It's not available via prescription in the US, although I think you can order it online.Is anyone here prescribed tramadol (Ultram) for SA or any other mental disorder or know of anybody who is?
Carvedilol only partially blocks alpha/beta-adrenergic activity. Claiming it's safe to use to counter the adverse hypertensive effects of other medications is purely conjecture. I would strongly discourage this combination.The only problem with yohimbine is its annoying effect of causing release of noradrenaline/adrenaline, which causes blood pressure rises, anxiety, etc. This can be easily sorted by adding carvedilol, a mixed alpha/beta blocker used to control heart rate/blood pressure. Sounds dangerous, but when titrated up slowly, it really isn't.
