Yohimbe Bark extract supplement benefit and side effects, adverse reactions
Dosage and dose, review of risks and danger in a man and woman
What is the right dosage and how well does it work for erectile dysfunction?
November 21 2017 

Yohimbe herb and its extracts are effective as natural aphrodisiacs. They help to improve erections but they have side effects when taken in high doses. Although many people refrain using it because of these untoward reactions, there is a way around it. We prefer a formula that has this reasonable amounts of this herbal extract along with several other potent aphrodisiac herbal extracts. It is called Passion Rx with Yohimbe, a popular natural sexual enhancement product for sale over the counter with a high rate of reorders. It is sometimes used as a natural treatment in combination with lower dosages of medications used for erectile dysfunction or impotence (such as Viagra, Cialis, or Levitra).

Where to buy Passion Rx Yohimbe natural aphrodisiac product that works in a man or woman 
You could buy a yohimbe product by itself but most of the time the side effects are too unpleasant, including sweating and rapid heart rate. That is why a medical doctor decided to include lower amounts of yohimbe in combination with other sexual boosting herbs to produce an aphrodisiac product that works with the fewest adverse reactions. And, it works in men and women.

Passion Rx with Yohimbe

Buy Passion Rx with Yohimbe sexual enhancer for a man or woman 

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Doctor developed
This all natural aphrodisiac formula was developed by Ray Sahelian, M.D., a medical doctor and an expert in herbal aphrodisiacs. Dr. Sahelian has formulated this product with just enough yohimbe bark extract to be effective, yet not too much in order to minimize side effects. 

When to take, how soon does it work?
This all natural herbal sexual enhancer is taken in the morning before breakfast on an empty stomach. Sexual enhancement in men and women is most often appreciated by the second or third day. Results improve over several days of use. Our feedback thus far indicates more than 80% of users notice a libido enhancement and erection enhancement within the first week.

For a male and female
This natural herbal sexual enhancer works in Men and Women within a few days.

Information about the tree and plant
Yohimbe is the name of the bark of a tall evergreen tree in western Africa known as Pausinystalia yohimbe or Corynanthe yohimbe. The bark has been used for centuries in some western African nations for sexual enhancement. It has been reported to contain up to 6% total alkaloids, 10-15% of which is yohimbine. In other words, a small percentage of a chemical called yohimbine is found in the bark of the yohimbe tree. Currently the extracts are sold in varying alkaloid concentrations, ranging from plain yohimbe bark powder, to 2% extract, 4%, 8%, 12 percent and up to 20% alkaloids. The higher the concentration, the more potent it will be and so a lesser dosage will be required. Consider a very popular and effective sexual enhancement product called Passion Rx with Yohimbe extract. Also, you can also purchase yohimbe herb capsules sold in a bottle.
This sexual enhancer is often thought of for male erectile function. Most people don’t realize that yohimbe is also a sexual stimulant in women. Women like the enhanced sensation and engorgement of genital organs as long as the dose is kept low to prevent the adverse effects discussed above.

How often to take, timing and frequency of use, dose and dosage
It’s best to take this herbal aphrodisiac as needed since it works quickly and there’s no need for it to build up in the system like other libido or sexual enhancing herbs. These capsules are easily absorbed, we don’t see any advantage to using liquid yohimbe except in those individuals who have difficulty swallowing tablets, capsules or pills. There is a possibility that if yohimbe liquid is quickly absorbed, there could be more unpleasant reactions. Or, you could make your own liquid by dissolving the contents of a capsule in a little bit of juice, water, or tiny amount of wine or spirit.

Yohimbe bark may be used either daily in very small doses, or before planned activity in a larger dose. In our opinion, since extract works quite quickly, it makes sense that it be taken as needed one to three hours before planned sexual activity rather than taken daily. The effects last several hours. We don’t recommend you take it close to bedtime since it can have a stimulant and alertness causing effect for several hours. We don’t recommend you mix yohimbe pills with alcohol or stimulant drugs, including high doses of caffeine. Small doses of the extract may make you slightly more motivated, but higher doses can cause unpleasant feelings and side effects, which would reduce energy. How long the effects last depend on dosage, but, in general, only a few hours. This is in contrast to other sexual herbs that can have an effect for a day or two. Arginine amino acid is a safe supplement to take with it and does not have any significant side effects except when taken in massive dosages.

