Compound or practice · Supplement

Yohimbine

A fasted-cardio fat-loss aid and erectile-function agent — effective but genuinely anxiogenic and blood-pressure-raising.

Overall grade
Grade C
Last revised
2
graded outcomes
0
references listed

A structured monograph in Prometheus's bundled library. Its grades are the monograph's own reading of the evidence, not a peer-reviewed review.

1 at grade B · 1 at grade C — 2 graded rows

What is known

Each outcome with its grade (how strong the evidence is, A to D), the size of the effect where the entry records one, and how often studies agree.

  • Erectile dysfunctionEvidence grade B

    Real evidence

    Moderatemixed

  • Fat loss (fasted)Evidence grade C

    Blunted by food

    Smallmixed

What is uncertain

Read off the same rows as above. Nothing here is added that the entry does not itself record.

  • Thin evidence: Fat loss (fasted) (grade C).
  • Studies disagree: Erectile dysfunction (mixed agreement).
  • Caution with MAOIs: Hypertensive-crisis risk — do not combine.
  • Caution with ADHD stimulants: Additive cardiovascular strain and anxiety.

Interactions

Documented pairings with supplements and medicines. A medicine on this list is a conversation for whoever prescribes it.

  • MAOIsCaution

    Hypertensive-crisis risk — do not combine.

  • ADHD stimulantsCaution

    Additive cardiovascular strain and anxiety.

The evidence in words

What it is

Yohimbine is an alkaloid from Pausinystalia yohimbe, an alpha-2 adrenergic antagonist used for fat loss and erectile dysfunction.

How it works

Blocking alpha-2 receptors increases fat mobilization (especially in 'stubborn' regions) and raises sympathetic tone — which also causes its side effects.

What the evidence shows

It modestly increases fat loss when taken fasted (insulin blunts it) and has real erectile-dysfunction evidence. But anxiety, palpitations, and blood-pressure elevation are common and dose-limiting, and it interacts with many drugs.

Safety & interactions

Anxiogenic, raises heart rate and blood pressure; risky with anxiety disorders, hypertension, and MAOIs/stimulants. maoi — Hypertensive-crisis risk — do not combine. adhd-stimulants — Additive cardiovascular strain and anxiety.

Bottom line

Works for fasted fat loss and ED, but the anxiety and cardiovascular effects make it a poor fit for many. Start low, avoid with stimulants or if anxious/hypertensive.

Entries that share this one's tags or conditions.

Sources

This entry lists no references of its own.

Last revised . A grade is this entry's reading of the evidence, not medical advice.