair: cyclobenzaprine is partly cleared by a liver enzyme called CYP3A4. Lab studies hint that yohimbe may speed that enzyme up, which could nudge cyclobenzaprine levels a little lower. In theory, that might make your muscle relaxer feel slightly less effective, so you may notice a bit more muscle tightness or pain than expected.
I want to be honest about how thin this evidence is. It comes from test-tube research, not real people, and it's rated as a minor, possible interaction. So I wouldn't lose sleep over it. The bigger concern with yohimbe is its own side effects, like raising your blood pressure and heart rate. Please run it by your pharmacist or doctor before combining the two.
- Haron MH, Dale O, Martin K, et al. Evaluation of the Herb-Drug Interaction Potential of Commonly Used Botanicals on the US Market with Regard to PXR- and AhR-Mediated Influences on CYP3A4 and CYP1A2. J Diet Suppl 2022. 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 Cyclobenzaprine 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.
Questions About Yohimbe or Cyclobenzaprine
These are real questions from readers, answered by the pharmacists at HelloPharmacist — written by a person, not generated from a database. Each one covers Yohimbe or Cyclobenzaprine, not necessarily both, but if one is close to what you were about to ask it will usually go further than a database entry can:
- Concern With Taking Flexeril And Gabapentin Together ›
- Can You Take Lyrica And Flexeril Together? ›
- Prednisone With Flexeril - Interaction Details ›
Not quite your question? Ask our pharmacists directly — it is free, there is no account required, and answers usually come back within 24 hours.
See Every Supplement That Interacts With Cyclobenzaprine
This page covers Yohimbe only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Cyclobenzaprine page lists 197 supplements it has a documented interaction with, worst first, each one explained.
The most serious there right now: Activated Charcoal (major), Grapefruit (major), Lithium (major), Procaine (major) and St. John's Wort (major).
By severity: 5 major · 146 moderate · 46 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 Cyclobenzaprine 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 Cyclobenzaprine 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.
#173 of 1,452 supplements looked up here in the last 7 days
#361 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.
About Cyclobenzaprine
What Is Cyclobenzaprine Used For?
Brand names: Cyclobenzaprine, Flexeril, Cycloprine
Cyclobenzaprine tablets and extended-release capsules are used alongside rest and physical therapy to relieve muscle spasm caused by acute, painful musculoskeletal conditions — easing pain, tenderness, and limited movement. This use is intended for short-term treatment only (up to 2–3 weeks).
Tonmya, the sublingual (under-the-tongue) form of cyclobenzaprine, is separately indicated for the treatment of fibromyalgia in adults. It is not the same as the oral tablet or capsule formulations.
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 ›
- Desipramine ›
- Doxepin ›
- Duloxetine ›
- Erythromycin Ethylsuccinate ›
- Erythromycin Stearate ›
- Fluphenazine ›
- Isoniazid ›
- Itraconazole ›
- Lisinopril ›
- Metolazone ›
- Minoxidil ›
- Modafinil ›
- Nicardipine ›
- Oxymetazoline Hydrochloride ›
- Paroxetine ›
- Prazosin ›
- Spironolactone ›
- Timolol ›
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 ›
- Valacyclovir ›
- Docusate ›
- Hydroxyurea ›
- Sumatriptan ›
- Semaglutide ›
- Tirzepatide ›
- Acyclovir ›
- Metformin ›
- Amoxicillin ›
- Doxycycline ›
- Lamotrigine ›
- Methotrexate ›
- Gabapentin ›
- Pregabalin ›
- Isotretinoin ›
- Azithromycin ›
- Methylene Blue ›
- Levothyroxine, Liothyronine ›
- Cyclopentolate ›
- Cephalexin ›
- Pegunigalsidase Alfa-iwxj ›
- Acetaminophen, Dextromethorphan, Doxylamine ›
- Daptomycin ›
- Hexobarbitone ›
- Levothyroxine Sodium ›
- Levetiracetam ›
- Mitomycin ›
- Cefaclor ›
- Factor 7a ›
- Carbidopa, Levodopa ›
- Thyroid Hormone ›
- Ezetimibe ›
- Levodopa ›
- Vancomycin ›
- Dirithromycin ›
- Procainamide ›
- Lenvatinib ›
- Phentermine, Topiramate ›
- Azelaic Acid ›
- Bentoquatam ›
- Amoxicillin, Clavulanate Potassium ›
- Digoxin ›
- Triptorelin ›
- Dextrothyroxine ›
- Lomustine ›
- Succimer ›
- Pentobarbitone ›
- Tocainide ›
- Sodium Valproate ›
- Rocuronium ›
- Halothane ›
- Lorazepam ›
- Mitomycin C ›
- Pizotifen ›
- Chenodiol ›
- Niacin (prescription Drug) ›
- Desflurane ›
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
Taking Yohimbe and Cyclobenzaprine Together: Common Questions
Can you take Yohimbe with Cyclobenzaprine?
Why are there 3 interactions listed for Yohimbe and Cyclobenzaprine?
How serious is the Yohimbe and Cyclobenzaprine interaction?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.