Herbalstore St Johns Wort Tablets
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PATIENT INFORMATION LEAFLET
St John's Wort Tablets
St John's Wort Extract 161 mg
Read all of this leaflet carefully before you take 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 qualified healthcare practitioner if you need more 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 y.ou.r. doctor.......................................................................................................
In this leaflet:
1. What the product is and what it is used for 4. Possible side effects
2. Before you take this product 5. How to store this product
3. How to take this product 6. Further Information
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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.
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.
1 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)
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• 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. In rare cases St.- John's Wort may -make you. feel -dizzy. or .sleepy.- If- affected. do not .drive .or .use machinery............
Swallow the tablets whole with water. Do not chew.
Adults and the elderly: Take 1 - 2 tablets a day.
Do not give to children or adolescents under 18 years old.
Do not exceed the stated dose.
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.
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 • mania
• nerve pain or tingling (neuropathy) • dizziness
• anxiety
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 nurse. 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. By reporting side effects you can help provide more information on the safety of this medicine.
Keep out of the reach and sight of children.
Do not use these tablets after the expiry date printed on the base of pack. Do not store above 25oC. Store in the original package.
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).
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
Product name: HealthAid® St John’s Wort Tablets
Reference number: THR 20894/0064
THR holder and manufacturer is: Brunel Healthcare Manufacturing Ltd., William Nadin Way,
