Natures Garden St. Johns Wort Capsules
PATIENT INFORMATION LEAFLET
♦ Please read this leaflet carefully before you use this product because it contains important information
♦ Keep this leaflet; you may need to read it again
♦ Seek professional advice if you need more information
♦ Please tell a Doctor or a qualified Healthcare Practitioner if your symptoms worsen or do not improve after 6 weeks of taking this product
♦ Please tell a Doctor; Pharmacist or a qualified Healthcare Practitioner if you suffer from side effects not listed in this leaflet or if any of the side effects become serious
This product contains St. John’s Wort extract. It is a traditional herbal medicinal product used to relieve the symptoms of slightly low mood and mild anxiety; based on traditional use only.
Do not take this product if you are:
♦ Under 18 years of age
♦ About to undergo surgery
♦ Allergic to any of the ingredients (see section 6 of this leaflet)
♦ Pregnant or breastfeeding
♦ Having UV light treatment (phototherapy) for any condition
♦ Exceptionally sensitive to sunlight on your skin (photosensitive)
♦ Suffering from depression Symptoms of depression include feelings of helplessness and hopelessness; loss of interest in daily activities, changes in appetite or weight, changes in sleeping patterns or habits; loss of energy and difficulty in concentrating.
If your Doctor has told you that you are suffering from depression do not use this product.
If you think you may be suffering from depression, tell your Doctor before taking this product.
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.
Do not take St. John’s Wort if you are using any of the following medicines:
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, 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,
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 migraine - Almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, zolmitriptan
Some medicines for high blood pressure -
Amlodipine, nifedipine, verapamil, felodipine
A medicine for regulating mood - Lithium
A thyroid hormone - Thyroxine
St. John’s Wort may also affect the following medicines. Do not take this product with these medicines unless a Doctor has said it is safe to do so:
♦ Anaesthetics/pre-operative medicines:
Fentanyl, propofol, sevoflurane, midazolam
♦ Analgesics: Tramadol
♦ Antibiotics: Erythromycin, clarithromycin, telithromycin
♦ Antifungals: Itraconazole, voriconazole
♦ Antimalarials: Artemether, lumefantrine
♦ Anti-Parkinson’s: Rasagiline
♦ Antipsychotics: Aripiprazole
♦ Anxiolytics: Buspirone
More information on back panel
♦ Treatment of post-operative vomiting: Aprepitant
♦ Barbiturates: Butobarbital, phenobarbital
♦ CNS Stimulants: Methyl phenidate
♦ Hormone antagonists: Exemestane
♦ Diuretics: Eplerenone
♦ Proton pump inhibitors: Lansoprazole, omeprazole
♦ Bronchodilator: Theophylline
♦ Antidiabetic medicine: Gliclazide
While you are taking this product:
♦ Avoid excessive sunbathing or use of sunbeds/solariums
♦ Stop using it at least 10 days prior to undergoing any surgery
Driving and operating machinery
St. John’s Wort may make you feel dizzy or sleepy. If affected do not drive or operate machinery.
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.
For oral use only.
For adults and elderly: Take 1 capsule 3 times daily. Swallow the whole capsule with water:
Do not exceed the stated dose.
If you take too much of the product (overdose): speak to a Doctor or a qualified Healthcare Practitioner immediately and take this leaflet and bottle with you.
If you forget to take this product: Do not take a double dose to make up for the missed dose(s).
Continue to take your usual dose at the usual time.
It does not matter if you have missed a dose.
Duration of use: If symptoms worsen or do not improve after 6 weeks, or if any of the side effects become serious or if any side effects not mentioned in the leaflet occur. speak to a Doctor. Pharmacist or a qualified Healthcare Practitioner.
♦ Keep the capsules in the bottle until it is time to take them
♦ Do not take the capsules after the expiry date (see outer label). The expiry date refers to the last day of the month
♦ Do e above 25°C. Store in the original
♦ Keep the bottle tightly closed
♦ Keep the capsules out of sight and reach of children
About this product: This product is a traditional herbal medicinal product containing St. John’s Wort extract. Each hard capsule contains I42mg of extract (as dry extract) from St. John’s Wort aerial parts (Hypericum perforatum L.) (equivalent to 7IImg-995mg of St. John’s Wort). Extraction solvent: Ethanol 60% v/v. This product also contains the following inactive (excipient) ingredients: Microcrystalline cellulose, Magnesium stearate, Silica colloidal hydrated. Excipients in the extract: Maltodextrin, Silica colloidal anhydrous.
Capsule shell: Hypromellose, Titanium dioxide (E 171). Each bottle contains 50 or 100 white. hard, two piece capsules with green/brown powder.
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 skn. If you experience allergic skin reactions, stop taking the product and consult your doctor.
♦ Sunburn-like reactions on skin exposed to strong sunlight or strong ultra-violet (UV) irradiation e.g. solarium, particularly in fair skinned individuals.
Other side effects that have been reported include headaches, nerve pain or tingling, anxiety, dizziness and mania.
If any of the above side effects become serious or if other side effects not mentioned above occur, a Doctor or Pharmacist should be consulted.
Traditional Herbal Registration Holder
Holland & Barrett International Limited Samuel Ryder House, Barling Way Nuneaton,
Warwickshire, CVI0 7RH, United Kingdom
Holland & Barrett International Limited
Vitality House, Sixth Avenue, Centrum 100, Burton-on-Trent,
Staffordshire, DEI4 2WP United Kingdom
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, CVI0 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: email@example.com This leaflet was revised on: 16/08/2016
BM509-000 00A I38088-000 CERTIFICATION MARK