What is the ideal dosage for erectile enhancement?
Each person responds to a different dosage. Plus, there are various extract potencies. If you buy a yohimbe product, at first only take a third of a tablet or capsule, particularly if you are taking other supplements or medicines. To be very safe, and in order to avoid adverse reactions, we suggest the first time you try a yohimbe pill to take it without other supplements or medications.

Additional supplements top quality
Buy a Yohimbe extract powder capsule bottle, or see a selection of dozens of high quality and effective sexual herbs. You will also find details about the ingredients and the best way to use this product for maximum sexual enhancement. Consider highly popular all natural products available at Physician Formulas webstore where you will find high quality natural products such as Eyesight Rx for better vision within days; and Prostate Power Rx for a healthy prostate gland.

About the doctor who developed Passion Rx with Yohimbe
Dr. Ray
Sahelian, M.D. is one of the most respected herbal experts in the world. He and his research staff have tested various doses and extracts of dozens of natural libido herbs from a number or raw material suppliers to determine the ideal dosage and combination for optimal libido enhancement with the fewest side effects. After years of trial and error, a potent proprietary blend with more than a dozen aphrodisiac herbal extracts, including yohimbe bark extract, from the best raw material suppliers has been created to increase sexuality naturally with the fewest side effects. The exact dosages and extract potencies in this herbal libido enhancer blend is a close kept secret only known to the doctor and his research staff. You will only find this exact combination in Passion Rx. This natural product enhances Libido and sexual thoughts, Erectile function, Orgasms and climaxes, Sensation of genital organs.

Dosage and dose, combinations, interactions
The effective dosage of yohimbe bark varies depending on the individual using it, the quality of the product, and the extract potency. A starting yohimbe bark powder dosage is between 100 to 200 mg. The dosage depends on the potency of the extract.

Can yohimbe herb and yohimbine be combined with other herbs such as tribulus, muira puama, avena sativa, maca, catuaba, LJ100 or hormy goat weed?
We can only speak from personal and professional experience. Thus far we have combined it with several herbs, including muira puama root herbal sexual enhancer from South America, epimedium sexual herb, and mucuna pruriens extract which influences dopamine neurotransmitter and have not found any significant side effects if very small dosages are used. The effects usually start within an hour or two while other herbs take much longer, often days. Caution is advised when using a yohimbe supplement with medications prescribed for heart disease, high blood pressure, or any medication or herb that stimulates heart tissue to beat faster.

Q. Is yohimbe herb okay to use with maca herb, l arginine, tongkat ali or tribulus?
A. As long as the dosages are low it can be taken with horny goat weed, maca, l arginine, catuaba, avena sativa, rhodiola, and tribulus. Icariin flavonoid is one of the active ingredients in horny goat weed herb.

Does it effect testosterone levels?
We don’t think yohimbe effects testosterone levels in any significant extent.

For a woman?
This herb is not just a male sexual herb, it works in women, too. A woman will need a lower dosage for enhancement, perhaps half of what a male requires due to a lesser body weight and being more sensitive to the effects of supplements and medications. Female libido is affected by a number of medical conditions that can be influenced by diet and lifestyle habits.

Side effects and cautions, safety, danger
Yohimbe bark should be used cautiously by anyone with a medical condition, particularly those with unstable hypertension, heart disease, diabetes, or those taking medicines, particularly tranquilizers, antidepressants, sedatives, antihistamines, amphetamines and other stimulants, including caffeine and herbal stimulants such as ginseng. Some of the side effects of high dose yohimbe supplements include anxiety, changes in blood pressure, heart rate increase, palpitations, dizziness, headache, visual disturbances, nausea or abdominal cramps, increased body temperature and sweating. We do not recommend it to anyone over the age of 65 unless in very small amounts. Since high doses may cause confusion and disorientation, it should not be taken while operating machinery, driving, or performing hazardous activities. As with many herbs or medicines, the right dose works well but too high a dose causes side effects. Allergy to this plant is rare. Many people who want to improve their sex drive are willing to risk some side effects in order to derive more sexual pleasure and performance. Just about every herb or medicine for improving sexuality has some risk to it. Herbs are generally safer than prescription drugs. The first thing you may notice after an hour or two of taking a yohimbe capsule or tablet is sweating under the arms. On higher doses you will notice a higher body temperature, an even higher doses lead to slightly blurred vision, mild anxiety, and a sense of not feeling well. Very high doses lead to heart palpitations. Fortunately, most of these adverse reactions only last a few hours.

