St. John's Wort

Herbal Supplements

St. John's Wort, derived from the flowering plant Hypericum perforatum, has been used in traditional herbalism for centuries and is now one of the most widely studied botanical supplements. Research suggests that standardized extracts, typically concentrated for the active compound hypericin, may offer meaningful support for mild to moderate depressive symptoms, with several clinical trials comparing its effects favorably to conventional approaches while noting fewer reported side effects. Studies also indicate potential benefits for anxiety relief, menopausal mood changes, and topical wound healing, though evidence in these areas remains more preliminary. It is worth noting that St. John's Wort has well-documented interactions with numerous medications, including antidepressants, oral contraceptives, and blood thinners, making informed conversations with a healthcare provider especially important.

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What the research says

Interactions

Drug category interactions

Danger SSRIs (fluoxetine, sertraline, etc.) Combining St. John's Wort with SSRIs can cause serotonin syndrome, a potentially life-threatening condition.
Danger Birth control pills St. John's Wort reduces the effectiveness of hormonal birth control, potentially causing contraceptive failure.
Danger Warfarin St. John's Wort significantly reduces warfarin blood levels, potentially causing blood clots.
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Common dosages

These are commonly referenced dosage ranges for this supplement. They are not medical recommendations. Always consult a healthcare provider before supplementing.

Form Dose range Frequency Studied for Source
Extract 300–600 mg Daily Anxiety relief Common in clinical trials targeting mild anxiety symptoms
Extract 300 mg Three times daily Depression support Most common dose in RCTs; standardized to 0.3% hypericin
Extract 600–900 mg Daily Depression support Used in clinical trials as once or twice daily dosing regimens
Extract 300–900 mg Daily Menopause support Used in RCTs for menopausal symptom relief, often combined with black cohosh
Topical 1.5–5 mg As needed Wound healing Topical preparations used in clinical studies for wound and burn healing

Common supplement forms

Hypericum perforatum extract Standardized to hypericin
Medical Disclaimer: Noyemi provides information from published research for educational purposes only. This content is not medical advice and does not replace consultation with a qualified healthcare provider. Always consult your doctor before starting, stopping, or changing any supplement regimen, especially if you take medications or have existing health conditions.