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Yohimbine

Drugs and Chemicals · NLM MeSH · updated 2026-10-31 · version 1

Citations verified against PubMedNot yet clinician-reviewed10 referencesApproximately 4 min read

A plant alkaloid with alpha-2-adrenergic blocking activity.

Table of Contents

1. Definition2. Research landscape3. Reading the evidence4. Open-access studies5. Key reviews6. References7. About this article

Definition and research guide

This page combines a MeSH definition, publication statistics and selected research abstracts. It is a starting point for reading the literature, not a medical textbook or a systematic evidence review.

Content available: 4 complete abstracts (792 words), 10 references. Full article text is not stored or reproduced here; follow the PMID, DOI or PMC links to read the original sources and their access terms.

Definition

A plant alkaloid with alpha-2-adrenergic blocking activity. Yohimbine has been used as a mydriatic and in the treatment of erectile dysfunction.

Definition: NLM Medical Subject Headings (MeSH) scope note (Public domain (U.S. National Library of Medicine); attribution requested). View the MeSH record.

Also known as: Yohimex; Rauwolscine; Corynanthine; Rauhimbine; Yocon; Yohimbine Hydrochloride; Hydrochloride, Yohimbine; Aphrodine Hydrochloride.

Where it fits in the MeSH classification

Broader topics
Secologanin Tryptamine Alkaloids
Narrower topics
Reserpine

Related concepts

  • Erectile Dysfunction

Research landscape

PubMed indexes 21,360 records tagged with the MeSH heading “Yohimbine” (counts retrieved 2026-10-31). 417 of them (2.0%) were published from 2020 onward, and the busiest period so far is through 1999 with 18,731 records.

Reviews account for 645 records (3.0%) and meta-analyses for 10. Randomized controlled trials number 235 (1.1%) as a share of all records on the topic. Randomized trials make up only a small share of this literature, so much of what is known comes from laboratory, observational or descriptive work.

PubMed records by publication periodthrough 1999: 18,731 records; 2000-2009: 1,402 records; 2010-2019: 810 records; 2020 onward: 417 records18,731through 19991,4022000-20098102010-20194172020 onward
Records in PubMed indexed with this heading, by publication period. Real counts from NCBI E-utilities; the final period covers only part of the current year. Volume reflects how much has been published, not how strong the evidence is.
Show the data
PeriodRecords
through 199918,731
2000-20091,402
2010-2019810
2020 onward417
Share of records by publication typeReviews: 3.0 percent; Meta-analyses: 0.0 percent; Randomized controlled trials: 1.1 percentReviews3.0% (645)Meta-analyses0.0% (10)Randomized controlled trials1.1% (235)
Share of all PubMed records on this heading that carry each publication type. Types overlap with other records, so the shares do not sum to 100%.
Publication-type chart data
Publication types among 21,360 PubMed records
TypeRecordsShare
Reviews6453.0%
Meta-analyses100.0%
Randomized controlled trials2351.1%

Method: PubMed query "Yohimbine"[MeSH Terms] with publication-type and date filters, retrieved 2026-10-31.

Reading the evidence in drugs and chemicals

Studies of a chemical or drug can answer very different questions: what it is and how it behaves in cells and animals, how the body handles it, and whether it changes outcomes in people. Laboratory and animal findings often do not carry over to patients, and observational studies of exposures are confounded by who uses a substance and why. Nothing on this page is a recommendation to use, avoid, start or stop any substance or medicine; talk to a qualified clinician or pharmacist about your own situation. Check the dose, the species, the comparison group and whether a patient-relevant outcome was measured.

Evidence from open-access studies

These open-access studies come from PubMed’s best-match results for this heading (papers whose main topic it is), ranked here by citation count, with one recent addition. Each abstract is reproduced in full under its recorded open licence so that you can read the authors’ own words. They illustrate the literature; they are not a systematic summary of it. Citation counts measure attention, not reliability or clinical benefit.

