St. John's Wort (Hypericum perforatum) in the treatment of depression

Jerome Sarris

Research output: Chapter in Book / Conference PaperChapter

Abstract

St. John's wort (Hypericum perforatum; SJW), traditionally used for a variety of nervous system conditions, is a popular modern-day herbal treatment for depression. Many clinical trials consistently demonstrate SJW's effectiveness in major depressive disorder (MDD); several have shown it to be equivalent to pharmaceutical antidepressants (Sarris 2013). However, because most of these studies used highly characterized, standardized SJW preparations, the findings cannot be extrapolated to all over-the-counter SJW supplements. In this chapter, I discuss the mechanisms of action of SJW, emerging pharmacogenetic data, current evidence of the efficacy of SJW in treating depression, safety and clinical considerations, and a case study.
Original languageEnglish
Title of host publicationComplementary and Integrative Treatments in Psychiatric Practice
EditorsPatricia L. Gerbarg, Philip R. Muskin, Richard P. Brown
Place of PublicationU.S.
PublisherAmerican Psychiatric Association
Pages143-148
Number of pages6
ISBN (Electronic)9781615371358
ISBN (Print)9781615370313
Publication statusPublished - 2017

Keywords

  • St John's wort
  • depression, mental

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