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Drug interactions

Azelastine + Yohimbine

Severity: Minor

Azelastine and Yohimbine: minor interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Azelastine is sedating while yohimbine is an alpha-2 antagonist with stimulant and anxiogenic effects, so the two may partly oppose each other. The net clinical effect is unpredictable and not well documented.

What this interaction means in plain words

Azelastine and Yohimbine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Evidence level: Low

Why it happens

Opposing CNS effects (antihistaminic sedation versus alpha-2 adrenergic antagonism); the interaction is not well characterized.

What to do

No dose change is required; monitor for reduced antihistamine sedation or for unexpected agitation or tachycardia.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Azelastine with Yohimbine?

MediHelp rates the interaction as minor. Azelastine and Yohimbine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Azelastine is sedating while yohimbine is an alpha-2 antagonist with stimulant and anxiogenic effects, so the two may partly oppose each other. The net clinical effect is unpredictable and not well documented.

How serious is the interaction between Azelastine and Yohimbine?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No dose change is required; monitor for reduced antihistamine sedation or for unexpected agitation or tachycardia.

What other medicines interact with Azelastine?

MediHelp also lists interactions of Azelastine with, for example, Calcium / magnesium / potassium / sodium oxybates, Methadone, Sodium oxybate. The full list is on the Azelastine page.

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