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St. John's Wort

Traditional mood-supporting herb that helps manage mild to moderate depression, anxiety, and seasonal affective disorder naturally

Scientific nameHypericum perforatum FormulaComplex hypericin and hyperforin Molecular weightVariable bioactive compounds g/mol CASVarious natural compounds
70 absorption score
5 safety / 10
20 USD per month
5 documented interactions

Check it against something

Evidence level C

St. John's Wort with:

Compatibility score 75 out of 100
75 out of 100
Works better together Compatible. Timing differs, so follow each supplement's own window.

Check it against your whole stack →

What it does

mechanism and evidence for each claim

Mild to moderate depression relief

Effective for treating mild to moderate depression symptoms

Inhibits reuptake of serotonin, dopamine, and norepinephrine Evidence A-grade 4-8 weeks

Anxiety and stress reduction

Helps reduce anxiety, stress, and nervous tension

Modulates neurotransmitter systems affecting mood and anxiety Evidence B-grade 2-6 weeks

Seasonal Affective Disorder (SAD) support

May help with seasonal depression and winter mood changes

Light-sensitive compounds may affect circadian rhythms Evidence B-grade 4-8 weeks

Sleep quality improvement

May improve sleep quality and reduce sleep disturbances

Neurotransmitter balance affects sleep regulation Evidence C-grade 3-6 weeks

Nerve pain and wound healing

Traditional use for nerve pain and topical wound healing

Anti-inflammatory and nerve-protective compounds Evidence C-grade 2-4 weeks

Others take these for the same thing

Same goal, different mechanism — check any of them against this one

Every pair we checked

12 combinations scored by the engine
St. John's Wort + Caffeine No documented interaction either way No known interaction 70
St. John's Wort + Creatine Monohydrate No documented interaction either way No known interaction 70
St. John's Wort + Calcium Carbonate No documented interaction either way No known interaction 70
St. John's Wort + Whey Protein No documented interaction either way No known interaction 70
St. John's Wort + Lactase No documented interaction either way No known interaction 70
St. John's Wort + Bovine Collagen No documented interaction either way No known interaction 70
St. John's Wort + DHA No documented interaction either way No known interaction 70
St. John's Wort + Turmeric No documented interaction either way No known interaction 70
St. John's Wort + Fish Oil (EPA/DHA) No documented interaction either way No known interaction 70
St. John's Wort + Magnesium Oxide Enhanced anxiety reduction and mood stability Works better together 75
St. John's Wort + Omega-3 + Curcumin + Vitamin D Triple Anti-Inflammatory Formula Enhanced mood and depression benefits Works better together 78
St. John's Wort + Vitamin D3 Enhanced mood and energy benefits Works better together 78

Dosage

With meals divided doses
Daily600-900mg
Mild depression600-900mg daily (divided doses)
Moderate depression900mg daily (divided doses)
Anxiety stress600-900mg daily
Seasonal depression900mg daily

Before you take it

Pregnancyavoid — interacts with many drugs
VeganYes

When to expect it

First Effects2-4 weeks for initial mood improvement
Peak Benefits6-12 weeks for sustained depression and anxiety relief
Deficiency DevelopmentReturn to baseline mood and depression symptoms
Toxicity OnsetSun sensitivity can occur within days

How to measure it

Not applicable
MarkerNot routinely tested - monitor mood and symptoms
OptimalImproved mood scores and depression rating scales
Deficient belowNot applicable for supplement
FrequencyMonitor mood and any medication levels if applicable

What people actually reported to the FDA

CAERS, 20 reports naming it as the suspect

Most reported effects

Headache 4
Anxiety 3
Burning sensation 3
Dyspepsia 3
Blood pressure increased 2
Named as the suspect 20 reports of 41 that mention it at all
Serious outcome 69% hospitalisation, emergency room or worse
Other Serious or Important Medical Event8
Hospitalization7
Visited a Health Care Provider6

Reports are voluntary and unverified — they record what someone experienced while taking something, not what the compound caused. Counts skew towards products people take a lot of, and a serious outcome is more likely to be reported than a mild one, so these are not rates. How we filter them →

What actually reaches you

The label counts the carrier, your body does not
Absorption High 70 of 100 · absorbs well relative to other forms
Delivered daily 525 mg
Cost per 100 mg delivered $0.13 comparative — uses the absorption score, not a measured percentage

Works better with

3 documented
+
Omega 3 Fatty Acids

Enhanced mood and depression benefits

Both support neurotransmitter function and reduce inflammation · level B
+
B Complex Vitamins

