St. John’s Wort

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Hypericaceae

St. John’s Wort

Hypericum perforatum
⚠ Use with Caution Avoid in Pregnancy
Native to: Europe, Western Asia, North Africa
Also known as: Tipton's Weed, Chase-devil, Klamath Weed
Wikimedia Commons / CC BY-SA

🌱 Parts Used

FlowerLeaf

💊 Therapeutic Uses

Mild to moderate depression (evidence equivalent to SSRIs with fewer side effects in multiple meta-analyses), anxiety, seasonal affective disorder, nerve pain, menopausal symptoms.


Herbal Actions

Antidepressant, anxiolytic, antiviral, anti-inflammatory, vulnerary, nervine

🔬 Active Constituents

Hypericin, pseudohypericin, hyperforin, flavonoids (quercetin, rutin, kaempferol), xanthones

⚗️ Preparation Methods

☕ Herbal Tea🏺 Tincture💊 Capsule🧴 Salve/Balm

📐 Traditional Preparation Notes

Herbal Tea2 tsp dried herb per 250ml, steep 10 min, 3x daily
Tincture2–4 ml (1:5, 60% ethanol), 3x daily
NotesClinical antidepressant effect requires 4–6 weeks. Standard extract: 300mg (0.3% hypericin) 3x daily. Topical oil (macerated in olive oil) for nerve pain.

⚠️ Safety Information

Safety Rating ⚠ Use with Caution
Pregnancy Avoid in Pregnancy
Drug Interactions ⚠ Known interactions

Contraindications: MAJOR drug interactions via CYP3A4 induction — reduces efficacy of: oral contraceptives, antiretrovirals, cyclosporine, warfarin, digoxin, certain antidepressants (serotonin syndrome risk with SSRIs/MAOIs). Photosensitivity at high doses.

Side Effects: Photosensitivity (fair-skinned individuals), GI upset, dry mouth, dizziness. Serotonin syndrome risk with serotonergic drugs.

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