Yohimbine C
Dangerous: panic attacks, hypertension, prohibited in sport. Data are scarce
Citable fact
«Yohimbine» — evidence level C. Dosage: The studies used doses of 0.2 mg per kg of body weight (about 15 mg for a 75 kg person). Higher doses sharply increase the risk of side effects and give no proportionally greater effect. Source: PMID 18500382, permanent link to the source in the list below.
How it works
Yohimbine is an indole alkaloid from yohimbe bark, an antagonist of presynaptic alpha-2 adrenergic receptors. By blocking these receptors, it increases the release of norepinephrine from sympathetic endings. Norepinephrine acts on beta-adrenergic receptors of adipose tissue and enhances lipolysis, so yohimbine is considered an agent for mobilizing fat, especially in “stubborn” areas with dense alpha-2 innervation. At the same time, an excess of norepinephrine produces a pronounced sympathomimetic reaction — hence the cardiac and psychiatric risks.
Dosage and intake
The studies used doses of 0.2 mg per kg of body weight (about 15 mg for a 75 kg person). Higher doses sharply increase the risk of side effects and give no proportionally greater effect
Regimens with intake on an empty stomach before aerobic exercise come from experiments, not from clinical recommendations. Because of the risks, intake is not recommended regardless of timing
Forms
Capsules with yohimbe bark extract, in which the yohimbine content often does not match the label. It is sold as a supplement, although in its action it is close to prescription drugs
What is confirmed
- Increases norepinephrine release and theoretically enhances lipolysis
- It has been studied in research on adipose tissue and sympathetic regulation
- In medicine it was used for some forms of autonomic dysfunction
Adverse effects and limitations
- Pronounced sympathomimetic reactions: panic attacks, anxiety, tremor, hypertension, tachycardia; myocardial infarction, hypertensive crisis and pulmonary edema have been described
- Prohibited in sports: it is in the stimulant class of the WADA prohibited list and is detected in doping control
- Dangerous interactions with tyramine contained in cheese, wine and smoked foods, and with antidepressants
- The evidence base for reducing fat mass in humans is weak and not confirmed by quality studies; the substance content in supplements often does not match the label
Interactions
- With MAO inhibitors and dietary tyramine — risk of hypertensive crisis
- With antidepressants, especially SSRIs and tricyclics — increased anxiety and cardiovascular effects
- With caffeine, other stimulants and antihypertensive drugs — additive stress on the heart and weakened effect
Who must not use it
- Under 18 years: Contraindicated
- Pregnancy and lactation: Contraindicated: a risk to the fetus and uterine contractions has been described
- Hypertension, coronary artery disease, arrhythmias — contraindicated
- Anxiety disorders, panic attacks, PTSD — contraindicated
- Use of antidepressants or MAO inhibitors — contraindicated
- Kidney and liver diseases — contraindicated
- Athletes undergoing doping control — prohibited
Sources
- Pharmacology of stimulants prohibited by the World Anti-Doping Agency (WADA) · Docherty JR · British journal of pharmacology, 2008 · PMID 18500382
- Current Evidence to Propose Different Food Supplements for Weight Loss: A Comprehensive Review · Watanabe M, Risi R, Masi D · Nutrients, 2020 · PMID 32962190
- Effectiveness of herbal medicines for weight loss: A systematic review and meta-analysis of randomized controlled trials · Maunder A, Bessell E, Lauche R · Diabetes, obesity & metabolism, 2020 · PMID 31984610
See also
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