Yohimbine 
Chemical:
Yohimbine Hydrochloride 5mg in a yellow, film-coated elliptical tablet embossed
Prowess P on both sides. (Yohimbine is generally recognised as a safe and effective
aphrodisiac with a long established usage).
Uses:
In the management
of cases of failure of sexual desire and functioning. Indicated in the treatment
of diminished libido and impaired sexual function especially psycogenic, secondary
male erectile impotence. Treatment to be continued until the required therapeutic
response is obtained. Treatment should be commenced with 1 capsule three times
daily increasing to 2 capsules three times daily after two or three weeks if necessary.
Female patients should interrupt treatment for one week every two months. Patients
should be advised to refrain from sexual intercourse during the first 12 to 14
days of treatment, but should be encouraged to practise sensate focus. A satisfactory
therapeutic response is usually achieved after three weeks, although in some cases
an earlier improvement has been noted.
Contra-indications, Warnings etc:
Plain Prowess is contra-indicated in cases of inflammatory disease of the urogenital
tract and in cases of known or suspected prosthetic or mammary cancer, hypercalciuria,
hypercalcaemia, nephritic syndrome, ischaemic heart disease or untreated congestive
heart failure, or in pregnancy. Plain Prowess is also contra-indicated in cases
of glaucoma, extrapyramidal disorders and hyperexcitable states.
Precautions
and Warnings:
Patients, especially the elderly with the following conditions,
should be monitored, latent or overt cardiac failure, renal or hepatic dysfunction,
hypertension, epilepsy or migraine (or a history of these conditions), since androgens
may occasionally induce sodium or water retention. A decrease in protein bound
iodine (PBI) may occur, but this has no clinical significance.
In treating
males, stimulation to the point of increasing nervous, mental and physical activities
beyond the patient's capacity should be avoided.
Drug Interactions:
Concurrent administration of liver enzyme inducing drugs such as Rifampicin, Barbiturates,
Carbamazepine, Dichloralphenazone, Phenylbutazone, Phenytoin and Primidone may
decrease the effect of Plain Prowess.
Pharmaceutical Precautions:
Plain Prowess should be stored in the original pack, preferably at a cool temperature
(below 25 degrees Celsius) and in dry conditions. Protect from light.
Keep
this and all other medicines safely out of the reach of children. Yohimbine
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