Asda ST Johns Wort tablets, Herbalstore ST Johns Wort tablets, Tesco Health ST Johns Wort tablets, Gerard House ST Johns Wort tablets, Lloyds Pharmacy ST. Johns Wort Tablerts – patient leaflet, side effects, dosage

1. What the product is and what it is used for This product contains:

• St John’s Wort extract

These tablets are a traditional herbal medicinal product used to relieve the symptoms of slightly low mood and mild anxiety, based on traditional use only. Suffering from depression?

Symptoms of depression include feelings of helplessness and hopelessness, loss of interest in daily activities, appetite or weight changes, sleep changes, loss of energy and difficulty concentrating.

If your doctor has told you that you are suffering from depression do not use this product. If you think you are depressed you should tell your doctor before taking this product.

2. Before you take this product

Do not take this product if you:

• are under 18 years old
• are allergic to any of the ingredients (see section 6)
• are suffering from depression
• have skin that is sensitive to sunlight (photosensitive)
• are having light therapy (phototherapy) for any condition
• are due to have an operation in the next 10 days
• have been told by your doctor that you have an intolerance to some sugars. Taking this product with other medicines

St John’s Wort can affect the way some medicines work and reduce their

effectiveness. Medicines that can be affected by St John’s Wort include prescription medicines and those that you may have brought without a prescription. Therefore, it is important that you do not take St John’s Wort if you are using any of the medicines listed in the table below.

All hormonal contraceptives: The birth control ‘Pill’, emergency contraception, (also known as ‘the morning after’ pill), hormonal implants, creams, patches, intra-uterine devices with hormones.

All medicines for depression/anxiety:

Amitriptyline, clomipramine, moclobemide, citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine, sertraline duloxetine, venlafaxine.

All hormone replacement therapy (HRT) treatments:

HRT tablets, patches, gels and vaginal rings. All medicines for thinning the blood (anticoagulants): Warfarin,

acenocoumarol.

All medicines for epilepsy: Carbamazepine, phenobarbitone, phenytoin, primidone, sodium valproate.

All immunosuppressant medicines: Ciclosporin, tacrolimus.

All medicines for HIV infections:

Amprenavir, atazanavir, darunavir, fosamprenavir, indinavir, lopinavir, nelfinavir, ritonavir, saquinavir, tipranavir, efavirenz, nevirapine, delaviridine.

Some medicines for cholesterol:

Simvastatin, atorvastatin.

Some medicines for cancer: Irinotecan, dasatinib, erlotinib, imatinib, sorafenib, sunitinib etoposide, mitotane.

Some medicines for heart disease:

Digoxin, ivabradine, amiodarone. Some medicines for migraines:

Almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, zolmitriptan.

Some medicines for high blood pressure:

Amlodipine, nifedipine, felodipine, verapamill.

A medicine for regulating mood: Lithium. A thyroid hormone: Thyroxine.

St John’s Wort may also affect the following medicines. Therefore, do not take this product with these medicines unless a doctor has said it is safe to do so:

• fentanyl, propofol, sevoflurane and midazolam (anaesthetics/pre-operative medicines)
• tramadol (an analgesic)
• erythromycin, clarithromycin and telithromycin (antibiotics)

• itraconazole and voriconazole

  (antifungals)

• artemether and lumefantrine

  (antimalarials)

• rasagiline (an anti-Parkinson’s medicine)
• aripiprazole (an antipsychotic medicine)
• buspirone (an anxiolytic)
• aprepitant (used to treat post-operative vomiting)
• butobarbital and phenobarbital (barbiturates)
• methyl phenidate (a central nervous system or CNS stimulant)
• exemestane (a hormone antagonist)

• eplerenone (a diuretic)

  • lansoprazole and omeprazole (proton pump inhibitors)
  • theophylline (a bronchodilator)

  • gliclazide (an antidiabetic medicine). Pregnancy and breast feeding: Do not take this product if you are pregnant or breastfeeding, because there is no evidence that it is safe to do so.

