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BOOTS MOOD LIFT ST JOHNS WORT TABLETS, LLOYDSPHARMACY ST JOHNS WORT FILM-COATED TABLETS, TESCO ST JOHNS WORT TABLETS, SIMPLY SUPPLEMENTS MOOD BOOST ST JOHNS WORT TABLETS - Patient leaflet, side effects, dosage

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Sources: Original (products.mhra.gov.uk)

Patient leaflet - BOOTS MOOD LIFT ST JOHNS WORT TABLETS, LLOYDSPHARMACY ST JOHNS WORT FILM-COATED TABLETS, TESCO ST JOHNS WORT TABLETS, SIMPLY SUPPLEMENTS MOOD BOOST ST JOHNS WORT TABLETS

What is in this leaflet

  • 4: Possible side-effects......­.............­.............­.............­...........pa­ge 5

  • 6: Further information..­.............­.............­.............­.............­....page 6

1: what this product is and what it is used for

This product is a traditional herbal medicinal product containing St John’s Wort. Each film-coated tablet of this product contains 250mg of extract (as dry extract) from St John’s Wort aerial parts (Hypericum perforatum L.) (3.5–6:1) (equivalent to 875–1500mg of St John’s Wort). Extraction solvent: Ethanol 60% v/v.

Lloydspharmacy St John’s Wort is a traditional herbal medicinal product used for the relief of slightly low mood and mild anxiety based on traditional use only.

2: Before you take this product

DO NOT TAKE this product if:

  • you are under 18 years of age

    you are pregnant or breastfeeding
    you are allergic to any of the ingredients (listed in section 6)

  • you are lactose intolerant (react badly to lactose or milk)

  • your skin is exceptionally sensitive to sunlight (photosensitive)

  • you are having light treatment (phototherapy) for any condition
  • you are suffering from depression (see below)

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 that you may be suffering from depression you should tell your doctor.

Tell your doctor before using this product if you have an intolerance to some sugars (see section 6).

While you are taking this product:

  • avoid excessive sunbathing or the use of sunbeds/solariums
  • stop using it at least 10 days prior to undergoing any surgery

Driving and operating machinery

In rare cases St John’s Wort may make you feel dizzy or sleepy. If affected do not drive or use machines.

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 bought yourself 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 opposite.

1 DO NOT TAKE THIS PRODUCT IF YOU ARE TAKING ANY OF THE 1

1 FOLLOWING MEDICINES 1

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 hormonal replacement therapy (HRT) treatments

HRT tablets, patches, gels, 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, delavirdine

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, verapamil

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)

3: how to take this product

Adults and the elderly

Take 1 tablet daily. Swallow the tablets whole with some water or other liquid.

Do not chew the tablets. Do not exceed the stated dose.

If you take too much of this product (overdose)

If you take more than the recommended dose, speak to a doctor, pharmacist or qualified healthcare practitioner and take this leaflet with you.

If you forget to take this product

Continue to take your usual dose at the usual time, it does not matter if you have missed a dose.

If you have any questions, or are unsure about anything, please ask your doctor, pharmacist or qualified healthcare practitioner.

4: Possible side-effects

Like all medicines, this product can have side-effects, although the frequency is not known. These side-effects are listed below.

  • digestive upsets such as indigestion, loss of appetite, nausea, diarrhoea constipation
  • fatigue and restlessness
  • allergic skin reactions Stop taking this product immediately

such as rash, hives or itching if you experience an allergic reaction.

Other side-effects\

These include headaches, nerve pain or tingling (neuropathy), anxiety, dizziness and mania. Also sunburn-like reactions in skin exposed to strong ultra-violet (UV) irradiation (e.g. sun, solarium) have been reported, particularly in fair-skinned individuals.

If you notice any other side-effect not mentioned above or any side-effect becomes serious, tell your doctor or pharmacist.

Reporting of side-effects

If you get any side-effects, talk to your doctor, pharmacist or nurse. This includes any possible side-effects not mentioned in this leaflet. You can also report side-effects directly via the Yellow Card Scheme at. By reporting side-effects you can help provide more information on the safety of this medicine.

After taking this product

You must speak to a qualified healthcare practitioner if your symptoms worsen, if they do not improve after six weeks, if any side-effect becomes serious or if side-effects not mentioned in this leaflet occur.

5: how to store this product

Do not use your tablets after the expiry date.

Return any out-of-date tablets to your pharmacist who will dispose of them for you. The expiry date is printed on the box and the blister pack.

Store the tablets in a cool dry place. Do not store the tablets in a place where the temperature goes above 25oC.

Keep the tablets out of the reach and sight of children.

Keep your tablets in the blister pack until it is time to take them.

e

6: Further information

Each film-coated tablet of this product contains 250mg of extract (as dry extract) from St John’s Wort aerial parts (Hypericum perforatum L.) (3.5–6:1) (equivalent to 875–1500mg of St John’s Wort). Extraction solvent: Ethanol 60% v/v.

