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Hyperiforce St Johns Wort Tablets

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Patient Information Leaflet

Hyperiforce®

St John's Wort tablets

Information

Important things you need to know

This product is used to relieve the symptoms of slightly low mood and mild anxiety

This product is suitable for adults over 18 years.

Don't take this product if you are allergic to peanut, soya or any of the ingredients.

This product may affect the way some medicines work. If you take any medicine check the table in section 2 carefully to see if Hyperiforce is suitable for you.

Before you take this product: read section 2.

Dosage instructions: see

section 3.

Talk to your doctor if

your symptoms worsen or you do not feel any benefit from this product within 6 weeks.

Side effects are minor and rare: see section 4.

Now read the rest of this leaflet carefully. Keep this leaflet. You may need to read it again.

1. What the product is for

Hyperiforce is a traditional herbal medicinal product used to relieve the symptoms of slightly low mood and mild anxiety. This is based on traditional use only.

Used to help with:

Feeling down or low Feeling stressed and anxious

Suffering from depression?

This product is for symptoms of slightly low mood and mild anxiety. If you think you are suffering from depression and have thoughts of self-harm, suicide or any other symptoms of depression you should see your doctor. Other symptoms of depression can include feeling hopeless and helpless, finding it hard to concentrate, loss of interest in your daily activities, tiredness, changes to your appetite or weight and changes in your sleeping patterns.

0® Do's and Don'ts for taking this product

2. Before you take this product

Do not take this product

If you are under 18 years of age.

If you are allergic to any of the ingredients in this product (see section 6 Further Information).

If you are allergic to peanut or soya. This product contains soya polysaccharide.

If you are pregnant or breastfeeding.

If you are suffering from

depression (see section 1 What the product is for).

If you have a sensitivity to sunlight.

If you are having light therapy (phototherapy) or any testing procedures that use light (photodiagnostic procedures).

If you are due to have an operation in the next 10 days.

If you are taking any of the medicines in the following table as this product may affect the way they work.

If you are unsure if this product is suitable for you then please contact your pharmacist or our Helpline on 0845 608 5858.

Medicines for anxiety or depression

This product is not suitable if you are taking any medicines for anxiety or depression. This includes lithium.

Hormonal

contraceptives

This product is not suitable if you are taking any hormonal contraceptives including the Pill and other forms of contraception such as hormonal implants. If you are unsure as to whether your contraception contains hormones please see your pharmacist.

Emergency

contraception

The morning-after pill.

HRT (Hormone

Replacement

Therapy)

This comes in a number of forms including tablets, patches, gels and vaginal rings.

Medicines to regulate male hormones

Finasteride

Medicines for heart conditions

Amiodarone, amlodipine, digoxin, felodipine, ivabradine, nifedipine, verapamil

Blood thinning medicines

Acenocoumarol, warfarin

Cholesterol

lowering

medicines

Atorvastatin, simvastatin

Proton pump inhibitors

Lansoprazole, omeprazole

Medicines for an infection

Any of the following antibiotics: clarithromycin, erythromycin telithromydn. Any of the following antifungals: itraconazole, voriconazole

Medicines to control diabetes

Gliclazide


Medicines for This product is not suitable if you are epilepsy    taking any medicines for epilepsy.

Medicines to    Artemether, lumefantrine

treat malaria


Medicines Theophylline used to

control asthma

Antihistamines Fexofenadine


Medicines to treat HIV

Amprenavir, atazanavir, darunavir, fosamprenavir, indinavir, lopinavir, nelfinavir, ritonavir, saquinavir, tipranavir (HIV protease inhibitors) Delavirdine, efavirenz, nevirapine (HIV non-nudeoside reverse transcriptase inhibitors)

Medicines for the immune system

Cidosporin, tacrolimus, sirolimus

Medicines for migraine

Almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, zolmitriptan

Barbiturates (used as tranquillisers)

Butobarbital, phenobarbital

Chemotherapy

Dasatinib, erlotinib, etoposide, imatinib irinotecan, mitotane, sorafenib, sunitinib Aprepitant (used to treat the side effects of chemotherapy)

Breast cancer medicine

Exemestane

Pain killing medicine

Tramadol, methadone

Medicine for Parkinsons

Rasagiline

Antipsychotic

medicine

Aripiprazole

Central

Nervous

System

stimulants

Methylphenidate

Diuretic

Eplerenone

Thyroid

hormones

Thyroxine

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3. How to take this product

Adults and the elderly: 1 tablet three times daily.

