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Drug interactions

Terazosin + Yohimbe

Severity: Moderate

Terazosin and Yohimbe: moderate 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

Yohimbe (yohimbine) is an alpha-2 antagonist that increases sympathetic activity and can counteract the effect of terazosin. Blood pressure may become labile, with possible hypertension, tachycardia or palpitations.

What this interaction means in plain words

Terazosin and Yohimbe can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Evidence level: Low

Why it happens

Yohimbine's alpha-2 antagonism increases noradrenaline release and opposes alpha-1 blockade, with unpredictable hemodynamic effects.

What to do

Advise patients to avoid yohimbe products while on terazosin. If used, monitor blood pressure and heart rate.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

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 Terazosin with Yohimbe?

MediHelp rates the interaction as moderate. Terazosin and Yohimbe can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Yohimbe (yohimbine) is an alpha-2 antagonist that increases sympathetic activity and can counteract the effect of terazosin. Blood pressure may become labile, with possible hypertension, tachycardia or palpitations.

How serious is the interaction between Terazosin and Yohimbe?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Advise patients to avoid yohimbe products while on terazosin. If used, monitor blood pressure and heart rate.

What other medicines interact with Terazosin?

MediHelp also lists interactions of Terazosin with, for example, Alfuzosin, Amifostine, Avanafil. The full list is on the Terazosin page.

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