Combining with hormone supplements
We don’t suggest you take this product the same day with high doses of DHEA hormone or its relative pregnenolone hormone since these over the counter hormones has significant adverse effects in high dosages. This applies to progesterone also, if used in high doses.

Medical conditions
Do not use these supplements if you have high blood pressure, heart disease (including irregular rhythm), kidney, thyroid or liver disease, a seizure disorder or stroke. Do not take yohimbe supplements with any antidepressant medications or MAO inhibitors, or with foods containing high amounts of tyramine (such as cheese or red wine) or with decongestants, diet aids, products containing phenylpropanolamine, hormones such as DHEA or pregnenolone, or supplements that have a stimulating effects, such as sexual enhancement herbs, Longjack eurycoma, SAM-e natural antidepressant, tyrosine amino acid, etc. Consult with your doctor before use if you have any health problems or are taking any medications. Discontinue use and consult your doctor if you experience high blood pressure, heart palpitations or rapid heart beat, dizziness, headache, rash, tremors, depression or hallucinations. Other yohimbe side effects may include nervousness, anxiety, mood changes, insomnia, nausea, vomiting, urinary retention, dilation of pupils, or skin flushing. Unpleasant reactions are dose dependent. Yohimbe extract increases body temperature, so we don’t think it’s a good idea to take it and engage in heavy physical activity, particularly in warm weather. Avoid it if you plan to be exposed to very hot temperatures. Drink cold water if you take any sexual formula that contains it. Yohimbe is safe in low dosages. Cardiac irregularities and elevated blood pressure are serious dangers with overdose.

Dr. Mehmet Oz said on his TV show Dr. Oz that there were 3 supplements he would never take. One was yohimbe. What is it about it that would cause Dr. Mehmet Oz to categorize it this way and is the amount in Passion Rx significant enough to matter?
A. Making such broad statements do not reveal the full picture. We do know that drinking a bottle of wine is dangerous, but sipping an ounce or two has beneficial effects. This is also true of many medications and supplements. The amount in Passion Rx is small enough to be of benefit while minimizing any risks.

Hypertension, high blood pressure
If you have moderate to severe hypertension, then you should avoid yohimbe herb. However, if you have mild hypertension, then small amounts, that is, less than 150 mg of the bark powder, should be fine, especially with the consent of your doctor. The blood pressure effects don’t last all day, only a few hours.

Research studies
Yohimbine pills have been evaluated in the management of erectile disorder and sexual enhancement by means of many placebo-controlled trials. It does appear to have a therapeutic benefit. In contract, yohimbe has not been studied much. Here’s one summary of a study:

A 1977 German double-blind, placebo-controlled clinical trial of yohimbine hydrochloride included 86 patients with erectile dysfunction and without clearly detectable organic or psychologic causes. Yohimbine hcl was administered orally in a dosage of 30 mg a day (two 5 mg tablets three times daily) for eight weeks. Patients were seen for follow-up after four weeks’ treatment, and for a final visit after eight weeks. Efficacy evaluation was based on both subjective and objective criteria. Subjective criteria included improvement in sexual desire, sexual satisfaction, frequency of sexual contacts, and quality of erection (penile rigidity) during sexual contact/intercourse. Objective criteria of outcome were based on improvement in penile rigidity determined by use of polysomnography in the sleep laboratory. Overall Yohimbine hcl was found significantly more effective than placebo in terms of response rate: 71 vs 45%. Yohimbine hcl was well-tolerated: Only 7% of patients rated tolerability fair or poor, and most adverse experiences were mild. There was no serious adverse event.

Mechanism of action, how it works
Yohimbe bark contains yohimbine, an alpha-2-adrenergic blocking agent which acts through the nervous system to increase blood flow to the genital region. Although many pharmacological properties of yohimbine have been described, at the plasma concentration attained at recommended dosages in humans the predominant activity is antagonism of alpha 2-adrenoceptors. It is not clear whether the other alkaloids in yohimbe also have a pro-sexual effect.

Bodybuilding and muscle training
Q. Is a benefit of yohimbe herb improved athletic performance or better bodybuilding results?

A. On the contrary, benefits do not include improved energy or endurance. The increase of body temperature as a side effect of yohimbe herb can actually decrease athletic performance and it has no benefit for bodybuilding. 

