Patient leaflet - 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
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P228T6
LloydsPharmacy
PATIENT INFORMATION LEAFLET
St John’s Wort Tablets
St John’s Wort Extract 161 mg
jRead all of'thisleaflet carefully before you itake this product because it contains important information for you.
This product is available without ■prescription; however, you still need to use ■this product carefully to get the best results from it.
Keep this leaflet as you may need to read it ■again. Ask your doctor, pharmacist or iqualified.healthcare. practitioner, jf.you. need.. imore information or advice.
:You must contact a doctor or qualified healthcare practitioner if your symptoms ■feel worse, or do not improve after 6 weeks.
:If any of the side effects get serious or if :you notice any side effects not listed in this ■leaflet, please tell your doctor.
:In this leaflet:
:1. What the product is and what it is used for ■2.. Before you take thjs.product...................
■3. How to take this product A. Possible side effects
:5. How to store this product
:6. Further information
: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 imedicinal product used to relieve the isymptoms- of -slightly low mood and-mild-......
ianxiety, 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 iproduct. If you think you are depressed :ydu should tell your doctor before taking ithis 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 iaffected by St John’s Wort include ipfescfiptiohmedicThes and'thoseThat you' imay have brought without a prescription. Therefore, it is important that you do not Stake St John’s Wort if you are using any of ■the medicines listed in the table below.
| Alt 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. | Bill 1 ! | |
| All medicines for thinning the blood (anticoagulants): Warfarin, acenocoumarol. | ||
| All medicines for epilepsy: Carbamazepine, phenobarbitone, phenytoin, primidone, sodium valproate. | ||
| ■ AIHmmunosuppressant- 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
‚„mediahesj“‘
- 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)
- aprepitahf Tusecf 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)
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: lansoprazole arid omeprazole (proton: pump inhibitors)
- : theophylline (a bronchodilator) gliclazide (an antidiabetic medicine).
iPregnancyand breastfeeding:
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 Jsun 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 Sunder 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 Saway and take this leaflet with you.
What to do if you miss a dose.
If you miss a dose continue to take your Susual dose when it is due, do not take a Sdouble dose.
If you are unsure about anything, ask your Sdoctor, pharmacist or qualified healthcare Spractitioner for advice.
a. possible side effects
SMost people do not have any side effects Swhile taking this product but the following Sside effects have been reported:
- : Gastrointestinal disorders such as
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■ 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 anddisappear 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: 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.
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6. Further information