Don't take more than the recommended dose.

Not for use in children or those under 18 years of age.

Take special care with this product

Avoid prolonged sunbathing or the use of sunbeds or solariums whilst taking this product. In rare cases St John's wort may cause your skin to be much more sensitive to sunlight. Remember to tell your doctor you are taking this product if you have to have an operation. This product should be stopped 10 days before an operation.

Driving and using machines

In rare cases this product may cause dizziness or tiredness.

If this happens to you, do not drive or use machines.

If you take too much

If you take too much and feel ill, talk to your doctor. Taking too much is unlikely to be harmful.

Your skin may be more sensitive to sunlight or UV irradiation. You should not use sunbeds or solariums and you should protect your skin from the sun for 1-2 weeks.

If you forget to take this product

Don't worry about the missed dose. Take the next tablet as usual.

If you feel this product isn't working

See your doctor:

If you do not feel an improvement within six

weeks, or if you begin to feel worse.

If your symptoms begin to interfere significantly with how you live your everyday life or if you have thoughts of self-harm or suicide.

Side effects

4. Possible side effects

Like all medicines, this product can cause side effects, although not everybody gets them.

Minor effects

The following minor side effects can occur when using this product.

The freguency of these effects occurring is not known.

Digestive symptoms

Feeling sick Stomach discomfort Digestive upsets such as diarrhoea or constipation Loss of appetite

These are often short-lived and should go away by themselves. However if they are troubling you, talk to your doctor or pharmacist.

Skin reactions

Itching (pruritis)

Rash

Red, itchy spots (urticaria) Sunburn-like reactions after exposure to strong sunlight.

Stop taking the product if these occur.

Other side effects

Headaches

Nerve pain or tingling (neuropathy)

Anxiety

Mania

Restlessness

Dizziness

Fatigue

If you are concerned about any side effect or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.

Reporting of side effects

You can help to make medicines safer by reporting

any side effects to the Yellow Card Scheme at

www.mhra.gov.uk/yellowcard. Alternatively you can get a paper Yellow Card form from your doctor's surgery or pharmacy, or call freephone 0808 100 3352 (available 10am-2pm Monday-Friday).


Information

5.    How to store this product

Keep out of the reach and sight of children.

Do not use this product after the expiry date on the packaging. The expiry date refers to the last day of that month.

This product does not reguire any special storage conditions.

Do not use this product if you notice a change in colour. The tablets should be a brownish colour.

6.    Further Information

What this product contains

1 tablet contains 40-73 mg of extract (as dry extract) from fresh St John's wort (Hypericum perforatum L.) flowering herb (3.1-4.0:1). Extraction solvent: ethanol 68% V/V.

The other ingredients used for the tablet are microcrystalline cellulose, maize starch, soya polysaccharide and hydrogenated cottonseed oil.

This product is free from genetically modified ingredients.

What this product looks like and the contents of the pack

The tablets are a brownish colour and are available in packs of 60 or 120 tablets. Not all pack sizes may be marketed.

Traditional Herbal Registration Holder ana Manufacturer

Traditional Herbal Registration Holder and Batch Release:

Bioforce (UK) Ltd,

2 Brewster Place,

Irvine, Ayrshire, UK KA11 5DD

Manufacturer:

Bioforce AG, CH-9325, Roggwil Switzerland THR No. 13668/0014

Certification Mark

This leaflet was revised on 12/2013

What is St John's wort?

St. John's wort, also known as Hypericum perforatum, is a plant which has been used as a herbal medicine for many years. The flowers and leaves found at the top of the plant are used to make this product.

You should also know

Bioforce runs a helpline by phone and email which can provide you with further information.

Email: enquiries@avogel.co.uk

Phone: 0845 608 5858

You can get a larger print or audio version of this leaflet.

Call this number: 0845 608 5858.

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