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Can you take Iobenguane I 131 with Yohimbe?

1 drug interaction and 13 additional warnings found for the following 2 drugs:

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Drug interactions

Major drug interactions

Major:

yohimbine iobenguane I-131

Applies to: Yohimbe (yohimbine) and iobenguane I 131

Yohimbine may interfere with the effects of iobenguane I-131 in treating your condition. Let your doctor know you are receiving or have recently received yohimbine if you are being prescribed iobenguane I-131. You may need to stop using yohimbine for a certain amount of time before and after starting treatment with iobenguane I-131. Talk to your doctor if you have any questions or concerns. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Food/lifestyle interactions

No alcohol/food interactions were found. However, this does not necessarily mean no interactions exist. Always consult your healthcare provider.

Disease interactions

13 potential interactions Applies to: 11 conditions, including High Blood Pressure, Depression, Underactive Thyroid, Anxiety and Stress, and Psychosis.

Anxiety and Stress

Moderate:

Yohimbe

The yohimbine in Yohimbe has a moderate potential interaction with Anxiety and Stress.

Yohimbine readily penetrates the blood-brain barrier and may cause anxiety, excitation, and other adverse nervous system effects. Precipitation or exacerbation of psychotic symptoms has been reported. Therapy with yohimbine should be administered cautiously in patients with anxiety, depression, or a history of psychiatric disorders.

Depression

Moderate:

Yohimbe

The yohimbine in Yohimbe has a moderate potential interaction with Depression.

Yohimbine readily penetrates the blood-brain barrier and may cause anxiety, excitation, and other adverse nervous system effects. Precipitation or exacerbation of psychotic symptoms has been reported. Therapy with yohimbine should be administered cautiously in patients with anxiety, depression, or a history of psychiatric disorders.

Heart Disease

Major:

Yohimbe

The yohimbine in Yohimbe has a major potential interaction with Heart Disease.

Yohimbine can cause hypertension and tachycardia at recommended dosages. Large doses may cause hypotension and cardiac conduction disturbances. Therapy with yohimbine is generally not recommended in patients with hypertension, angina pectoris, or heart disease.

High Blood Pressure

Major:

Yohimbe

The yohimbine in Yohimbe has a major potential interaction with High Blood Pressure.

Yohimbine can cause hypertension and tachycardia at recommended dosages. Large doses may cause hypotension and cardiac conduction disturbances. Therapy with yohimbine is generally not recommended in patients with hypertension, angina pectoris, or heart disease.

Moderate:

iobenguane I 131

The iobenguane I-131 in iobenguane I 131 has a moderate potential interaction with High Blood Pressure.

Eleven percent of patients who received a therapeutic dose of iobenguane I-131 experienced a worsening of preexisting hypertension defined as an increase in systolic blood pressure to =160 mmHg with an increase of 20 mmHg or an increase in diastolic blood pressure to = 100 mmHg with an increase of 10 mmHg. All changes in blood pressure occurred within the first 24 hours post infusion. Blood pressure should be frequently monitored during the first 24 hours after each therapeutic dose of iobenguane I-131.

History, Peptic Ulcer

Major:

Yohimbe

The yohimbine in Yohimbe has a major potential interaction with History, Peptic Ulcer.

Yohimbine may increase gastric acid secretion and gastrointestinal motility secondary to its cholinergic activity. Therapy with yohimbine is generally not recommended in patients with a history of peptic ulcer disease.

Liver Disease

Moderate:

Yohimbe

The yohimbine in Yohimbe has a moderate potential interaction with Liver Disease.

Data are limited concerning the use of yohimbine in patients with liver disease. Yohimbine is thought to undergo metabolism in the liver. Therapy with yohimbine should be administered cautiously in patients with significantly impaired hepatic function.

Peptic Ulcer

Major:

Yohimbe

The yohimbine in Yohimbe has a major potential interaction with Peptic Ulcer.

Yohimbine may increase gastric acid secretion and gastrointestinal motility secondary to its cholinergic activity. Therapy with yohimbine is generally not recommended in patients with a history of peptic ulcer disease.

Psychiatric Disorders

Moderate:

Yohimbe

The yohimbine in Yohimbe has a moderate potential interaction with Psychiatric Disorders.

Yohimbine readily penetrates the blood-brain barrier and may cause anxiety, excitation, and other adverse nervous system effects. Precipitation or exacerbation of psychotic symptoms has been reported. Therapy with yohimbine should be administered cautiously in patients with anxiety, depression, or a history of psychiatric disorders.

Psychosis

Moderate:

Yohimbe

The yohimbine in Yohimbe has a moderate potential interaction with Psychosis.

Yohimbine readily penetrates the blood-brain barrier and may cause anxiety, excitation, and other adverse nervous system effects. Precipitation or exacerbation of psychotic symptoms has been reported. Therapy with yohimbine should be administered cautiously in patients with anxiety, depression, or a history of psychiatric disorders.

Renal Dysfunction

Major:

Yohimbe

The yohimbine in Yohimbe has a major potential interaction with Renal Dysfunction.

The use of yohimbine is contraindicated in patients with renal impairment. Yohimbine has mild antidiuretic effects, probably via stimulation of hypothalamic centers and release of posterior pituitary hormone. Agents that reduce or suppress diuresis may aggravate renal diseases.

Moderate:

iobenguane I 131

The iobenguane I-131 in iobenguane I 131 has a moderate potential interaction with Renal Dysfunction.

Renal failure or acute kidney injury and a demonstrated clinically significant decrease in glomerular filtration rate (GFR) has been reported in some patients receiving iobenguane I-131. Monitor renal function during and after treatment with iobenguane I-131. Patients with baseline renal impairment may be at greater risk of toxicity, and their radiation dose may be increased due to the delayed elimination of the drug. Adjust the therapeutic dose based on radiation exposure estimates from the dosimetry assessment. Perform more frequent assessments of renal function in patients with mild or moderate impairment. Iobenguane I-131 has not been studied in patients with severe renal impairment (creatinine clearance <30 mL/min), or end-stage renal disease.

Underactive Thyroid

Moderate:

iobenguane I 131

The iobenguane I-131 in iobenguane I 131 has a moderate potential interaction with Underactive Thyroid.

Hypothyroidism was reported in patients who received a therapeutic dose of iobenguane I-131. Caution and close monitoring is advised in patients with history of hypothyroidism. Initiate thyroid- blocking medications starting at least 1 day before and continuing for 10 days after each iobenguane I-131 dose to reduce the risk of hypothyroidism or thyroid neoplasia. Evaluate for clinical evidence of hypothyroidism and measure thyroid-stimulating hormone (TSH) levels prior to initiating treatment with iobenguane I-131 and annually thereafter.

More resources

iobenguane I 131

A total of 313 drugs are known to interact with iobenguane I 131.

Yohimbe

A total of 36 drugs are known to interact with Yohimbe.

Drug Interaction Classification

These classifications are only a guideline. The relevance of a particular drug interaction to a specific individual is difficult to determine. Always consult your healthcare provider before starting or stopping any medication.
Major Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit.
Moderate Moderately clinically significant. Usually avoid combinations; use it only under special circumstances.
Minor Minimally clinically significant. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan.
Unknown No interaction information available.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.