Learn all about St. John's Wort

What is St. John's Wort?

Brighten mood & ease tension naturally with St. John's Wort. This clinically-studied herb supports balanced neurotransmitter levels. Feel uplifted!

Benefits of St. John's Wort

    "St. John's Wort has substantial evidence for effectiveness in mild to moderate depression, comparable to some standard antidepressants but with generally fewer side effects. However, its significant herb-drug interactions are a legitimate concern that's often underappreciated. Patients should never self-prescribe alongside other medications without professional guidance, and should know that, like conventional antidepressants, it typically requires several weeks of consistent use before benefits appear."
    - Dr. Edzard Ernst, Professor Emeritus at the University of Exeter, specializing in Complementary Medicine (source)

    How to use St. John's Wort

    Dosage

    300mg three times daily (standardized to 0.3% hypericin or 3-5% hyperforin) for depression; lower doses may be used for general mood support

    Timing

    Usually taken with meals to reduce digestive discomfort; consistent daily use at evenly spaced intervals is recommended

    Notes

    Full effects typically require 2-6 weeks of consistent use; should not be stopped abruptly if taken long-term; extract quality and standardization significantly impact effectiveness

    Who should take St. John's Wort?

    • Adults with mild to moderate depression who prefer natural approaches
    • Individuals experiencing seasonal mood changes
    • Those looking for alternatives to conventional antidepressants
    • Not recommended for those with severe depression, bipolar disorder, or taking multiple medications

    How does St. John's Wort work?

    St. John's Wort works through multiple pathways affecting brain chemical systems. Its active compounds, particularly hyperforin, prevent the removal (reuptake) of brain chemicals like serotonin, dopamine, norepinephrine, GABA, and L-glutamate, making more of them available. Additionally, it moderately inhibits monoamine oxidase (MAO) enzymes (enzymes that break down brain chemicals) and reduces the production of substances that cause inflammation which may contribute to depression. These combined actions appear to adjust brain chemical signalling, reduce inflammation in the brain, and help balance the body's stress response system.

    Frequently asked questions

    Natural sources of St. John's Wort

    St. John's Wort is derived solely from the flowering tops of the Hypericum perforatum plant, a yellow-flowering perennial herb native to Europe and Asia but now naturalized in many parts of the world. The plant contains over two dozen bioactive compounds concentrated in its bright yellow flowers, which release a red pigment when crushed. There are no dietary sources of St. John's Wort's specific compounds, making it accessible only through harvesting the plant or in supplement form. Commercial preparations typically use standardized extracts to ensure consistent levels of key compounds like hypericin and hyperforin.

    Potential side effects & risks

    Warnings

    Should not be combined with antidepressants, triptans, or other serotonergic drugs (drugs affecting serotonin) due to potential serotonin syndrome risk (a potentially dangerous condition); not appropriate for severe depression, bipolar disorder, or during pregnancy/breastfeeding; may trigger mania in susceptible individuals

    Side effects

    Generally well-tolerated with reported effects including mild digestive upset, dry mouth, dizziness, fatigue, and increased sun sensitivity (phototoxicity) in fair-skinned individuals

    Interactions

    Significantly interacts with many medications by speeding up liver enzymes (cytochrome P450) that process medications, potentially reducing effectiveness of hormonal contraceptives, warfarin, cyclosporine, HIV medications, cancer drugs, and many others