Doctor insights on:
St John S Wort
I am considering to take a mood enhancer that contains mainly St John’s wort and Siberian Ginseng, will it interact with Twynsta?
Mood & BP issues: St John;s Wort is ancient in use for stress and has been a trigger of mania and/or psychosis. Siberian ginseng is used for stress, it is not what is usually called a ginseng. It is has other uses including lowering blood pressure. Twynstra is used to lower blood pressure so the combination could cause problems. Using these in combination needs to be carefully monitored by your physician. ...Read moreSee 1 more doctor answer
If I took 3 St. John Warts the day before yesterday, and had unprotected sex this morning and got came inside, should I be worried?
Possible issue: Its my understanding that St. John wort may decrease the effectiveness of your birth control pill. You may want to consider taking plan B today or if you are in the middle of your birth control packet at least consider taking 2 pills today. If you are on one of the blanks (pill days 22-28) you are more likely in the clear. ...Read more
Serotonin and more: This is a potent botanical source of some compounds that work similarly to selective serotonin reuptake inhibitors. The recommended dosages on bottles may be low; work with your health care provider on how much may be right for you. The stuff interacts with other meds and taking it with a prescription SSRI can be very dangerous. It's also a sun-sensitizer. ...Read moreSee 1 more doctor answer
St. John's Wort: The active constituents in st. John's wort -- hypericin and hyperforin -- appear to modulate the effects of serotonin, dopamine, and norepinephrine, and may inhibit reuptake of these neurotransmitters. The serotonin activities are thought to be the most important in in working with depression. Hyperforin also induces some cyp450 enzymes, leading to reduced concentrations of certain drugs. ...Read more
Improves mood: One of the natural remedies that actually has some strong scientific evidence for effectiveness treating dysthymia / mild depression / the blues. Talk with your physician first as there are some important drug interactions & some risks. If a person is having any thoughts of harming onesself, don't self-medicate but talk with a physician first. ...Read more
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
Careful: I've followed these; there's a very slight concern about serotonin syndrome if you mix these two drugs that have both been linked to it. Of the two, saint john's wort has far more good evidence of effectiveness. Chat with your physician especially if you're on other meds that might put you at additional risk. ...Read more
See below: St john's wort is the plant species hypericum perforatum, and is also known as tipton's weed, rosin rose, goatweed, chase-devil, or klamath weed. St john's wort is widely known as an herbal treatment for depression. In some countries, such as germany, it is commonly prescribed for mild depression, especially in children and adolescents. ...Read more
Severity counts: St. John's wort is effective for mild to moderate (not severe) depression. It needs to be taken at 300mg 3 times daily for 4-6 weeks for effect -- similar to antidepressants. Use a product standardized to .3% hypericin extract -- some are also standardized to 2-5% hyperforin as well. St. John's wort may precipitate mania just as antidepressants can do. Do not take with antidepressants. ...Read more
Indefinitely: I am not aware of any studies suggesting there is a problem with long-term use. Some recommended dosages are low; you and your physician can work on what's right for you. There are interactions with other meds, so let your physician know. The stuff is also a sun-sensitizer so be careful. ...Read more
Maybe: As a natural antidepressant st. John's Wort can help, it may be no better than talking to a therapist. Also it may be no worse than many of the stronger prescription medications. If you have serious symptoms such as weight loss poor sleep or inability to function you need your doctor. Depression is generally a disease of though -thinking that things should be different than they are. TED talks!! ...Read more
There: are no advantages to any particular time of day in fact there are very few SCIENTIFICALLY BASED medical studies showing it's effect at all) Hope this helps Dr Z ...Read more
My husband started taking St. John's wort and it is not agreeing with him
How long before it is out of his ststem?
Not studied: But I would not expect the effect to stay for more than a week after discontinuation. ...Read more
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