While you are taking this product:

Avoid prolonged sunbathing or the use of sun beds or solariums. Stop taking this product 10 days before having an operation. Driving and using machinery:

No studies on the effect on the ability to drive and use machinery have been performed.

St. John's Wort may make you feel dizzy or sleepy.

If affected do not drive or use machinery.

3. How to take this product

Swallow the tablets whole with water. Do not chew.

Adults and the elderly: Take one to two tablets a day.

Do not give to children or adolescents under 18 years old.

Do not take more than the label/leaflet tells you to.

If your symptoms worsen, or persist after 6 weeks, consult your doctor or qualified healthcare practitioner.

What to do if too many tablets are taken.

If you take too many tablets by mistake contact your doctor or pharmacist straight away and take this leaflet with you. What to do if you miss a dose.

If you miss a dose continue to take your usual dose when it is due, do not take a double dose.

If you are unsure about anything, ask your doctor, pharmacist or qualified healthcare practitioner for advice.

4. Possible side effects

Most people do not have any side effects while taking this product but the following side effects have been reported:

• Gastrointestinal disorders such as indigestion, nausea, diarrhoea, anorexia (loss of appetite) and constipation.
• Allergic skin reactions such as rash, hives and itching of the skin. Stop taking the product if an allergic skin reaction occurs.
• Fatigue, restlessness.
• Also sunburn-like reactions on skin exposed to strong sunlight or strong ultraviolet (UV) irradiation e.g. solarium have been reported particularly in fair skinned individuals.

Other side effects:

• headaches
• nerve pain or tingling (neuropathy)
• anxiety
• mania

• dizziness.

  These are usually mild and disappear after a few days. The frequency of these occurring is not known. However, if any side effect persists for more than a few days or anything else unusual happens, stop taking the product immediately and see your doctor or pharmacist.

  Reporting of side effects:

  If you get any side effects, talk to your doctor, pharmacist or qualified healthcare practitioner. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at:

  www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store.

  By reporting side effects you can help provide more information on the safety of this medicine.

5. How to store this product Keep out of sight and reach of children.

Do not use these tablets after the expiry date printed on the pack.

Do not store above 25°C. Store in the original package.

6. Further information

Each film coated tablet contains the active ingredient: 161 mg of St John’s Wort extract aerial parts (Hypericum perforatum L.) (5-7:1) (equivalent to 806 - 1128 mg St John’s Wort). Extraction solvent: Ethanol 60 % v/v. Also contains: maltodextrin, lactose monohydrate, microcrystalline cellulose, sodium starch glycolate, colloidal anhydrous silica, magnesium stearate, stearic acid, hypromellose and purified talc.

This product is available in pack sizes of 30, 60 or 90 tablets. Not all pack sizes are marketed.

This product is a grey, capsule shaped, clear film coated tablet.

Is this leaflet hard to see or read? Contact us on:

Telephone: +44 (0)1283 228300

Email: info@bruhealth.co.uk

THR holder and manufacturer is: Brunel Healthcare Manufacturing Ltd., William Nadin Way, Swadlincote, Derbyshire, DE11 0BB, U.K.

Leaflet last revised: November 2019 THR: 20894/0064

P22816

V4-201211 PATIENT INFORMATION LEAFLET

St John’s Wort Tablets St John’s Wort Extract 161 mg P22816

Supplier

Colour Ref

Cutter

Brand

GSM(paper/card) Stock

Finish

Additional info

Date

K

C

Lea Tatton lea.tatton@mckesson.uk Brunel

11/12/20

H - 270mm W - 140mm

As per supplier componentary Paper

TBC

Notes

Packaging Spec

V4

Signature Date

Own Brand Reg

Quality

Cat. Trader

Head of Cat.

FRONT BACK

Leaflet fold to:

140mm x 35mm

with 2mm Lip

with Title

showing on side

and

showing on the other.

AREA

5mm text/print free area from edge of label

&

Leaflet Size: 140mm x 270mm