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Rooted

Genitourinary · also Cardiovascular

Erectile dysfunction (adjunct / warning)

4 plants

Ask Assistant about this

ED is a cardiovascular risk marker until you look. PDE5 inhibitors have the outcome file; nitrates are the hard interaction. Yohimbe (alpha-2 antagonist) is in the catalog as a warning — HTN, arrhythmia, panic. Asian ginseng has some mixed ED trial data and insomnia/INR costs. Ginkgo is a bleed next to a future angiogram. This is not a reason to skip a lipid panel.

Primary plants

  1. Asian ginseng (Panax ginseng)
    1
    Asian ginsengHuman data

    Panax ginseng

    Some mixed human ED/sexual-function data. Insomnia, BP, INR. Not a PDE5.

    Typical. Root extract 200–400 mg if they insist on a plant after the CV screen.

    Safety. Insomnia, HTN, warfarin INR. Not nitrates+PDE5 counseling.

  2. Yohimbe (Pausinystalia johimbe)
    2
    YohimbeStrong traditional

    Pausinystalia johimbe

    Alpha-2 antagonist toxicity object. HTN, tachycardia, panic, seizure. Not a bedroom supplement.

    Typical. Do not use.

    Safety. Pressor crises, arrhythmia. Hard no.

Supportive plants2
  • Ginkgo (Ginkgo biloba)
    GinkgoHuman data
    Ginkgo biloba

    Circulation marketing. Bleed. Mixed sexual-function data.

    Typical. Usually skip next to antiplatelets.

    Safety. Bleed.

  • Velvet bean (Mucuna pruriens)
    Velvet beanStrong traditional
    Mucuna pruriens

    Mucuna: L-dopa-containing. A Parkinson's-adjacent object, not an ED drug. Nausea, add-on to levodopa is a specialist problem.

    Typical. Do not start it for ED.

    Safety. Nausea. Dopaminergic stacking.

Clinical notes

  • Chest pain on a PDE5, or a nitrate in the med list, is the interaction that matters — not ginseng.

When this is not enough

  • Unstable angina, nitrate use, priapism, sudden vision/hearing loss on a PDE5

Rooted is a private clinical reference for licensed practitioners. It is educational, not a treatment protocol, and not a substitute for the chart, the exam, or pharmacy review. Plant medicines interact with drugs and can harm liver, kidney, heart, pregnancy, and children.

All genitourinary diagnoses