I requested information on the possibility of a drug interaction when taking St. John's Wort with Lexapro. The pharmacist said, "St. John's Wort is a dietary supplement and has no pharmacological action." I altered my question to make sure I asked if taking Lexapro with a St. John's Wort supplement can have an adverse reaction and he repeated himself. I found out later from a Doctor that taking both can be very harmful and cause Seratonin Syndrome. Is a pharmacist required to give information of food-drug interactions?
Can a pharmacist refuse to give information on drug and food interactions?
- 30 Sep 2013 by revbarabbas
- 15 Nov 2013
- lexapro, st. john's wort, interaction, food, supplement, pharmacist, drug interaction
Added 30 Sep 2013:
The interaction is listed in the manufacturer of Lexapro's Rx guidelines...so this information was available to the Pharmacist but he decided to not check.
Added 30 Sep 2013:
Also checked the FDA...they do maintain information for drug interaction with St. John's Wort
Sounds like your pharmacists was being a bit harried when responding as St.John's Wort does have pharmacological action though it is not regulated by the FDA which makes it more difficult to look up interaction potentials, etc. Your doctor is correct when stating the potential for serotonin syndrome. Don't believe the pharmacist is required to give info on this type substance, but many surly would to prevent this type reaction.
Hi, if the pharmacist had completely refused to answer, or said that they didn't know/were unsure then fine, but you were given some advice that could potentially be very dangerous. I think you need to report this pharmacist so they don't continue to give out false information, putting further people at risk. Sorry if that sounds harsh, but that is what i would do...
Sounds like he doesn't know herbs and was brushing you off rather then admitting that. He has to tell you of all the interactions. We could have told you not to take them together, lolol. I think on the st john's wort labels it tells you not to take it with antidepressants. I just looked on my paper that came with my effexor and there isn't a word about any herbs with it.
Just to clear this up. Did you talk to a pharmacist or one of the people behind the counter? There are techs with white coats as well. He had best have the full pharmacy degree to say anything. He should have checked it in the computer.
The good thing is that you found us and now know where to check interactions. Be sure all supplements are given to your pharmacy as well as any allergies. They can catch these things for you. And if you use more than one pharmacy, if possible stick with one so they know all your medications. If you get the one who guesses again, ask him to check for you using your sweetest smile. You may be surprised. Karen
Hi, rev! Maybe you got someone on a bad day? Most large chain pharmacies (CVS, WalMart, RiteAid, Walgreen's, etc.) have their own checker systems and there quite a few others online. They may not have every herbal listed, but even here on Drugs.com you can check hundreds of scripts, herbals, and supplements.
I refuse to patronize the big guys for just this reason. I use a small town pharmacy where the pharmacist knows me, my history, my meds, and ALWAYS takes time to talk with his customers. I've learned more from him than my doctor. Well, He IS a pharmacist.
Best wishes, WCV
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