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Drug interactions

Linezolid + Yohimbine

Severity: Major

Linezolid and Yohimbine: major 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

Yohimbine is an alpha-2 antagonist that increases noradrenergic outflow and may raise blood pressure. Combined with MAO inhibition by linezolid, pressor effects may be amplified.

What this interaction means in plain words

Linezolid and Yohimbine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

Evidence level: Low

Why it happens

Additive noradrenergic effects: increased norepinephrine release from yohimbine and reduced degradation through MAO inhibition.

What to do

Avoid yohimbine during linezolid therapy. If used, monitor blood pressure and heart rate closely.

What to ask your pharmacist

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

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 Linezolid with Yohimbine?

MediHelp rates the interaction as major. Linezolid and Yohimbine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Yohimbine is an alpha-2 antagonist that increases noradrenergic outflow and may raise blood pressure. Combined with MAO inhibition by linezolid, pressor effects may be amplified.

How serious is the interaction between Linezolid and Yohimbine?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid yohimbine during linezolid therapy. If used, monitor blood pressure and heart rate closely.

What other medicines interact with Linezolid?

MediHelp also lists interactions of Linezolid with, for example, Amoxapine, Atomoxetine, Benzphetamine. The full list is on the Linezolid page.

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