Yohimbe + Moclobemide
Moclobemide brand names: Moclobemide, Manerix.
Moclobemide falls into 2 drug categories that Yohimbe can interact with; the most serious is rated major. Concomitant use of MAOIs with yohimbe can result in additive effects.
Read the full interaction reportYohimbe and Moclobemide
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. Moclobemide 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 (Major).
MONOAMINE OXIDASE INHIBITORS (MAOIs)
1 of 2Why this applies to Moclobemide
Moclobemide falls under MONOAMINE OXIDASE INHIBITORS (MAOIs) — the group Yohimbe interacts with.
Yohimbine, a constituent of yohimbe, has MAO inhibitory effects. At high doses, yohimbine is a non-selective inhibitor of MAO.
Well-controlled human studies have demonstrated the likely existence of this interaction.
Here's the concern with pairing these two. Moclobemide is itself a reversible MAO inhibitor, used as an antidepressant. Yohimbine, the active piece of yohimbe, can also block MAO at higher doses, and on top of that it revs up your sympathetic nervous system. Stacking two things that push in the same direction is the issue here.
Together they could send your blood pressure climbing and your heart racing, which may show up as headache, pounding heartbeat, sweating, anxiety, or a dangerous spike in pressure. This is rated a major, likely interaction, though the evidence is largely theoretical based on how these drugs work. Still, with MAOIs I take blood pressure warnings seriously. Please check with your doctor or pharmacist before combining them.
- Leung AY, Foster S. Encyclopedia of Common Natural Ingredients Used in Food, Drugs and Cosmetics. 2nd ed. New York, NY: John Wiley & Sons, 1996.
- McGuffin M, Hobbs C, Upton R, Goldberg A, eds. American Herbal Products Association's Botanical Safety Handbook. Boca Raton, FL: CRC Press, LLC 1997.
CYTOCHROME P450 2D6 (CYP2D6) INHIBITORS
2 of 2Moclobemide also falls under CYTOCHROME P450 2D6 (CYP2D6) INHIBITORS.
In vitro and clinical research shows that the yohimbe bark constituent, yohimbine, is metabolized by CYP2D6 isoenzymes. Paroxetine, a cytochrome P450 (CYP) 2D6 inhibitor, increases the maximum serum concentration of yohimbine and reduces the clearance of yohimbine compared to yohimbine alone in patients who are extensive CYP2D6 metabolizers..
Interaction 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..
Here's the thing to watch with this pair. Your body uses an enzyme called CYP2D6 to clear yohimbine, the active part of yohimbe. Moclobemide blocks that enzyme, so yohimbine can't be broken down as quickly and tends to build up in your system. That means a normal yohimbe dose may hit you harder than expected, with effects like spikes in blood pressure, a racing or pounding heart, anxiety, sweating, and trouble sleeping.
There's an extra wrinkle: moclobemide is also an MAOI, and combining it with a stimulant like yohimbine adds its own risk of dangerously high blood pressure. The evidence here is decent (a clinical study with a similar enzyme blocker showed higher yohimbine levels). Please check with your pharmacist or doctor before mixing these.
- Le Corre P, Parmer RJ, Kailasam MT, et al. Human sympathetic activation by alpha2-adrenergic blockade with yohimbine: Bimodal, epistatic influence of cytochrome P450-mediated drug metabolism. Clin Pharmacol Ther. 2004;76(2):139-53.
- Mueller-Schoell A, Michelet R, Weinelt F, Kloft C, Mikus G. CYP2D6 phenotype explains reported yohimbine concentrations in four severe acute intoxications. Arch Toxicol. 2021. PubMed
- Bharucha AE, Skaar T, Andrews CN, et al Relationship of cytochrome P450 pharmacogenetics to the effects of yohimbine on gastrointestinal transit and catecholamines in healthy subjects. Neurogastroenterol Motil. 2008;20(8):891-9. PubMed
- Vay M, Meyer MJ, Blank A, et al. Oral yohimbine as a new probe drug to predict CYP2D6 activity: results of a fixed-sequence phase I trial. Clin Pharmacokinet. 2020;59(7):927-939. 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 8 major, 680 moderate, 436 minor known drug interactions in our database — the Moclobemide 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 Moclobemide
This page covers Yohimbe only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Moclobemide page lists 94 supplements it has a documented interaction with, worst first, each one explained.
The most serious there right now: Activated Charcoal (major), Beer (major), Bitter Orange (major), Brewer's Yeast (major) and Cowhage (major).
By severity: 13 major · 67 moderate · 14 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 Moclobemide 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 Moclobemide 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
#1,148 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 “”.
8 interactions
680 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 680 moderate interactions — see all 680 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
Moclobemide Is Linked to Lower Levels of One Nutrient
Natural Medicines records Moclobemide 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 Moclobemide 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 Moclobemide Together: Common Questions
Can you take Yohimbe with Moclobemide?
Why are there 2 interactions listed for Yohimbe and Moclobemide?
How serious is the Yohimbe and Moclobemide 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.