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HERBALSTORE ST JOHNS WORT TABLETS

Active substance(s): ST JOHNS WORT DRY EXTRACT

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P16725

Patient Information Leaflet

St John’s Wort Tablets

St John’s Wort extract 161 mg
Read all of this leaflet carefully before you take this product
because it contains important information for you.
This product is available without prescription; however, you still need
to use this product carefully to get the best results from it. Keep this
leaflet as you may need to read it again. Ask your doctor, pharmacist
or qualified healthcare practitioner if you need more information or
advice. You must contact a doctor or qualified healthcare practitioner
if your symptoms feel worse, or do not improve after 6 weeks. If any
of the side effects get serious or if you notice any side effects not
listed in this leaflet, please tell your doctor.
In this leaflet:
1. What the product is and what it is used for
2. Before you take this product
3. How to take this product
4. Possible side effects
5. How to store this product
6. Further information

1. What the product is and what it is used for
This product contains:
St John's Wort extract
These tablets are a traditional herbal medicinal product used to
relieve the symptoms of slightly low mood and mild anxiety, based on
traditional use only.
Suffering from depression?
Symptoms of depression include feelings of helplessness and
hopelessness, loss of interest in daily activities, appetite or weight
changes, sleep changes, 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 you are depressed you
should tell your doctor before taking this product.

2. Before you take this product
Do not take this product if you:
are under 18 years old
are allergic to any of the ingredients (see section 6)

Product: St John’s Wort Tablets Leaflet THR 20894/0064
Component Code: P16725
Size: 140mm x 270mm
Version: BRU001
Pharmacode: 411
Colours: Black, 2 sided.
Date: 12/06/2015
Page: 1 of 2

are suffering from depression
have skin that is sensitive to sunlight (photosensitive)
are having light therapy (phototherapy) for any condition
are due to have an operation in the next 10 days
have been told by your doctor that you have an intolerance
to some sugars.
Taking this product with other medicines
St Johns Wort 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
brought 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 in the table below.
All hormonal contraceptives: The birth control 'Pill', emergency
contraception (also known as ‘the morning after’ pill), hormonal
implants, creams, patches, intra-uterine devices with hormones.
All medicines for depression/anxiety: Amitriptyline,
clomipramine, moclobemide, citalopram, escitalopram, fluoxetine,
fluvoxamine, paroxetine, sertraline, duloxetine, venlafaxine.
All hormone replacement therapy (HRT) treatments: HRT
tablets, patches, gels and vaginal rings.
All medicines for thinning the blood (anticoagulants):
Warfarin, acenocoumarol.
All medicines for epilepsy: Carbamazepine, phenobarbitone,
phenytoin, primidone, sodium valproate.
All immunosuppressant medicines: Ciclosporin, tacrolimus.
All medicines for HIV infections: Amprenavir, atazanavir,
darunavir, fosamprenavir, indinavir, lopinavir, nelfinavir, ritonavir,
saquinavir, tipranavir, efavirenz, nevirapine, delaviridine.
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,verapamill.
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)
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 anti-diabetic medicine).

While you are taking this product:
Avoid prolonged sunbathing or the use of sun beds or solariums.
Stop taking this product 10 days before having an operation.
Driving and using machinery:
No studies on the effect on the ability to drive and use machinery
have been performed. In rare cases St. John’s Wort may make
you feel dizzy or sleepy. If affected do not drive or operate
machinery.

3. How to take this product
Swallow the tablets whole with water.
Do not chew.
Adults and the elderly: Take one to two tablets a day.
Do not give to children or adolescents under 18 years old.
Do not exceed the stated dose.
If your symptoms worsen, or persist after 6 weeks, consult your
doctor or qualified healthcare practitioner.
What to do if too many tablets are taken.
If you take too many tablets by mistake contact your doctor or
pharmacist straight away and take this leaflet with you.
What to do if you miss a dose.
If you miss a dose continue to take your usual dose when it is
due, do not take a double dose.
If you are unsure about anything, ask your doctor, pharmacist
or qualified healthcare practitioner for advice.

Product: St John’s Wort Tablets Leaflet THR 20894/0064
Component Code: P16725
Size: 140mm x 270mm
Version: BRU001
Pharmacode: 411
Colours: Black, 2 sided.
Date: 12/06/2015
Page: 2 of 2

fold

fold

fold

fold central

fold

fold

last bar

1st bar

fold 32mm

Position
pharmacode
centrally on
fold panel with a
4mm distance
from the edge
of the leaflet.

Direction of Travel

Pregnancy and breast feeding:
Do not take this product if you are pregnant or breastfeeding,
because there is no evidence that it is safe to do so.

Leaflet Size:
140mm x 270mm
height x width

4. Possible side effects

5. How to store your product

Most people do not have any side effects while taking this
product but the following side effects have been reported:

Keep out of the reach and sight of children.

Gastrointestinal disorders such as indigestion, nausea,
diarrhoea, anorexia (loss of appetite) and constipation.
Allergic skin reactions such as rash, hives and itching of
the skin. Stop taking the product if an allergic skin
reaction occurs.
Fatigue, restlessness.
Also sunburn-like reactions on skin exposed to strong
sunlight or strong ultraviolet (UV) irradiation e.g. solarium
have been reported, particularly in fair skinned
individuals.
Other side effects:
headaches
nerve pain or tingling (neuropathy)
anxiety
mania
dizziness.
These are usually mild and disappear after a few days. The
frequency of these occurring is not known. However, if any
side effect persists for more than a few days or anything
else unusual happens, stop taking the product immediately
and see your doctor or pharmacist.
Reporting of side effects:
If you get any side effects, talk to your doctor, pharmacist
or nurse. 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
By reporting side effects you can help provide more
information on the safety of this medicine.

Do not use these tablets after the expiry date printed on
the pack.
Do not store above 25°C. Store in the original package.

6. Further Information
Each film coated tablet contains the active ingredient: 161 mg of
St John's Wort extract aerial parts (Hypericum perforatum L.)
(5-7:1) (equivalent to 806 - 1128 mg St John's Wort).
Also contains: maltodextrin, lactose monohydrate,
microcrystalline cellulose, sodium starch glycolate, colloidal
anhydrous silica, magnesium stearate, stearic acid, hypromellose
and purified talc.
This product is available in pack sizes of 30, 60 or 90 tablets.
Not all pack sizes are marketed.
This product is a grey, capsule shaped, clear film coated tablet.
Is this leaflet hard to see or read? Contact us on:
Telephone: +44 (0)1283 228300
Email: info@bruhealth.co.uk
THR holder and manufacturer is:
Brunel Healthcare Manufacturing Ltd., William Nadin Way,
Swadlincote, Derbyshire, DE11 0BB, U.K.
Text revised: June 2015.
THR: 20894/0064

Certification Mark

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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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