A member asked:

I would like to take st. johns wort for my depression but i know it can decrease the effectiveness of birth control. is it worth the risk.

A doctor has provided 1 answer
Dr. Robert Kohn answered

Specializes in Psychiatry

Advise against using: In order to reasonably answer this question two concerns come up; 1. what do you use for birth control?? OCP other? 2. what is the severity of your depression? Because Hypericum induces the liver enzyme system CYP 450, there is a greater clearance of your oral contraceptive.- more likely to get pregnant. You need another method of protection. Depression-get a professional eval of options

Answered 11/12/2017

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