Study comparison — selected abstracts, not a systematic review
Study / authorsYearSource label / designEurope PMC citationsLicence / source
Lesions of the lateral habenula increase voluntary ethanol consumption and operant self-administration, block yohimbine-induced reinstatement of ethanol seeking, and attenuate ethanol-induced conditioned taste aversion
Haack AK, Sheth C, Schwager AL, Sinclair MS, Tandon S, Taha SA
2014Research article
Design not recorded in structured metadata
60cc by
PMID 24695107 · DOI · PMC3973636
The effects of reserpine on depression: A systematic review
Strawbridge R, Javed RR, Cave J, Jauhar S, Young AH
2023Systematic review
Design not recorded in structured metadata
45cc by
PMID 36000248 · DOI · PMC10076328
Rutin Improves Anxiety and Reserpine-Induced Depression in Rats
Foudah AI, Alqarni MH, Alam A, Devi S, Salkini MA, Alam P
2022Research article
Design not recorded in structured metadata
36cc by
PMID 36364141 · DOI · PMC9654015
Honokiol ameliorates reserpine-induced fibromyalgia through antioxidant, anti-inflammatory, neurotrophic, and anti-apoptotic mechanisms
Khodir SA, Sweed EM, El-Haroun H, Abd-Elhamid TH, El Derbaly SA, Mahmoud AR, et al.
2025Research article
Design not recorded in structured metadata
8cc by
PMID 40676048 · DOI · PMC12271328

Lesions of the lateral habenula increase voluntary ethanol consumption and operant self-administration, block yohimbine-induced reinstatement of ethanol seeking, and attenuate ethanol-induced conditioned taste aversion [1]

Research article Haack AK, Sheth C, Schwager AL, Sinclair MS, Tandon S, Taha SA · · 2014 · cited 60 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
The lateral habenula (LHb) plays an important role in learning driven by negative outcomes.
Closing excerpt
Our results demonstrate an important role for the LHb in multiple facets of ethanol-directed behavior, and further suggest that the LHb may contribute to ethanol-directed behaviors by mediating learning driven by the aversive effects of the drug.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (184 words)

The lateral habenula (LHb) plays an important role in learning driven by negative outcomes. Many drugs of abuse, including ethanol, have dose-dependent aversive effects that act to limit intake of the drug. However, the role of the LHb in regulating ethanol intake is unknown. In the present study, we compared voluntary ethanol consumption and self-administration, yohimbine-induced reinstatement of ethanol seeking, and ethanol-induced conditioned taste aversion in rats with sham or LHb lesions. In rats given home cage access to 20% ethanol in an intermittent access two bottle choice paradigm, lesioned animals escalated their voluntary ethanol consumption more rapidly than sham-lesioned control animals and maintained higher stable rates of voluntary ethanol intake. Similarly, lesioned animals exhibited higher rates of responding for ethanol in operant self-administration sessions. In addition, LHb lesion blocked yohimbine-induced reinstatement of ethanol seeking after extinction. Finally, LHb lesion significantly attenuated an ethanol-induced conditioned taste aversion. Our results demonstrate an important role for the LHb in multiple facets of ethanol-directed behavior, and further suggest that the LHb may contribute to ethanol-directed behaviors by mediating learning driven by the aversive effects of the drug.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 24695107 · DOI · PMC3973636

The effects of reserpine on depression: A systematic review [2]

Systematic review Strawbridge R, Javed RR, Cave J, Jauhar S, Young AH · · 2023 · cited 45 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
BackgroundReserpine is an effective antihypertensive drug, but its role in routine practice has declined such that it is rarely used.
Closing excerpt
Due to reserpine's apparently complex effects, we urge nuance rather than simplicity surrounding the monoamine hypothesis of depression.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (240 words)

BackgroundReserpine is an effective antihypertensive drug, but its role in routine practice has declined such that it is rarely used. This is largely based on the assumption that reserpine causes depression. This assumption was a foundation for the original monoamine hypothesis of depression. However, there remains conflicting evidence as to whether reserpine causes depression, and no systematic review of available evidence.AimsWe systematically reviewed evidence on effects of reserpine on depressive and related symptoms (e.g. anxiety, suicidal ideation).MethodElectronic searches of MEDLINE, Embase and PsycINFO were conducted to identify studies up to 14 February 2021. Studies of any methodological design involving reserpine-treated and reserpine-untreated conditions, in any adult human population, were included and a narrative synthesis of findings was undertaken. Risk of bias (RoB) was examined using ROBINS-I.ResultsOf the 35 studies meeting inclusion criteria, 9 were randomised controlled trials. Eleven studies reported some depressogenic effects, 13 reported no effect and 11 reported putative antidepressant effects. Studies identifying depressive effects were more likely to examine people without psychiatric disorders at baseline, while studies identifying a potential antidepressant effect tended to treat fewer participants for shorter durations, at higher doses. Around one-third of studies conducted in people with psychiatric disorders showed beneficial effects on depression symptoms. 30/35 studies were at high RoB.ConclusionsAssociations between reserpine and depression are inconsistent and limited by a lack of high-quality evidence. Due to reserpine's apparently complex effects, we urge nuance rather than simplicity surrounding the monoamine hypothesis of depression.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 36000248 · DOI · PMC10076328

