Patient leaflet - Holland & Barrett Moodease ST Johns Wort One-a-day tablets, Boots Mood Lift Max strength ST Johns Wort tablets, Karmamood Maximum strength ST Johns Wort tablets, Simply Supplements Mood Boost Max strength ST Johns Wort tablets, Higher Nature ST Johns Wort
1 What this product is and what it is used for
SCREEN ANGLES:
2 Before you take this product
3 How to take this product
While you are taking this product:
Some medicines for cholesterol:
u Avoid excessive sunbathing or the use of sunbeds/solariums u Stop using it at least 10 days prior to undergoing any surgery
Simvastatin, atorvastatin
4 Possible side-effects
5 How to store this product
Some medicines for cancer:
6 Further information
Irinotecan, dasatinib, erlotinib, imatinib, sorafenib, sunitinib, etoposide, mitotane
Driving and operating machinery
In rare cases St John’s Wort may make you feel dizzy or sleepy. If affected do not drive or operate machines.
Some medicines for heart disease:
Digoxin, ivabradine, amiodarone
1 - What this product is and what it is used for
Some medicines for migraines:
Taking other medicines
This product is a traditional herbal medicinal product used for the relief of slightly low mood and mild anxiety, based on traditional use only.
Almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, zolmitriptan
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.
Some medicines for high blood pressure:
Amlodipine, nifedipine, felodipine, verapamil
A medicine for regulating mood: Lithium
A thyroid hormone: Thyroxine
Taking other medicines (continued)
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: u Fentanyl, propofol, sevoflurane, and midazolam (anaesthetics/pre-operative medicines)
u Tramadol (an analgesic)
u Erythromycin, clarithromycin and telithromycin (antibiotics) u Itraconazole and voriconazole (antifungals)
u Artemether and lumefantrine (antimalarials)
u Rasagiline (an anti-Parkinson’s medicine)
u Aripiprazole (an antipsychotic medicine)
u Buspirone (an anxiolytic)
u Aprepitant (used to treat post-operative vomiting)
u Butobarbital and phenobarbital (barbiturates)
u Methyl phenidate (a central nervous system or CNS stimulant) u Exemestane (a hormone antagonist)
u Eplerenone (a diuretic)
u Lansoprazole and omeprazole (proton pump inhibitors)
u Theophylline (a bronchodilator)
u 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.
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.
If you get 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 www.mhra.gov.uk/yellowcard. By reporting side-effects you can help provide more information on the safety of this medicine. 4 - Possible side-effects
Like all medicines, this product can have side-effects, although the frequency is not known. These are listed below.
u Digestive upsets e.g indigestion, loss of appetite, nausea, diarrhoea, constipation
u Fatigue and restlessness
u Allergic skin reactions such as rash, hives or itching Stop taking this product immediately if you experience an allergic reaction. If these persist for more than a few days, or become troublesome, stop taking this product. These side-effects are often only temporary.
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-effects not mentioned above, or if any side-effect becomes serious, tell your doctor or pharmacist.
u Keep the tablets out of the reach and sight of children u Keep your tablets in the blister pack until it is time to take them 5 - How to store this product
u Do not use your tablets after the expiry date
u 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
u Store the tablets in a cool dry place
u Do not store above 25°C
6 - Further information
Each coated tablet of this product contains 425mg of extract (as dry extract) from St John's Wort aerial parts (Hypericum perforatum L.) (3.5-6:1) (equivalent to 1490- 2550mg of St John's Wort). Extraction solvent: Ethanol 60% v/v. This product also contains the following ingredients:
Tablet core: Maltodextrin, silica colloidal anhydrous, microcrystalline cellulose, croscarmellose sodium, sodium starch glycolate (Type A), magnesium stearate. Coating: Hypromellose, sucrose, talc, calcium carbonate E170, tragacanth, acacia, liquid glucose (dry substance), titanium dioxide E171, iron oxide hydrate E172 (yellow iron oxide), vanillin, beeswax white, carnauba wax, shellac. If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this product. Each tablet contains 6mg of glucose and 234mg of sucrose.
Each pack contains 30 coated tablets.
Registration holder for this product
Schwabe Pharma (UK) Ltd,
Alexander House, Mere Park, Dedmere Road,
Marlow, Bucks, SL7 1FX
Manufactured for
Holland & Barrett International Limited by:
Wiewelhove GmbH,
Gildestrasse 39, 49477 Ibbenbüren, Germany
Traditional Herbal Registration number: THR 23056/0007 If you would like further information about this product, please contact: Holland & Barrett International Limited,
Regulatory Services Department,
Samuel Ryder House, Barling Way,
Nuneaton, Warwickshire, CV10 7RH,
United Kingdom
Is this leaflet hard to see or read? Contact us on:
Telephone: +44 (0) 2476 215 400
Fax: +44 (0) 2476 215 452
Email: customerservices@hollandandbarrett.com
This leaflet was prepared on: 01/12/2015
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