New Day

New Day
natural Benefit

Wednesday, March 14, 2007

Natural Herb or Supplement of the Week

Many natural remedies have not been approved by the FDA yet have had success with many people. We at Healthy Living are just going to give you the treatment and claims of some of these Natural cures. In the end you have to decide whether it is right for you. Todays herb is Yohimbe and comes off the Nurses Guide A Nurses Guide to Herbal Remedies found here.

Yohimbe(Pausinystalia yohimbe)
General Description:
Yohimbe is a West African tree native to Congo, Cameroon, and Gabon. The main ingredient is Yohimbine, is an alkaloid found in the roots.

Part Used: Roots and bark

Uses:
>erectile dysfunction (conflicting studies)
> impotence
>orthostatic hypotension
>clonidine overdose

Action: Yohimbine is the alkaloid that is chemically active and responsible for the effects of yohimbe. It is an alpha-2 adrenergic receptor.

CNS – stimulant effect

Periphery- releases norepinephrine, to increase penile blood flow

Dosage: 15-20 mg. per day

Precautions/Adverse Reactions: In clinical trials, it did not effect the sexual performance of sexually functioning men. It does have a high-risk–to benefit ratio because of side effects: nervousness, irritability, dizziness, headache, sweating, hypertension, tachycardia, psychoses, hallucinations, and one report of renal failure, and a lupus-like syndrome.

Interactions with other Drugs: OTC stimulants (caffeine, phenylephedrine, phenylpropanolamine), SSRI's, Tricyclic antidepressants, and foods containing tyramine.
Contraindications: Renal disease, hepatic disease, psychiatric disorders, and uncontrolled hypertension.

Nursing Considerations:

Yohimbe can counteract the benefits of antihypertensive meds.

Monitor for CNS and cardiac effects.

Do not use with Clonidine. It competes with the receptors and can cause a hypertensive crisis.

Yohimbe can counteract mood-modifying meds such as antidepressants. Warn patients not to use concurrently.

Due to a weak MAOI activity, do not eat tyramine containing foods, or decongestants or stimulants.

Avoid caffeine.

Yohimbine is used widely despite that it does not have FDA approval. It has been on their unsafe list since 1977

Standard dose is 5.4 mg only by prescription.

Yohimbe is a dietary supplement, often in combination with other herbs.

Recommended to be used under the care of a physician.

General Safety Advisory
~The information in this document does not replace medical advice.~Before taking an herb or a botanical, consult a doctor or other health care provider
-especially if you have a disease or medical condition,take any medications, are pregnant or nursing, or are planning to have an operation.
~Before treating a child with an herb or a botanical, consult with a doctor or other health care provider.
~Like drugs, herbal or botanical preparations have chemical and biological activity. They may have side effects. They may interact with certain medications. These interactions can cause problems and can even be dangerous.
~If you have any unexpected reactions to an herbal or a botanical preparation, inform your doctor or other health care provider.