Drug interactions
Selegiline + Yohimbine
Severity: Major
Selegiline 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 increases sympathetic outflow and blood pressure, and with an MAO inhibitor the pressor effect may be amplified. Yohimbine is advised against with MAOIs.
What this interaction means in plain words
Selegiline 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.
Why it happens
Yohimbine blocks alpha-2 receptors and raises norepinephrine release, while MAO inhibition slows its breakdown.
What to do
Avoid the combination. If it has been used, monitor blood pressure and heart rate.
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?
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Other interactions of Selegiline
- Amitriptyline + Selegiline Contraindicated
- Amoxapine + Selegiline Contraindicated
- Atomoxetine + Selegiline Contraindicated
- Benzphetamine + Selegiline Contraindicated
- Brimonidine + Selegiline Contraindicated
- Buprenorphine long-acting + Selegiline Contraindicated
Frequently asked questions
Can I take Selegiline with Yohimbine?
MediHelp rates the interaction as major. Selegiline 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 increases sympathetic outflow and blood pressure, and with an MAO inhibitor the pressor effect may be amplified. Yohimbine is advised against with MAOIs.
How serious is the interaction between Selegiline 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 the combination. If it has been used, monitor blood pressure and heart rate.
What other medicines interact with Selegiline?
MediHelp also lists interactions of Selegiline with, for example, Amitriptyline, Amoxapine, Atomoxetine. The full list is on the Selegiline page.
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