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St. John's Wort

It matches the prescription antidepressants in adults with mild-to-moderate depression.

Also called Hypericum perforatum, Hypericum, SJW, Klamath Weed, Goatweed, Tipton's Weed

From a plant

Who it's forMen sitting on a flat mood who won't book a doctor's appointment.

The item

Three squares: proven in human trials. Two: a strong signal. One: early human data. Striped: the trials disagree.

Start today

  1. Read your full pill list to a pharmacist before you open the bottle.

Why it works

Hyperforin blocks the reuptake of several brain chemicals at once. That is how it works as an antidepressant. It also strongly switches on the liver enzymes that break down drugs. That second action makes it one of the most interaction-prone substances there is. It can make birth control and transplant drugs fail.

Where it fits

St. John's Wort is a move in 2 protocols. Each one opens the plan it sits in.

What people say

Here is what doctors, influencers and men online say about St. John's Wort, word for word.

Experts

Clinicians, authorities

  • “Overall, the St. John's wort extracts tested in the trials were superior to placebo, similarly effective as standard antidepressants, and had fewer side effects than standard antidepressants.”

    Cochrane · 29 trials, 5,489 patients
  • “St John's wort interacts with hormonal contraceptives reducing the effectiveness and increasing the risk of unplanned pregnancy.”

    MHRA (UK Medicines and Healthcare products Regulatory Agency), Drug Safety Update on GOV.UK · 19 Yellow Card reports since 2000; 15 unplanned pregnancies
  • “There's some evidence that it may help less severe depression, but it's not recommended by doctors.”

    NHS (England)

Gurus

Podcasts, channels, influencers

  • “St John's wort is superior to placebo in improving symptoms, and not significantly different from antidepressant medication”

    herbal monograph
  • “St. John's Wort has repeatedly been shown to work as well as or better than antidepressants in double-blind, placebo-controlled studies.”

    functional-medicine blog article
  • “Studies show that St. John's wort uses seem to work as well as selective serotonin reuptake inhibitors (SSRIs), a popular type of antidepressant that doctors often prescribe first to treat depression.”

    natural-health article

Regular people

Forums, reviews, comments

  • “It was 100% a miracle drug. I have a winter of cheerfulness. If I skipped taking it even for a day though, my mood went down”

    WebMD patient reviews (154 reviews, 4.2 out of 5)
  • “Honestly lose the St John's Wort and this looks okay. Probably the doses aren't correct though as is usually the case for blends like this.”

    r/Nootropics · 47 points
  • “I tried it once, maybe lifted mood a little. I don't think it would be strong enough for bad depression tbh.”

    Patient.info community thread (7 posts)

Use it for a flat, low mood. Clear it against every other pill you take.

Emergency: call 911.

I am not a doctor. This is not medical advice. This is self-education. Talk to a physician who has your history before you change anything.