Rutin Improves Anxiety and Reserpine-Induced Depression in Rats [3]

Research article Foudah AI, Alqarni MH, Alam A, Devi S, Salkini MA, Alam P · · 2022 · cited 36 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Mental disorders have a poor clinical prognosis and account for approximately 8% of the global burden of disease.
Closing excerpt
According to this study, rutin has shown antidepressant effects by reducing antioxidant activity and acetylcholinesterase.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (174 words)

Mental disorders have a poor clinical prognosis and account for approximately 8% of the global burden of disease. Some examples of mental disorders are anxiety and depression. Conventional antidepressants have limited efficacy in patients because their pharmacological effects wear off, and side effects increase with prolonged use. It is claimed that herbal medicine's antioxidant capacity helps regulate people's mood and provide a more substantial pharmacological effect. With this background, the purpose of this study is to investigate the effect of rutin on reserpine-induced anxiety and depression in rats. The animals were divided into groups of six rats each: normal control (water), a depression model, a rutin-treated rat model, and an amitriptyline-treated rat model. According to the results, 14 days of treatment with rutin, once daily, showed a modest antidepressant effect. This effect was mediated by increased serotonin, norepinephrine, and dopamine levels in cortical and hippocampal regions. The antioxidant and vasodilator properties of rutin may contribute to its antidepressant properties. According to this study, rutin has shown antidepressant effects by reducing antioxidant activity and acetylcholinesterase.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 36364141 · DOI · PMC9654015

Honokiol ameliorates reserpine-induced fibromyalgia through antioxidant, anti-inflammatory, neurotrophic, and anti-apoptotic mechanisms [4]

Research article Khodir SA, Sweed EM, El-Haroun H, Abd-Elhamid TH, El Derbaly SA, Mahmoud AR, et al. · · 2025 · cited 8 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Fibromyalgia (FM) is a chronic condition characterized by widespread musculoskeletal pain, fatigue, psychological disturbances, and sleep issues.
Closing excerpt
These findings suggest that HNK alleviates FM symptoms through its antioxidant, anti-inflammatory, neuroprotective, and anti-apoptotic properties, indicating its potential as a therapeutic agent for FM.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (194 words)

Fibromyalgia (FM) is a chronic condition characterized by widespread musculoskeletal pain, fatigue, psychological disturbances, and sleep issues. Honokiol (HNK) is a bioactive compound known for its medicinal properties. This study evaluated HNK's effectiveness in alleviating pain, depression, and anxiety in a reserpine-induced FM rat model. Thirty male rats were divided into three groups: control, RES (FM-induced), and RES + HNK. HNK was supplemented to RES + HNK in a dose of 8 mg/kg for 21 days. Behavioral assessments included the open field, elevated plus maze, and forced swim tests, while pain was evaluated using treadmill endurance, tail flick latency, paintbrush, and rotarod tests. Brain homogenates were analyzed for neurotransmitters, antioxidants, pro-inflammatory cytokines, and gene expressions. Histopathological evaluation of spinal cords assessed markers of inflammation and apoptosis. Results showed that HNK administration improved behavior and reduced pain. This was linked to reduced levels of malondialdehyde, tumor necrosis factor-α, and prostaglandin E2, alongside increased superoxide dismutase and interleukin-10. Additionally, HNK downregulated the expression of calcitonin gene-related peptide and the JAK/STAT3 gene. These findings suggest that HNK alleviates FM symptoms through its antioxidant, anti-inflammatory, neuroprotective, and anti-apoptotic properties, indicating its potential as a therapeutic agent for FM.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 40676048 · DOI · PMC12271328

Key reviews and meta-analyses

The most cited review-type papers among PubMed’s best-match results for this heading, listed with bibliographic details only. Follow the links for the full text and access terms.

