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St John's wort

Also known as: Hypericum perforatum

Classification

Supplement

Regulatory Status

Overview

St John's wort is a botanical discussed for depressive symptoms and is a known inducer of drug-metabolizing pathways. This record does not establish a treatment plan.

Evidence and limitations

Human/preclinical evidence breakdown is not available in this record.

ClassB source cannot establish canonical regulatory or safety fields. The statements below are retained as uncertainty, not as a label-backed verdict. | Regulatory status: not-established | Warning: Serious drug interactions from enzyme induction are the principal harm | Precaution: Risk profile is not a personal clearance | Adverse effect: gastrointestinal upset | Adverse effect: photosensitivity | Serious adverse effect: loss of effect of interacting medicines | Serious adverse effect: serotonin syndrome with serotonergic drugs

Pathways

serotonincyp3a4botanical extractdrug-metabolism inductionhyperforin

Benefits

A PubMed systematic review examined St John's wort for major depressive disorder.

Interactions & cautions

CYP3A4 and P-glycoprotein substrates

These are observational flags for review, not individualized instructions.

Sources

Educational reference only — not medical advice.