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HEALTHSPAN ST. JOHNS WORT MOOD RELIEF TABLETS

Active substance(s): ST JOHNS WORT DRY EXTRACT

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Patient Information Leaflet

4: Possible side-effects

6: Further information

Healthspan St John's Wort Mood Relief can cause side effects, although not
everybody gets them. Stop taking Healthspan St John's Wort Mood Relief
and check with your doctor, pharmacist or qualified healthcare practitioner
immediately if any of the following side effects occur:

Each film-coated tablet contains: 370mg of extract (as dry extract) from
St John’s Wort aerial parts (Hypericum perforatum L.) (5-7:1) (equivalent to
1,850mg – 2,590mg of St John’s Wort.) Extraction solvent: Ethanol 60% v/v.

Tablets
St John's Wort Extract 370mg

Please read this leaflet carefully before you start taking these tablets.
It contains some important information about Healthspan St John's Wort
Mood Relief.
Keep this leaflet with the tablets.
You may want to read it again or show it to your doctor, pharmacist or
qualified healthcare practitioner.

Excipients in the extract: Maltodextrin, colloidal anhydrous silica.
Tablet core: Maltodextrin, microcrystalline cellulose, croscarmellose sodium,
stearic acid, magnesium stearate, colloidal anhydrous silica.

Side-effects
• 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 skin.
If you experience allergic skin reactions, stop taking the product
and consult your doctor.
Also sunburn-like reactions on skin exposed to strong sunlight or strong
ultra-violet (UV) irradiation e.g. solarium have been reported, particularly in
fair skinned individuals. Other side effects that have been reported include
headaches, nerve pain or tingling, anxiety, dizziness and mania. The frequency
of these effects occurring is not known.
Reporting of side-effects
If you get any side-effects, talk to your doctor, pharmacist or qualified
healthcare practitioner. 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 or search for MHRA Yellow Card
in the Google Play or Apple App Store. By reporting side-effects you can help
provide more information on the safety of this medicine.

Tablet coating: Hypromellose, glycerol.
What Healthspan St John's Wort Mood Relief looks like and contents
of the pack: Each pack contains 60 film-coated tablets.

What is in this leaflet

You must speak to a qualified healthcare practitioner if your symptoms
worsen, if they do not improve after six weeks, or if side effects not
mentioned in this leaflet occur.
Registration holder and manufacturer of this product
Thompson & Capper Ltd. Hardwick Road, Astmoor, Runcorn, Cheshire, WA7 1PH.
Traditional herbal registration number: THR 01359/0001.

If you would like further information about
this product or if this leaflet is hard to see
or read, please contact: Healthspan Ltd,
PO Box 64, Guernsey, GY1 1BT.
Email: herbalinfo@healthspan.co.uk

Do not use your film-coated tablets after the expiry date. Return any
out-of-date tablets to your pharmacist who will dispose of them for you.
The expiry date is printed on the box and the blister pack.

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What this product is and what it is used for.........................................page 1
Before you take this product.................................................................page 2-4
How to take this product............................................................................page 4
Possible side-effects....................................................................................page 5
How to store this product..........................................................................page 5
Further information.....................................................................................page 6

1: What this product is and what it is used for
This product is a traditional herbal medicinal product containing St John’s Wort
extract. Each film-coated tablet contains: 370mg of extract (as dry extract) from
St John’s Wort aerial parts (Hypericum perforatum L.) (5-7:1) (equivalent to
1,850mg – 2,590mg of St John’s Wort.) Extraction solvent: Ethanol 60% v/v.

Telephone: 0800 73 123 77.

5: How to store this product

Do not store above 25°C. Store in original packaging.
Keep the tablets out of the reach and the sight of children.
Keep your tablets in the blister pack until it is time to take them.

Healthspan St John's Wort Mood Relief

THR 01359/0001

This product is a traditional herbal medicinal product used to relieve the
symptoms of slightly low mood and mild anxiety, based on traditional
use only.