This product also contains the following ingredients:

Extract: Lactose monohydrate, calcium hydrogen phosphate dihydrate, cellulose powdered, silica colloidal anhydrous.

Tablet core: Cellulose powdered, stearic acid, sodium starch glycolate (type A), silica colloidal anhydrous, magnesium stearate.

Film-coating: Eudragit E 100, hypromellose, Macrogol 6000, talc, titanium dioxide (E171), iron oxide hydrate (E172) (yellow iron oxide).

If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this product.

Each film-coated tablet contains 11mg of lactose monohydrate.

Each pack contains 30 or 60 film-coated tablets

Not all pack sizes may be marketed.

Registration holder for this product

Schwabe Pharma (UK) Ltd, Alexander House, Mere Park, Dedmere Road, Marlow, Bucks, SL7 1FX

Manufacturer of this product

Wiewelhove GmbH,

Gildestrasse 39, 49477 Ibbenburen, Germany

Traditional Herbal Registration number: THR 23056/0011


THR'


Certification Mark


Packed for

Lloyds Pharmacy Limited, Coventry CV2 2TX

If you would like further information about this product, please contact:

Lloyds Pharmacy Limited

Coventry CV2 2TX

Leaflet last revised 11/2015.

Sources: Original (products.mhra.gov.uk)

Frequently Asked Questions

What is St John's Wort and how does it work?

St John's Wort is a natural herbal supplement commonly used to help lift mood and alleviate mild depression. It works by influencing chemicals in the brain, such as serotonin, which may help improve mood.

Who should consider taking St John's Wort tablets?

St John's Wort tablets may be suitable for individuals experiencing mild depressive symptoms or low mood. However, it's important to consult with a healthcare professional before starting any new supplement.

Are there any side effects associated with St John's Wort?

Possible side effects may include gastrointestinal upset, fatigue, dizziness, or photosensitivity. It’s essential to monitor how you feel and discuss any concerns with your doctor.

Can I take St John's Wort with other medications?

St John's Wort can interact with various medications, including antidepressants and birth control pills. Always consult your healthcare provider for advice on potential interactions.

How long does it take for St John's Wort to start working?

Many users report feeling improvements in mood within 2 to 4 weeks of consistent use. However, individual responses can vary.

Is it safe to take St John's Wort during pregnancy or breastfeeding?

Pregnant or breastfeeding women should avoid St John's Wort unless advised by a healthcare professional due to potential risks.

Can children take St John's Wort tablets?

St John's Wort is not generally recommended for children without a doctor's guidance. Always consult a pediatrician for advice.

What dosage of St John's Wort is typically recommended?

The common dosage varies but is usually around 300mg to 600mg of standardized extract daily. Follow the specific instructions on the product label or your doctor's recommendations.

Are there different forms of St John's Wort available?

Yes, St John's Wort is available in various forms including tablets, capsules, tea, and tinctures. Each form may have different absorption rates and benefits.

Can I take St John's Wort for anxiety as well as depression?

Some studies suggest that St John's Wort may help alleviate symptoms of anxiety; however, consult with your healthcare provider for personalized advice.

How should I store my St John's Wort tablets?

Store your tablets in a cool, dry place away from direct sunlight and out of reach of children to maintain their potency.

What happens if I miss a dose of St John's Wort?

If you miss a dose of St John’s Wort, take it as soon as you remember. If it’s almost time for your next dose, skip the missed dose and continue with your regular schedule. Never double up on doses.

Is it possible to overdose on St John’s Wort?

While overdosing on St John’s Wort is generally rare due to its nature as a herbal supplement, taking excessive amounts can still lead to increased side effects. Always adhere to recommended dosages.

Can lifestyle changes enhance the effects of St John’s Wort?

Yes! Engaging in regular exercise, maintaining a balanced diet, and practicing mindfulness or meditation can complement the positive effects of St John’s Wort on mood.

Will I experience withdrawal symptoms if I stop taking St John’s Wort suddenly?

Most users do not experience withdrawal symptoms; however, some may notice changes in mood after discontinuation. It’s advisable to taper off under supervision from a healthcare provider.

Where can I purchase high-quality St John’s Wort tablets?

You can find quality St John’s Wort tablets at pharmacies like Boots and LloydsPharmacy or online stores such as Tesco and Simply Supplements.

How do Boots Mood Lift St John’s Wort Tablets differ from others?

Boots Mood Lift Tablets are specially formulated for mood improvement and may contain additional ingredients designed to support overall emotional well-being compared to standard formulations.

Are there any dietary restrictions while taking St John’s Wort?

While there are no strict dietary restrictions, it's wise to limit alcohol consumption as it may interfere with the effectiveness of the supplement and affect mood.

Can I use St John’s Wort alongside herbal teas or other supplements?

While herbal teas containing calming agents can be taken alongside it, always check with a healthcare professional before combining multiple supplements for safety.