St. John's Wort
Hypericum perforatum
Tradition of Use: Western, European
Mechanism of Action
Inhibits serotonin, dopamine, norepinephrine reuptake; modulates GABA and glutamate receptors
Key Conditions & Uses
Preparation
Tea, tincture, capsule
Dosage
300mg 3x daily (0.3% hypericin standardized)
Active Compounds
Hypericin, hyperforin, flavonoids
Interactions
Strong CYP450 inducer - reduces efficacy of many drugs including birth control, warfarin, SSRIs
Contraindications
Pregnancy; concurrent antidepressants; bipolar disorder; photosensitivity
Evidence Level & Clinical Notes
Evidence Level:
Strong - comparable to SSRIs for mild-moderate depression
Clinical Notes:
Major drug interactions; causes photosensitivity; takes 4-6 weeks for effect
Conditions This Helps
Used In These Protocols
Quick Overview
Key Points
This information is for educational purposes. Always consult with a qualified healthcare provider before starting any herbal protocol or supplement regimen.
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