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Evidence: Clinical study
Logical Profile #st-j

St. John's Wort

Hypericum perforatum

Mechanism of Action

"Non-selective monoamine reuptake inhibitor (5-HT, Dopamine, Norepinephrine); potent Pregnane X Receptor (PXR) ligand inducing hepatic CYP3A4."

Active Compounds
Hyperforin
Hypericin
Pseudohypericin
Flavonoids
Tissue Affinity

Central Nervous System, Peripheral Nerves

Medical Indications

Mild to moderate unipolar depression, neuropathic pain, somatoform disorders

Dosage Logic

300mg standardized extract (0.3% hypericin, 3-5% hyperforin) tid with food. Mandatory prescription cross-check.

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General Cautions
Drug Interactions

Potent inducer: Cyclosporine, Oral contraceptives, Digoxin, Warfarin, SSRIs

Contraindications

Severe bipolar disorder, Concurrent SSRI/SNRI prescription