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St Johns Wort

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The leaves and petals of the common herb, St John’s wort, contain a number of unique substances such as hypericin and hyperforin that have an antidepressant action.

In fact, it may be as effective in treating mild to moderate depression as some prescription-only medications. One study, published in the British Medical Journal, tested the effectiveness of St John’s wort against the tricyclic antidepressant drug, imipramine, in 324 people attending outpatient clinics in Germany. Improvements in mood were equivalent for both groups of patients, but those taking St John’s wort also showed a significant improvement in anxiety about their health and the herbal remedy was better tolerated than the drug.

A similar study suggests St John’s wort is also as effective as another type of antidepressant drug, sertraline, which belongs to a group known as the selective serotonin reuptake inhibitors (SSRIs). St John’s wort is thought to work by prolonging the action of a brain neurotransmitter, serotonin. It also seems to dampen down the high levels of stress hormones (eg cortisol) seen in people who are depressed, as well as increasing night-time production of melatonin hormone (the brain’s own natural sedative) to improve sleep. St John’s wort is also helpful for women with premenstrual syndrome. A pilot study of nineteen with PMS showed there was a significant reduction in symptoms, with two thirds of participants experiencing at least a 50% decrease in their severity. n

Ref:
Woelk H. 2000 Comparison of St John´s wort and imipramine for treating depression: randomised controlled trial. BMJ. 321;7260:536-9. Van Gurp G et al. 2002St John´s wort or sertraline? Randomized controlled trial in primary care. Can Fam Physician. 48:905-12. Stevinson C, Ernst E. 2000 A pilot study of Hypericum perforatum for the treatment of premenstrual syndrome. BJOG. 107;7:870-6.

 

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Dr Sarah Brewer

Dr Sarah Brewer 

Sarah Brewer graduated as a doctor from Cambridge University in 1983. She was a full-time GP for five years and now works in hospital medicine. She is the author of 40 books and writes widely on all aspects of health including complementary medicine. 

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St John's Wort

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