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VITABIOTICS ST JOHNS WORT TABLETS - Patient leaflet, side effects, dosage

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

Patient leaflet - VITABIOTICS ST JOHNS WORT TABLETS

st john’s wort

J tablets


Patient Information Leaflet St John’s Wort Extract 425mg

WHAT IS IN THIS LEAFLET

1. What this product is and what it is used for

  • 2. Before you take this product

3. How to take this product

4. Possible side effects

5. How to store this product

  • 6. Further information

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

This is a traditional herbal medicinal product containing St John’s Wort extract. It is used to relieve the symptoms of slightly low mood and mild anxiety. This is based on traditional use only.

  • 2. BEFORE YOU TAKE THIS PRODUCT

Do not take this product if:

  • Your skin is exceptionally sensitive to sunlight (photosensitive)
  • You are having light treatment (phototherapy) for any condition
  • You are suffering from depression (see below)
  • You are pregnant or breast-feeding
  • You are allergic to any of the ingredients (see section 6)
  • You are under the age of 18 years

Suffering from depression?

Symptoms of depression include feelings of helplessness and hopelessness, loss of interest in daily activities, appetite or weight changes, changes in sleep pattern, 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 before taking this product.

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 or operating machines:

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

If affected do not drive or use machinery.

Taking this product with other medicines

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


Please read this information carefully before you start taking these tablets. It contains some important information about this product. Keep this leaflet with the tablets. You may want to read it again or show it to your doctor, pharmacist or refer to a qualified healthcare practitioner.

reduce their effectiveness. Medicines that can be affected by St John’s Wort include prescription medicines, and those that you may have bought 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 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

ILNJWWL2


Taking this product with 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:

  • 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. 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. The following side effects have been reported:

  • gastrointestinal disorders such as indigestion, loss of appetite, nausea, diarrhoea and constipation.
  • fatigue and restlessness.
  • allergic skin reactions such as rash, hives or itching of the skin. If you experience allergic skin reactions, stop taking the product and consult your doctor.

Also sunburn-like reactions on skin exposed to strong sunlight or strong ultra-violet (UV) irradiation e.g. solarium have been reported, particularly in fair skinned individuals. Other side effects that have been reported include headaches, nerve pain or tingling, anxiety, dizziness and mania. The frequency of these effects occurring is not known.

You must speak to a doctor or qualfied healthcare practitioner if your symptoms worsen, if they do not improve after six weeks, or if any of the side effects become serious or if you notice any side effects not mentioned in the leaflet.

Reporting of side effects

If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in the package 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.

5. how to store this product

Do not use your tablets after the expiry date. The expiry date is printed on the box and the blister pack. The expiry date refers to the last day of that month.

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

Keep the tablets out of sight and reach of children.

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

Medicines should not be disposed of via waste water or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help protect the environment.

  • 6. FURTHER INFORMATION

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

Frequently Asked Questions

What are Vitabiotics St John's Wort Tablets used for?

Vitabiotics St John's Wort Tablets are commonly used to help manage mild anxiety and depression symptoms. They may also support mood balance.

How do St John's Wort Tablets work?

St John's Wort is believed to work by increasing levels of certain neurotransmitters in the brain, such as serotonin, which can help improve mood.

Are Vitabiotics St John's Wort Tablets suitable for everyone?

These tablets are not recommended for individuals taking certain medications, especially antidepressants, or those who are pregnant or breastfeeding. Always consult your doctor.

How long does it take for Vitabiotics St John's Wort to work?

Some people may start to feel the effects within a few weeks, but it can take up to 4-6 weeks for the full benefits to be noticed.

Can I take Vitabiotics St John's Wort with other supplements?

It's best to consult a healthcare professional before combining St John's Wort with other supplements, as interactions can occur.

Is there a recommended dosage for Vitabiotics St John's Wort Tablets?

The typical dosage is one tablet taken daily, but you should follow the guidance on the packaging or your healthcare provider's advice.

Can I take Vitabiotics St John's Wort if I have allergies?

If you have any known allergies, check the ingredient list and consult your doctor before taking the tablets.

Do Vitabiotics St John's Wort Tablets have side effects?

Some users may experience mild side effects such as stomach upset, dry mouth, or fatigue. If side effects persist, consult your healthcare provider.

Are there any food interactions with Vitabiotics St John's Wort?

Certain foods like grapefruit can interact with St John's Wort and affect how it works. It's advisable to avoid these while taking the tablets.

Can I stop taking Vitabiotics St John's Wort suddenly?

It's recommended to gradually reduce the dosage under medical supervision rather than stopping abruptly to avoid potential withdrawal symptoms.

Will taking Vitabiotics St John's Wort affect my mood negatively?

While many find it beneficial, some individuals may experience mood swings. Monitoring your response and consulting a doctor is important.

Are there specific lifestyle changes to consider while taking these tablets?

Healthy lifestyle choices such as regular exercise, a balanced diet, and adequate sleep can enhance the effectiveness of St John’s Wort.

Is it safe to drink alcohol while taking Vitabiotics St John's Wort Tablets?

It's generally advised to limit alcohol consumption while using these tablets, as it may interfere with their effectiveness and increase side effects.

Can children take Vitabiotics St John's Wort Tablets?

These tablets are not usually recommended for children unless prescribed by a healthcare professional. Always consult a pediatrician first.

Do I need a prescription for Vitabiotics St John's Wort Tablets?

No, these tablets can be purchased over-the-counter without a prescription in most locations.

How should I store Vitabiotics St John's Wort Tablets?

Store them in a cool, dry place away from direct sunlight and out of reach of children.

What should I do if I miss a dose of Vitabiotics St John's Wort?

If you miss a dose, take it as soon as you remember. If it's almost time for your next dose, skip the missed dose and continue with your schedule.

Can pregnant or breastfeeding women take Vitabiotics St John's Wort Tablets?

Pregnant or breastfeeding women should avoid taking these tablets unless approved by their healthcare provider due to potential risks.

What should I do if I experience severe side effects from Vitabiotics St John's Wort?

If you experience severe side effects or allergic reactions, seek medical attention immediately and stop taking the tablets until you consult a healthcare professional.