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Drug interactions

Olanzapine + Yohimbine

Severity: Minor

Olanzapine 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

Yohimbine is an alpha-2 antagonist that stimulates the sympathetic system and may cause anxiety, agitation and blood pressure changes, which could oppose antipsychotic effects. The net clinical effect with olanzapine is unclear.

What this interaction means in plain words

Olanzapine 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 pharmacodynamic effects; the mechanism is not well established.

What to do

Monitor for agitation, anxiety and blood pressure changes, and avoid yohimbine in patients with psychotic or anxiety disorders if possible.

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 Olanzapine with Yohimbine?

MediHelp rates the interaction as minor. Olanzapine 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. Yohimbine is an alpha-2 antagonist that stimulates the sympathetic system and may cause anxiety, agitation and blood pressure changes, which could oppose antipsychotic effects. The net clinical effect with olanzapine is unclear.

How serious is the interaction between Olanzapine 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: Monitor for agitation, anxiety and blood pressure changes, and avoid yohimbine in patients with psychotic or anxiety disorders if possible.

What other medicines interact with Olanzapine?

MediHelp also lists interactions of Olanzapine with, for example, Amisulpride, Amoxapine, Apomorphine. The full list is on the Olanzapine page.

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