This leaflet was revised in January 2018.
certification mark
LK182-2

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2: Before you take this product
DO NOT TAKE this product if:
• your skin is exceptionally sensitive to sunlight (photosensitive)
• you are having light treatment (phototherapy) for any condition
• you are suffering from depression (see below)
• You are pregnant or breastfeeding
• you are allergic to any of the ingredients (see section 6)
• you are under the age of 18 years
Suffering from depression?
Symptoms of depression include feelings of helplessness and hopelessness, loss
of interest in daily activities, appetite or weight changes, changes in sleep pattern,
loss of energy and difficulty concentrating. If your doctor has told you that you are
suffering from depression do not use this product.
If you think that you may be suffering from depression you should tell your
doctor before taking this product.
While you are taking this product:
• avoid excessive sunbathing or the 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
use machines.
Taking other medicines
Healthspan St John’s Wort Mood Relief 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 without a
prescription. Therefore it is important that you do not take St John’s Wort if you
are using any of the medicines listed.
All hormonal contraceptives for example: The birth control ‘Pill’, emergency
contraception (also known as the morning-after pill), hormonal implants, creams,
patches, intra-uterine devices with hormones.
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All medicines for depression/anxiety for example: Amitriptyline,
clomipramine, moclobemide, citalopram, escitalopram, fluoxetine, fluvoxamine,
paroxetine, sertraline, duloxetine, venlafaxine.
All hormonal replacement therapy (HRT) treatments for example: HRT
tablets, patches, gels, vaginal rings.
All medicines for thinning the blood (anticoagulants) for example: Warfarin,
acenocoumarol.
All medicines for epilepsy for example: Carbamazepine, phenobarbitone,
phenytoin, primidone, sodium valproate.
All immunosuppressant medicines for example: Ciclosporin, tacrolimus.
All medicines for HIV infections for example: 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 migraines: Almotriptan, eletriptan, frovatriptan, naratriptan,
rizatriptan, sumatriptan, zolmitriptan.
Some medicines for high blood pressure: Amlodipine, nifedipine, felodipine,
verapamil.
A medicine for regulating mood: Lithium.
A thyroid hormone: Thyroxine.
St John's Wort may also affect the following medicines. Therefore do not
take this product with these medicines unless a doctor has said it is safe
to do so:
• fentanyl, propofol, sevoflurane, and midazolam (anaesthetics/
pre-operative medicines)
• tramadol (an analgesic)
• erythromycin, clarithromycin and telithromycin (antibiotics)
• itraconazole and voriconazole (antifungals)
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artemether and lumefantrine (antimalarials)
rasagiline (an anti-Parkinson’s medicine)
aripiprazole (an antipsychotic medicine)
buspirone (an anxiolytic)
aprepitant (used to treat post-operative vomiting)
butobarbital and phenobarbital (barbiturates)
methyl phenidate (a central nervous system or CNS stimulant)
exemestane (a hormone antagonist)
eplerenone (a diuretic)
lansoprazole and omeprazole (proton pump inhibitors)
theophylline (a bronchodilator)
gliclazide (an antidiabetic medicine)

3: How to take this product
Adults and the elderly
Take 1 tablet daily. Swallow the tablet whole with some water or other
liquid. Do not chew the tablet.
Do not exceed the stated dose.
If you take too much of this product (overdose)
If you take more than the recommended dose, speak to a doctor, pharmacist
or qualified healthcare practitioner and take this leaflet with you.
If you forget to take this product
Continue to take your usual dose at the usual time; it doesn’t matter if you have
missed a dose. Do not take a double dose to make up for the missed dose.
If you have any questions, or are unsure about anything, please ask your
doctor, pharmacist or qualified healthcare practitioner.
If your symptoms worsen, if they do not improve after six weeks, or If any of
the side effects get serious, or if you notice any side effects not listed in this
leaflet, please tell your doctor, pharmacist or qualified healthcare practitioner.
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Source: Medicines and Healthcare Products Regulatory Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.

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