Please could someone inform me as to how long St John's Wort should be
taken before the effects can be felt and also how long can it be taken
safely?
Mark Thorson - 08 Sep 2003 20:30 GMT
> Please could someone inform me as to how long St John's Wort should be
> taken before the effects can be felt and also how long can it be taken
> safely?
With regard to the second part of your question, SJW is known
to have powerful interactions with other drugs. It accelerates
the efflux and metabolization of other drugs, so diminishing
their effect. For example, there have been recipients of organ
transplants taking cyclosporin to suppress organ rejection, who
have had rejection episodes caused by SJW reducing the
effectiveness of cyclosporin. There have also been women
taking birth control drugs who got pregnant as a result of the
effect of SJW on such drugs. If you are taking any prescription
pharmaceutical, you should not be taking SJW.
There is at least one report in the medical literature of an
alleged case of addiction to SJW. That's not to say it is
proven that addiction will occur -- merely that there is one
report. Considering how widely SJW is used, addiction
must be somewhat uncommon, if it occurs at all.
Other than those risk factors, SJW seems to be well tolerated
in most people. There's a recent paper which has a very
thorough review of the possible adverse effects of SJW:
"St. John's Wort: A Systematic Review of Adverse Effects
and Drug Interactions for the Consultation Psychiatrist",
_Psychosomatics_, volume 44, number 4, pages 271-282.
I've read most of the literature on the possible bad effects
of SJW, and I would say this is by far the best review.
Anth - 08 Sep 2003 21:45 GMT
http://www.abc.net.au/rn/talks/8.30/helthrpt/stories/s555147.htm
(Assuming you want it for depression)
Anth
Kimmer - 09 Sep 2003 00:48 GMT
> Please could someone inform me as to how long St John's Wort should be
> taken before the effects can be felt and also how long can it be taken
> safely?
The other folks who have responded gave you some good info. You should
also know that St. John's wort is only good for mild depression, and
someone with more severe depression will not get any benefit from it.
Kimmer
email: Lady_Kimmer at altcastlenet dot com
Mark Thorson - 09 Sep 2003 02:28 GMT
> The other folks who have responded gave you some good info. You should
> also know that St. John's wort is only good for mild depression, and
> someone with more severe depression will not get any benefit from it.
That may be true, but that's not proven. The results of clinical
trials are conflicting, and no clinical trials performed to date
are without flaws. For example, one very recent trial (_JAMA_,
vol 287, no 14, 4/10/2002) purported to find SJW ineffective
in the treatment of moderately severe major depression, but this
same trial also found setraline (Zoloft -- used as an active control)
to be ineffective. What's going on? More than 30% of placebo-
controlled trials fail to show effects of recognized antidepressants.
A recent trial of SJW in an animal model claims to have shown
that rutin (a natural constituent of SJW) is a necessary cofactor
for the antidepressant action of SJW. No human trial has ever
controlled or reported the level of rutin in their SJW material,
and some SJW extracts contain little or no rutin.
Gymmie Bob - 09 Sep 2003 03:34 GMT
Blood type O people should not take St John's Wort. It causes blood
agglutination.
It takes about 3-4 months, the same as most SSRI drugs.
> Please could someone inform me as to how long St John's Wort should be
> taken before the effects can be felt and also how long can it be taken
> safely?
Mark Thorson - 09 Sep 2003 03:39 GMT
> Blood type O people should not take St John's Wort.
> It causes blood agglutination.
What is your source of information for that?
Mark Thorson - 09 Sep 2003 20:21 GMT
> Blood type O people should not take St John's Wort.
> It causes blood agglutination.
You are wrong. There is no special risk from SJW for
people with type O blood.
Andrew - 09 Sep 2003 21:35 GMT
One important element here is the potency of SJW being bought. There is a
huge variation....that will certainly be a factor....
> Please could someone inform me as to how long St John's Wort should be
> taken before the effects can be felt and also how long can it be taken
> safely?