Doctor insights on:
St Johns Wort With Sertraline
I would encourage: You not to take both these compounds together. I usually recommend taking an antidepressant over st johns' wort because in this country, herbals are not well regulated. In europe - herbals are treated like other medications ; are regulated. ...Read more
I took st john wort yesterday. Can I start my Zoloft (sertraline) tomorrow or should I wait longer?
St. John wart: I would wait a few more days as I don't know how long you were on it. ...Read more
Neutraceuticals: Don'tGet a more detailed answer ›
Does Zoloft (sertraline) cause weight gain? Are there any interactions with Zoloft (sertraline) and st. John's wort?
There is no strong association between zoloft (sertraline) and weight gain but depression can cause loss of appetite and treatment may cause it to return.
Do not take st. Johns wort, its affects are additive to zoloft (sertraline) and might cause a condition called serotonin syndrome or neuroleptic malignant syndrome. ...Read more
Can I drink chamomile tea with Zoloft (sertraline)? Is there an interaction? I know St. John's Wort is off limits :) Is chamomile safe?
Natural supplaments like sam-e, 5-htp, st johns wort are good for depress, anx & mood. Can all be taken, or just 1 or 2? I'm not on prescrip meds.
Perhaps but caution: Each of these has been shown to work as well as prescription antidepressants, but just as I would not start someone on 3 meds at the same time I would not start all of these at once; it will probably not be necessary and you could wind up with too much serotonin, which can be toxic. My favorite of these is 5-htp, usually 200-300 mg, esp. Beneficial if you have insomnia &/or anxiety. See my comment. ...Read more
Potent herbs: This can elevate the mood much like a synthetic selective serotonin reuptake inhibitor, and some say it's a good adjunct to the process of learning how to maintain a happy, productive attitude through insight and practice. It's also likely to sensitize your skin to sunlight and may make your hands tingly. Always let your physicain know if you take it. ...Read more
No good studies yet: Different studies have examined different doses, and different companies put different recommendations on their bottles; you've probably noticed. The stuff seems quite safe used judiciously, and some people do wel on higher doses, but it's very dangerous combined with prescription SSRI's, and is a famous sun-sensitizer. ...Read more
See a doc: If you are so depressed that you are thinking of this, or mixing it with St. John's wort, you are much better off getting a med whose dosage is known, its production for potency per mg is regulated, & whose side effects are well studied and understood. If you do not wish to see a doctor, consider non-medical ways to treat depression which are known to help. Proper diet, regular exercise, therapy ...Read more
Yes, but...: St. John's wort will speed up the rate that your liver breaks down losec (omeprazole). So combining both medications will reduce the effectiveness of losec (omeprazole). ...Read more
I take alprazolam 0.50 when needed to (usually 2 to 3 times a month). Are there none interactions with that drug and st johns wort or 5-htp daily?
St. John's Wort may: Decrease effects of Alprazolam; may interact with 5-HTP (5-hydroxytryptophan) to increase risk of a rare but serious condition called serotonin syndrome; and may interact with some foods. These interactions may mimic anxiety/panic attacks. Consult prescriber regarding all medications and supplements to determine what is best for your situation. Best regards for good health and well-being. ...Read more
St. Johns Wort: St. John's wort is a natural, herbal medicine that is reported to treat depression. The psychiatric hx. Of this plant goes all the way back to ancient Greece where it was used to treat “nervous conditions”. Over the years it’s been reported to help PMS, menopause, Usual dosage of St. John's wort is 300 mg, 3x a day. But, since herbal supplements are not regulated by the FDA, the dose may vary. ...Read more
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
Interaction: Using them together can cause your diltiazem level to decrease. Discuss with your pcp and if your BP is well controlled MAYBE you can add a little st johns wort and see if it goes up. Another option would be to choose an antidepressant medication that has no interaction. St johns wort can be effective but its hard to know if you are getting the same dose each time... ...Read more
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
I am unsure if the mechanism of medication-induced oxidative enzyme inhibition is known. A pharmacologist might know. It is my understanding, however, that it is time-limited, meaning the enzyme returns to normal levels once the medication is no longer taken.
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)? Other studies show that st. John's wort has similar serotonin reuptake-inhibiting action to prozac, leading to adverse effects. ...Read more
Equivocal findings: There was a small (37 patients) study suggesting that st john's wort (sjw) might elevate tsh. Http://tinyurl. Com/lvjyayl in this study, 4/37 patients with elevated TSH had taken sjw in the 3-6 month period before TSH was measured, but only 2/37 of those with normal TSH had taken sjw in the same time period. Some question the data analysis of this small difference. Http://tinyurl. Com/mw5zhcu. ...Read more
St John's wort: "A 2009 systematic review of 29 international studies suggested that St. John’s wort may be better than a placebo (an inactive substance that appears identical to the study substance) and as effective as standard prescription antidepressants for major depression of mild to moderate severity." REF: https://nccih. Nih. Gov/health/stjohnswort/sjw-and-depression. Htm. However, many studies are from ...Read more
Should be okay...: Among the infants nursed by mothers taking st. John’s wort, there were reports of adverse events, including colic, drowsines, & lethargy. Some reports in animals suggest that st. John’s wort may reduce milk production. The jury is still out and most experts would allow breastfeeding while taking st. Johns wort with close monitoring for the above issues. ...Read more
Not personally: I have not taken st. John's wort, but good research shows it's effective for mild to moderate depression. Results depend also on product used, including standardization and reliability of contents. Http://www. Consumerlab. Com/ is a very helpful site to learn about specific products which have been tested. I have been treated homeopathically for a bad ptsd, and the results have been profound. ...Read more