{"id":16927,"date":"2014-07-03T14:11:17","date_gmt":"2014-07-03T18:11:17","guid":{"rendered":"http:\/\/therapytoronto.ca\/news\/?p=16927"},"modified":"2014-07-09T02:37:34","modified_gmt":"2014-07-09T06:37:34","slug":"st-johns-wort-can-cause-dangerous-interactions","status":"publish","type":"post","link":"https:\/\/therapytoronto.ca\/news\/2014\/07\/st-johns-wort-can-cause-dangerous-interactions\/","title":{"rendered":"St. Johns Wort can cause dangerous interactions"},"content":{"rendered":"<p>From the Wake Forest Baptist Medical Center media release:<\/p>\n<blockquote><p><a href=\"http:\/\/therapytoronto.ca\/news\/wp-content\/uploads\/2013\/12\/DepressedGirl.jpg\"><img loading=\"lazy\" class=\"alignright size-full wp-image-16006\" alt=\"DepressedGirl\" src=\"http:\/\/therapytoronto.ca\/news\/wp-content\/uploads\/2013\/12\/DepressedGirl.jpg\" width=\"300\" height=\"200\" \/><\/a>St. John&#8217;s wort, the leading complementary and alternative treatment for depression in the United States, <strong>can be dangerous when taken with many commonly prescribed drugs<\/strong>, according to a study by researchers at Wake Forest Baptist Medical Center.<\/p>\n<p>The researchers reported that <strong>the herbal supplement can reduce the concentration of numerous drugs in the body, including oral contraceptive, blood thinners, cancer chemotherapy and blood pressure medications<\/strong>, resulting in impaired effectiveness and treatment failure.<\/p>\n<p>&#8220;Patients may have a false sense of safety with so-called &#8216;natural&#8217; treatments like St. John&#8217;s wort,&#8221; said Sarah Taylor, M.D., assistant professor of dermatology at Wake Forest Baptist and lead author of the study. &#8220;And it is crucial for physicians to know the dangers of &#8216;natural&#8217; treatments and to communicate the risks to patients effectively.&#8221;<\/p>\n<p>The study is published in the current online issue of <em>The Journal of Alternative and Complementary Medicine<\/em>.<\/p>\n<p>To determine how often S. John&#8217;s wort (SJW) was being prescribed or taken with other medications, the team conducted a retrospective analysis of nationally representative data collected by the National Ambulatory Medical Care Survey from 1993 to 2010. <strong>The research team found the use of SJW in potentially harmful combinations in 28 percent of the cases reviewed<\/strong>.<\/p>\n<p>Possible drug interactions can include serotonin syndrome, a potentially fatal condition that causes high levels of the chemical serotonin to accumulate in your body, heart disease due to impaired efficacy of blood pressure medications or <strong>unplanned pregnancy due to contraceptive failure<\/strong>, Taylor said.<\/p>\n<p>Limitations of the study are that only medications recorded by the physician were analyzed. However, she said <strong>the rate of SJW interactions may actually be underestimated because the database did not include patients who were using SJW but did not tell their doctor<\/strong>.<\/p>\n<p>&#8220;Labeling requirements for helpful supplements such as St. John&#8217;s wort need to provide appropriate cautions and risk information,&#8221; Taylor said, adding that France has banned the use of St. John&#8217;s wort products and several other countries, including Japan, the United Kingdom, and Canada, are in the process of including drug-herb interaction warnings on St. John&#8217;s wort products.<\/p>\n<p>&#8220;<strong>Doctors also need to be trained to always ask if the patient is taking any supplements, vitamins, minerals or herbs, especially before prescribing<\/strong> any of the common drugs that might interact with St. John&#8217;s wort.&#8221;<\/p><\/blockquote>\n<p>Co-authors are Steven Feldman, M.D., and Scott Davis, M.A., of Wake Forest Baptist. Funding was provided by the Center for Dermatology Research at Wake Forest Baptist.<\/p>\n<!-- AddThis Advanced Settings generic via filter on the_content --><!-- AddThis Share Buttons generic via filter on the_content -->","protected":false},"excerpt":{"rendered":"<p>From the Wake Forest Baptist Medical Center media release: St. John&#8217;s wort, the leading complementary and alternative treatment for depression in the United States, can be dangerous when taken with&#8230; <a class=\"read-more-link\" href=\"https:\/\/therapytoronto.ca\/news\/2014\/07\/st-johns-wort-can-cause-dangerous-interactions\/\">Read more &raquo;<\/a><!-- AddThis Advanced Settings generic via filter on get_the_excerpt --><!-- AddThis Share Buttons generic via filter on get_the_excerpt --><\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[345,339,4,336],"tags":[],"_links":{"self":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/16927"}],"collection":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/comments?post=16927"}],"version-history":[{"count":2,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/16927\/revisions"}],"predecessor-version":[{"id":16932,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/16927\/revisions\/16932"}],"wp:attachment":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/media?parent=16927"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/categories?post=16927"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/tags?post=16927"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}