St. John's Wort Side Effects: What You Need to Know Before Taking It

When people look for natural ways to feel better, St. John's Wort, a herbal supplement often used for mild depression and mood support. Also known as Hypericum perforatum, it's sold in pills, teas, and tinctures—but it's not harmless just because it's natural. Many assume herbal means safe, but St. John's Wort can mess with how your body handles prescription drugs, sometimes with serious results.

This herb doesn’t just sit quietly in your system. It triggers liver enzymes that speed up the breakdown of other medications. That means drugs like birth control, blood thinners, antidepressants, and even HIV meds can become less effective—or worse, build up to toxic levels. If you’re on any regular medication, skipping a talk with your doctor before trying St. John's Wort could put you at risk. It’s not a gentle alternative; it’s a powerful player in your body’s chemistry. People with depression often turn to it hoping to avoid side effects from SSRIs, but they don’t realize it can cause their own set of problems: increased sun sensitivity, digestive upset, dizziness, or even serotonin syndrome if mixed with other mood meds.

Some of the posts here dig into how substances like pomegranate juice, a common dietary item that can interfere with drug metabolism affect medications, and how charcoal-grilled meats, a food source that alters enzyme activity can change how your body processes drugs. St. John's Wort works the same way—it’s another invisible force in your system that doesn’t show up on a label but can change everything. You wouldn’t mix alcohol with your painkillers, so why assume a plant extract is safer? The truth is, herbal doesn’t mean harmless. The same principles of medication safety that apply to pills apply here too: know what you’re taking, know what it interacts with, and don’t guess.

What you’ll find below are real, practical guides that help you understand how substances—whether prescription, herbal, or dietary—interact with your body. From how to spot dangerous drug interactions to what to ask your pharmacist, these posts give you the tools to protect yourself. You don’t need to avoid St. John's Wort entirely, but you do need to know the risks before you take it.

St. John’s Wort and Prescription Drugs: What You Must Know About Dangerous Interactions
November 20, 2025
St. John’s Wort and Prescription Drugs: What You Must Know About Dangerous Interactions

St. John’s Wort may help mild depression, but it can dangerously reduce the effectiveness of birth control, transplant drugs, antidepressants, and more. Learn which medications it interferes with and what to do instead.

Medications