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Doctor insights on: Side Effects Of St John's Wort

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What are the effects of st. John's wort and alcohol when taken together?

What are the effects of st. John's wort and alcohol when taken together?

St. John's Wort: St. John's wort is taken to treat mild depression. Alcohol is a depressant, so taken with st. John's wort, does not improve depression. Treat the alcohol problem, then the depression may improve without st. John's wort. ...Read more

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I've read that st. John's wort + omeprazole reduces effectiveness of st. John's worth. Does taking 5htp and omeprazol decrease effectiveness of 5htp?

I've read that st. John's wort + omeprazole reduces effectiveness of st. John's worth. Does taking 5htp and omeprazol decrease effectiveness of 5htp?

Not quite: St. Johns wort induces the liver cytochrome enzymes that metabolize Omeprazole -- cyp 3a4 and 2c19. This decreases the effectiveness of omeprazole. It sounds like you were thinking this is the other way 'round? Checking a couple of resources, i could not find evidence for any similar issue with 5htp and omeprazole. St. John's wort can induce metabolism of Omeprazole & many other medications. ...Read more

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Is there any interactions by taking both St. John wort & L-Theanine ?

Is there any interactions by taking both St. John wort & L-Theanine ?

No: This should be fine, and many herbal formulations for mood contain both, and more. ...Read more

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Out of fluoxetin, escitalopram, sertraline, and citalopram, which has the best (or safest) side effect profile?

Out of fluoxetin, escitalopram, sertraline, and citalopram, which has the best (or safest) side effect profile?

Antidepressants: I understand your need to have a medication for depression which is effective. All 4 Medications are in the class of Selective Serotonin Reuptake Inhibitors (SSRI) antidepressant. They all have benefits; and side effects. Depending upon your metabolism, use of alcohol and other drugs. Discuss with Psychiatrist side effects you have, and those of Effexor, (venlafaxine) and Wellbutrin and decide; and Therapy. ...Read more

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What is your opinion on st. John's wort for depression?

What is your opinion on st. John's wort for depression?

Positive: Sjw may be helpful in some cases of mild depression. You may need more treatment interventions if your depression is severe. ...Read more

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Dr. Alan Ali Dr. Ali
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Can GABA and st johns wort be combined?

Dr. Alan Ali Dr. Ali
4 doctors agreed:

GABA: No direct harmful effect that I am aware of. ...Read more

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Can the medicine st johns wort work?

Can the medicine st johns wort work?

St. John's Wort: St. John's wort is a botanical medicine which has been used extensively in germany and other european countries for depression and anxiety, and studied & used in the us as well. Multiple studies and meta-analyses indicate it's as effective as tricyclic antidepressants and serotonin reuptake inhibitors in the short-term management of mild-moderate depression. However, not for more severe cases. ...Read more

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Is Prozac (fluoxetine) 1 of the safest anxiety meds available with the least major side effects and is there any cardiovascular side effects. Starting lowest dose.

Is Prozac (fluoxetine) 1 of the safest anxiety meds available with the least major side effects and is there any cardiovascular side effects. Starting lowest dose.

Its pretty safe: It's used for depression, social anxiety, panic attacks, ocd but not so much for generalized anxiety. 10mg is lowest pill but it comes in liquid form or you can dissolve it in juice and start with tongue wetting for very sensitive patients. Hope this help! ...Read more

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Can I combine St. Johns Wort tea and Rhodiola Rosea?

Can I combine St. Johns Wort tea and Rhodiola Rosea?

Not advisable: St John's Wort is a flowering plant of the species Hypericum perforatum. It contains a substance that acts like an SSRI, similar to Prozac or Zoloft (sertraline). SJW has the same problems that all herbal or "natural" compounds have - the concentration of the active ingredient is unknown, and such compounds are often heavily contaminated with aspirin-like compounds, or worse (e.g., heavy metals). ...Read more

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Can st. Johns wort be taken with one dose of .025mg xanax (alprazolam)?

Can st. Johns wort be taken with one dose of .025mg xanax (alprazolam)?

Would not use: St. John's wort can induce the liver enzymes needed to metabolize xanax (alprazolam) and prozac, possibly making them less effective. Why would you want to take st. John's wort when you're already on Prozac & xanax (alprazolam) (according to your additional patient information)? ...Read more

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Could st john's wort work for major depression and anxiety?

Could st john's wort work for major depression and anxiety?

Supplements like: St John's Wort do not undergo rigorous laboratory testing, like psychiatric medications. Therefore, no one can tell you if it will work for major depression & anxiety. You are safer to consider meeting with a psychiatrist & being followed to be sure you are on the right medication & that is is working. Don't risk using something that has not been tested. ...Read more

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Anyone know of all side effects of zoloft (sertraline)?

Anyone know of all side effects of zoloft (sertraline)?

Most common ones: The most common ones (not possible to include all in 400 characters) are restlessness, mild headache, and mild stomach upset or loosening of stools. Each occurs in about 15% of people and usually go away in 2-3 weeks. Uncommomly, suicidal thinking may worsen at first, so be carefully monitored by a therapist. Over the long run there may be mild weight gain and sexual problems. ...Read more

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Which of Feluoxetine or Citalopram has positive effects on memory alongside its antidepressant effects?

Which of Feluoxetine or Citalopram has positive effects on memory alongside its antidepressant effects?

Neither: Neither Fluoxetine nor Citalopram actually improves memory. But depression can impact motivation, so that your attention to detail and your will to "try" decrease. This ends up affecting memory, if you're so depressed you don't even care about information that's coming in. By treating depression, these medications may allow your normal functioning to proceed. ...Read more

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Can bisulepine and St. John's Wort be taken together?

Can bisulepine and St. John's Wort be taken together?

Unclear: Bisulepine is not used in the USA so a lot of the resources for checking for interactions do not include it. But St. John's wort affects other antihistamines and lots of other drugs too. Its many drug interactions limit its usefulness and increase risk. Here's some info: http://www.med.nyu.edu/content?ChunkIID=31050 ...Read more