herb

St. John’s Wort

TL;DR

St. John's Wort (Hypericum perforatum) contains hyperforin and hypericin.

Overview

St. John's Wort (Hypericum perforatum) contains hyperforin and hypericin. It inhibits reuptake of serotonin, norepinephrine, dopamine, GABA, and glutamate. Meta-analyses confirm efficacy equal to SSRIs for mild-moderate depression. CAUTION: Major drug interactions via CYP3A4 induction.

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products in our database contain St. John’s Wort

Source · MoodStack database

Compound forms

St. John’s Wort comes in several molecular forms. Each absorbs and acts differently.

St. John’s Wort

Hypericum perforatum

Bioavailability

25%

Typical dose

300–1800 mg

Benefits

  • Antidepressant
  • Multiple reuptake inhibition
  • Anti-inflammatory
  • Wound healing

Dose guide

Common dose

300 mg 3x daily (standardized to 0.3% hypericin)

Typical range

300900 mg

Based on 0 products in our database.

Interactions

dangerous. St. John's Wort inhibits serotonin, norepinephrine, and dopamine reuptake; combining with pharmaceutical antidepressants can cause serotonin syndrome (hyperthermia, seizures, death)

inhibits. St. John's Wort strongly induces CYP3A4 and P-glycoprotein, significantly reducing blood levels of ethinyl estradiol and progestins; documented contraceptive failures

inhibits. Potent CYP3A4 induction reduces cyclosporine levels by 40-60%; documented cases of organ transplant rejection due to this interaction

inhibits. CYP induction increases warfarin metabolism, reducing its anticoagulant effect; INR may drop significantly, increasing thrombotic risk

synergistic. Both support mood through complementary mechanisms — SJW modulates monoamine reuptake while omega-3 DHA supports neuronal membrane fluidity for neurotransmitter signaling

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