Karmamood Maximum Strength St Johns Wort Tablets
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Higher Nature St John’s Wort Mood Uplift
Coated tablets
St John’s Wort extract 425mg
Please read this leaflet carefully before you start taking these tablets.
It contains some important information about Higher Nature St John’s Wort Mood Uplift.
Keep this leaflet with the tablets.
You may want to read it again or show it to your doctor, pharmacist or qualified healthcare practitioner.
1: What this product is and what it is used for.................page 1
2: Before you take this product............................page 2
3: Taking this product with other medicines................pages 2-4
4: How to take this product...............................page 4
5: Possible side-effects..................................page 5
6: How to store this product...............................page 5
7: 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 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.
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 7)
• 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 7).
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.
3. 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.
3. Taking this product with other medicines (continued)
DO NOT TAKE THIS PRODUCT IF YOU ARE TAKING ANY OF THE FOLLOWING MEDICINES: | |
All hormonal contraceptives |
The birth control ‘Pill’, emergency contraception, hormonal implants, creams, patches, intra-uterine devices with hormones. |
All medicines for depression |
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. |
Higher Nature St John’s Wort Mood Uplift is a traditional herbal medicinal product used for the relief of slightly low mood and mild anxiety. This usage is based on traditional use only.
3. Taking this product with other medicines (continued)
5. Possible side-effects
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7. Further information
St John’s Wort may also affect the following medicines. Therefore do not take this product with these medicines unless a doctor or pharmacist 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)
Like all medicines, this product can have side-effects. However, side-effects are uncommon with St John’s Wort. These are listed below.
Uncommon side-effects (affecting fewer than 1 in 100 people)
• digestive upsets such as indigestion, loss of appetite, nausea, diarrhoea, constipation
If these persist for more than a few days, or become troublesome, stop taking this product. These side-effects are often only temporary.
• fatigue
• allergic skin reactions Stop taking this product immediately if
such as rash, hives or itching you experience an allergic reaction.
Other rarer side-effects
These include headaches, nerve pain or tingling (neuropathy), anxiety, dizziness, 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, tell your doctor or pharmacist.
4. How to take this product
You must speak to a qualified healthcare practitioner if your symptoms worsen, if they do not improve after six weeks, or if side-effects not mentioned in this leaflet occur.
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 14902550mg 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 coated 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
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.
You can help to make medicines safer by reporting any side-effects to the Yellow Card Scheme at www.yellowcard.gov.uk. Alternatively you can get a paper Yellow Card form from your GP’s surgery or pharmacy, or call Freephone 0808 100 3352 (available 10am-2pm Monday - Friday).
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.
Manufacturer of this product
Wiewelhove GmbH
Gildestrasse 39, 49477 Ibbenburen, Germany
Traditional Herbal Registration number:
THR 23056/0007
6. 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 product in a cool dry place.
Do not store the tablets in a place where the temperature goes above 25°c.
Keep your tablets out of the reach and sight of children.
Keep your tablets in the blister pack until it is time to take them.
If you would like further information about this product, please contact:
Higher Nature
Burwash Common
East Sussex, TN19 7LX
Telephone: 0870 0664478
This leaflet was revised in 04/2014
THR 23056/0007
certification mark
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