Availability over the counter in health food stores and online
Yohimbe bark is sold widely in different dosages and extract potencies including 2%, 4%, 6%, 8%, and up to 20% alkaloids. It is difficult to give precise dosage recommendations for yohimbe extracts since sometimes manufacturers and formulas are not consistent in their content or extract potencies. In one study, of twenty commercial aphrodisiac preparations were analyzed and the amount of yohimbine measured and expressed as the maximal dose per day suggested on product labels ranged from 1.3 to 22 mg. Yohimbe tea can be made with the powder but the tea does not taste well. The root is not used for sexual enhancement purposes. The yohimbe tree is an evergreen native to western Africa. The bark of this tree contains a chemical called yohimbine and contains various other substances. Yohimbine has been available as a prescription impotence medication for a number of decades, and its popularity plummeted when the impotence drug Viagra came on the market. The amount of yohimbine in nutritional supplements vary; some yohimbe products have little whereas others have quite a high amount. The standardized form of yohimbine, hydrochloride or hcl, is still available as a prescription medicine. When you buy an over the counter yohimbe supplement, there will be yohimbine in it, the amount depending on the dosage and extract potency of the raw material in the product.

Q. What is yohimbe hcl, I sometimes see this on a supplement fact panel.
A. We are aware of yohimbine hcl, but not yohimbe hcl.

Q. Does the pausinystalia yohimbe tree grow in the US? Is it also called Corynanthe yohimbe?
A. We doubt it. If it does, we are not aware of any large pausinystalia yohimbe plantations. Yes, another name is Corynanthe yohimbe.

Interactions and use with other dietary supplements, combinations
I’ve used yohimbe bark for 8 months, on a daily basis, it was a GNC product brand, and the directions stated to take 1 to 2 pills after meals up to 6 per day. I tried that once, but the side effects were unpleasant (anxiety and fast, hard heart rate). I cut down my dosage to 1 pill per day in the morning. Well, yohimbe bark at this level was great. No bad side effects, libido shot straight up, sex was more pleasurable. Point is, it is great if used properly. Don’t over do it, don’t mix it with high amounts of gingko biloba, tribulus extract, eurycoma, or Viagra and Vicodin. I did this once and felt that I was going to pass out, with an erection though. Used properly this bark will make you a lovemaking machine.

I take curcumin product as an anti-inflammatory substance along with goji  extract as a health benefit for eyes and vitality and sometimes phytoestrogens. I have not found the occasional use with yohimbe extract products to cause any problems.

Interactions with prostate gland herbs
Saw palmetto is an herb used for bph and to benefit prostate health, it can be safely combined with yohimbe extract. Pygeum is often combined with saw palmetto for prostate issues.

Use with prescription medications
I’m on beta blockers, Inderal, can I take yohimbe?

Beta blockers are known to lower sex drive and cause erectile dysfunction. Small amounts of the herb taken infrequently should not cause any problems, but of course this has to be done under medical supervision.

Weight loss claims
Q. Is yohimbe a fat burner, does it cause weight loss?

A. Some people have less appetite when they use this supplement, but we don’t think this is a safe herb for this purpose to take on a daily basis for prolonged periods. We prefer Diet Rx, a much safer natural weight loss supplement.

Reviews and forums
Q. Is there an objective yohimbe review web site, or forum, that I can read about the benefits and side effects of different yohimbe supplements and sexual formulas that contain it?

A. Not that we are aware of. Almost all of the websites that discuss and review yohimbe products are associated with a company that sells either a yohimbe supplement or a libido enhancing formula of their own brand. Some web sites may say bad things about yohimbe herb, or a product from another company, in order to sell a sexual formula that they have that does not contain it. Therefore, read yohimbe review sites with skepticism.

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Other products sold over the counter
Q. How is Advanced Yohimbe Plus different that Passion Rx with Yohimbe bark extract? I understand they are both formulated by Dr. Sahelian.

A. Advanced Yohimbe Plus was formulated by Dr. Sahelian back in the year 2000. Passion Rx was formulated several years later as the doctor gained additional knowledge on effective aphrodisiac herbs. Dr. Sahelian is no longer associated with the vitamin company that makes Advanced Yohimbe Plus.

Cream or gel
Q. Do you have any information regarding yohimbe cream effective when applied to the genital area?

A. We don’t have experience or information regarding yohimbe cream products, so we don’t know.

Shipping overseas, Canada
Q. Can yohimbe herb be ordered to ship to Canada? I live in Canada and was wondering if it was banned in my country if not I would like to purchase a yohimbe supplement.

A. Canada has a ban on the import of yohimbe pills and products. Therefore if you purchase yohimbe, customs may seize the product.

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