Enhanced mood and energy benefits

B vitamins support neurotransmitter synthesis · level B
+
Magnesium

Enhanced anxiety reduction and mood stability

Both support nervous system function · level C

What not to take with St. John's Wort

2 documented
!
Antidepressant Medications

Risk of serotonin syndrome and dangerous interactions

Both affect serotonin systems · major significance
!
Birth Control Pills

May reduce effectiveness of hormonal contraceptives

Induces liver enzymes that metabolize hormones · major significance

Medication interactions

Discuss these with a pharmacist before combining
antidepressants-ssris Major

Risk of serotonin syndrome

What to do: NEVER combine - potentially life-threatening

birth-control-pills Major

Reduces effectiveness of hormonal contraceptives

What to do: Use additional contraception methods

blood-thinners Major

Reduces effectiveness of anticoagulants

What to do: Monitor INR closely, avoid combination

Available forms

bioavailability compared
Standardized Extract (0.3% hypericin, 3% hyperforin) 75
LI 160 (Jarsin, Perika brands) 80
Whole Herb Extract 65
Dried Herb Powder 50

Standardized Extract (0.3% hypericin, 3% hyperforin): Most researched, Standardized potency, Clinical backing, Consistent effects

LI 160 (Jarsin, Perika brands): Specific research extract, German quality, Clinical studies, Proven efficacy

Whole Herb Extract: Complete spectrum, Traditional form, More affordable, Natural

Dried Herb Powder: Traditional form, Complete plant, Lower cost, Natural

Food sources

before you supplement
Fresh St. John's Wort flowers Traditional preparation for oil/tea · 40
St. John's Wort extract supplements 300mg per capsule (typical) · 70-80
St. John's Wort tea Lower concentration · 35
St. John's Wort oil Traditional topical preparation · Topical use

Too little

deficiency signs
  • Not essential - but symptoms addressed by St. John's Wort:
  • Mild to moderate depression and low mood
  • Anxiety and chronic stress
  • Seasonal depression and winter blues
  • Sleep disturbances related to mood
  • Emotional instability and mood swings
  • Lack of motivation and energy

Too much

toxicity signs
  • Generally safe but significant concerns:
  • Photosensitivity and severe sunburn
  • Major drug interactions reducing medication effectiveness
  • Serotonin syndrome with antidepressants
  • Breakthrough bleeding with birth control

Who benefits most

mild-moderate-depression

Excellent evidence for treating mild to moderate depression

300mg (0.3% hypericin) 3x daily
anxiety-stress-management

Effective for reducing anxiety and stress symptoms

300mg 2-3x daily
seasonal-affective-disorder

May help with winter depression and seasonal mood changes

300mg 3x daily
sleep-problems-insomnia

May improve sleep quality in depression-related insomnia

300mg 2-3x daily
nerve-pain-neuropathy

Traditional use for nerve pain and neuropathy

300mg 2-3x daily

Where to buy it

compare forms first

Look for St. John's Wort at 600-900mg per serving. The form that matters here is Standardized Extract (0.3% hypericin, 3% hyperforin).

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How it works

  • Inhibits reuptake of serotonin, dopamine, and norepinephrine
  • Hyperforin affects multiple neurotransmitter systems
  • May modulate GABA and glutamate neurotransmission
  • Affects hypothalamic-pituitary-adrenal axis
  • Anti-inflammatory effects may reduce neuroinflammation
  • May influence circadian rhythm regulation

Key findings

what the evidence supports
  • Strong evidence for mild to moderate depression - equal to synthetic antidepressants
  • Generally effective and well-tolerated for depression
  • Major drug interaction concerns require careful monitoring
  • Should not be combined with prescription antidepressants

Sources: NIH Examine.com · data reviewed 2026-08-02

Compiled by Denis, who maintains this database and holds no medical qualification — every figure here is sourced or derived, never asserted. How we calculate it →

Common questions

What are the benefits of St. John's Wort?

Documented effects: Mild to moderate depression relief; Anxiety and stress reduction; Seasonal Affective Disorder (SAD) support; Sleep quality improvement. Effective for treating mild to moderate depression symptoms

How much St. John's Wort should you take per day?

The common daily range is 600-900mg. By goal — mild depression: 600-900mg daily (divided doses); moderate depression: 900mg daily (divided doses); anxiety stress: 600-900mg daily; seasonal depression: 900mg daily.

When is the best time to take St. John's Wort?

With meals divided doses. First effects are typically reported within 2-4 weeks for initial mood improvement.

What are the side effects of St. John's Wort?

At excessive doses: Generally safe but significant concerns:, Photosensitivity and severe sunburn, Major drug interactions reducing medication effectiveness, Serotonin syndrome with antidepressants, Breakthrough bleeding with birth control. Safety rating at normal doses is 5 out of 10.

What should you not take with St. John's Wort?

Separate it from Antidepressant Medications, Birth Control Pills by two to four hours. Risk of serotonin syndrome and dangerous interactions

Does St. John's Wort interact with medications?

Documented interactions with antidepressants-ssris, birth-control-pills, blood-thinners. Discuss these with a pharmacist before combining.

How do you know if you need St. John's Wort?

The marker is Not routinely tested - monitor mood and symptoms, optimal range Improved mood scores and depression rating scales. Common deficiency signs: Not essential - but symptoms addressed by St. John's Wort:, Mild to moderate depression and low mood, Anxiety and chronic stress, Seasonal depression and winter blues.

Taken for