  • Research article Yohimbine: a pharmacological probe for study of the alpha 2-adrenoreceptor [5]
    Goldberg MR, Robertson D · Pharmacol Rev · 1983 · cited 327 times (Europe PMC)
  • Research article Yohimbine: a clinical review [6]
    Tam SW, Worcel M, Wyllie M · Pharmacol Ther · 2001 · cited 127 times (Europe PMC)
  • Research article Yohimbine for erectile dysfunction: a systematic review and meta-analysis of randomized clinical trials [7]
    Ernst E, Pittler MH · J Urol · 1998 · cited 126 times (Europe PMC)
  • Research article Reserpine: a challenge for total synthesis of natural products [8]
    Chen FE, Huang J · Chem Rev · 2005 · cited 120 times (Europe PMC)
  • Research article Molecular, Neurochemical, and Behavioral Hallmarks of Reserpine as a Model for Parkinson's Disease: New Perspectives to a Long-Standing Model [9]
    Leão AH, Sarmento-Silva AJ, Santos JR, Ribeiro AM, Silva RH · Brain Pathol · 2015 · cited 91 times (Europe PMC)
  • Research article Pharmacological facilitation of fear extinction and the search for adjunct treatments for anxiety disorders--the case of yohimbine [10]
    Holmes A, Quirk GJ · Trends Pharmacol Sci · 2010 · cited 84 times (Europe PMC)

References

  1. Haack AK, Sheth C, Schwager AL, Sinclair MS, Tandon S, Taha SA. Lesions of the lateral habenula increase voluntary ethanol consumption and operant self-administration, block yohimbine-induced reinstatement of ethanol seeking, and attenuate ethanol-induced conditioned taste aversion. . 2014. PMID 24695107 · DOI · PMC3973636
  2. Strawbridge R, Javed RR, Cave J, Jauhar S, Young AH. The effects of reserpine on depression: A systematic review. . 2023. PMID 36000248 · DOI · PMC10076328
  3. Foudah AI, Alqarni MH, Alam A, Devi S, Salkini MA, Alam P. Rutin Improves Anxiety and Reserpine-Induced Depression in Rats. . 2022. PMID 36364141 · DOI · PMC9654015
  4. Khodir SA, Sweed EM, El-Haroun H, Abd-Elhamid TH, El Derbaly SA, Mahmoud AR, et al.. Honokiol ameliorates reserpine-induced fibromyalgia through antioxidant, anti-inflammatory, neurotrophic, and anti-apoptotic mechanisms. . 2025. PMID 40676048 · DOI · PMC12271328
  5. Goldberg MR, Robertson D. Yohimbine: a pharmacological probe for study of the alpha 2-adrenoreceptor. Pharmacol Rev. 1983. PMID 6140686
  6. Tam SW, Worcel M, Wyllie M. Yohimbine: a clinical review. Pharmacol Ther. 2001. PMID 11744068 · DOI
  7. Ernst E, Pittler MH. Yohimbine for erectile dysfunction: a systematic review and meta-analysis of randomized clinical trials. J Urol. 1998. PMID 9649257 · DOI
  8. Chen FE, Huang J. Reserpine: a challenge for total synthesis of natural products. Chem Rev. 2005. PMID 16351058 · DOI
  9. Leão AH, Sarmento-Silva AJ, Santos JR, Ribeiro AM, Silva RH. Molecular, Neurochemical, and Behavioral Hallmarks of Reserpine as a Model for Parkinson's Disease: New Perspectives to a Long-Standing Model. Brain Pathol. 2015. PMID 25726735 · DOI · PMC8029054
  10. Holmes A, Quirk GJ. Pharmacological facilitation of fear extinction and the search for adjunct treatments for anxiety disorders--the case of yohimbine. Trends Pharmacol Sci. 2010. PMID 20036429 · DOI · PMC2883885

About this article

Sources
NLM Medical Subject Headings (definition, synonyms); NCBI PubMed (counts, identifiers); Europe PMC (open-access abstracts and citation counts).
Verification
Every reference was resolved against PubMed on 2026-10-31; title, year and DOI matched.
Review state
automated source verified; no human expert review has been recorded yet.
Version
1, last updated 2026-10-31.

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At a glance

21,360
PubMed records on this heading
2%
published since 2020
645
review articles
235
randomized trials
10
verified references below

Counts come from PubMed on 2026-10-31; they show how much has been written, not how strong the evidence is.

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