Continuous use of St. John's wort decreases the bioavailabilities of a variety of drugs. This interaction is attributed to the induction of cytochrome P450 3A4 and/or P-glycoprotein. In this study, we aimed to examine the chronic effects of St. John's wort and its constituents, hyperforin and hypericin, on the expression and function of P-glycoprotein in an intestinal cell line, LS 180. We also...

St. John's wort has been used to treat a variety of conditions. Several brands are standardized for content of hypericin and hyperforin, which are among the most researched active components of St. John's wort. St. John's wort has been found to be superior to placebo and equivalent to standard antidepressants for the treatment of mild to moderate depression. Studies of St. John's wort for the t...

The chemical composition of St. John's wort has been well-studied. Documented pharmacological activities, including antidepressant, antiviral, and antibacterial effects, provide supporting evidence for several of the traditional uses stated for St John's wort. Many pharmacological activities appear to be attributable to hypericin and to the flavonoid constituents; hypericin is also reported to ...

OBJECTIVE The aim of the study was to investigate the efficacy and safety of St John's wort extract and selective serotonin reuptake inhibitors (SSRIs) in the treatment of depression. METHODS Databases were searched for studies comparing efficacy and/or safety of St John's wort extract with SSRIs in depression from 1966 to April 2015. Stata software was used for statistical analysis. RESULT...

St. John's wort is a plant with yellow flowers that has been used for centuries for health purposes, such as for depression and anxiety. This fact sheet answers some frequently asked questions about St. John's wort and depression, and summarizes what the science says about its effectiveness and the research being done. • Studies suggest that St. John's wort is of minimal benefit in treating maj...

OBJECTIVE To report 2 cases of adverse reactions to St John's wort, a popular herbal treatment for depression. METHOD We present 2 case histories and review the existing literature regarding St John's wort. RESULTS St John's wort may cause serotonin syndrome in sensitive patients. In addition, St John's wort may be associated with hair loss. CONCLUSIONS For clinical reasons, it is importa...

The ability of arbuscular mycorrhizal fungi (AMF) to influence the performance of nonnative invasive plants in their introduced range has received increasing attention. The dependence of the invasive nonnative vine pale swallow-wort on AMF was studied in three greenhouse experiments. The aims of the present work were to (1) determine AMF colonization levels of field-collected pale swallow-wort ...

OBJECTIVE To analyze the effects of certain herbs on sperm DNA and on the fertilization process. DESIGN Prospective comparative study. SETTING Clinical and academic research environment. PATIENT(S) Donor sperm specimens. INTERVENTION(S) Zona-free hamster oocytes were incubated for 1 hour in saw palmetto (Serenoa repens), echinacea purpura, ginkgo biloba, St. John's wort (Hypericum perfo...

The work aimed to determine the levels of hypericins expressed as hypericin in the herbal substance of St. John's wort, in capsules and tablets containing the extract of St. John's wort, tablets containing powdered herb and in tincture and juice from fresh St. John's wort, by HPLC method with spectrophotometric detection. In addition, the amount of hypericins in the infusion prepared from St. J...

QUESTION A 23-year-old patient of mine has been taking St John's wort for postpartum depression for about 2 years. She is now planning her second pregnancy. Is she or her fetus at risk if she continues to take the herbal therapy? ANSWER Despite the widespread availability and use of St John's wort and extensive research on the herb, there are almost no data on reproductive safety. At this sta...