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LAMBERTS ST JOHNS WORT TABLETS

Active substance(s): ST JOHNS WORT EXTRACT

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Lamberts St John’s Wort Tablets
®

St John’s Wort Extract 370mg
8001
Patient Information Leaflet
Please read this information carefully before you start
taking these tablets. It contains some important
information about this product. Keep this leaflet
with the tablets. You may want to read it again
or show it to your doctor, pharmacist or qualified
healthcare practitioner.

What is in this leaflet
1. What this 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 this product is and what it is used for
This product is a traditional herbal medicinal product
containing St John’s Wort.
Lamberts® St. John’s Wort is a traditional herbal medicinal
product used to relieve the symptoms of slightly low mood
and mild anxiety. This is based on traditional use only.

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 this product with other medicines
St John’s 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 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 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 hormonal replacement therapy (HRT) treatments:
HRT tablets, patches, gels, 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, 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)

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• 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 antidiabetic medicine)
If you are taking any other medicines whether prescribed
for you or available without a prescription, you should
consult a doctor or pharmacist before taking this product.

3. How to take this product
For oral use only
Adults and the elderly:

You must speak to a doctor or qualified healthcare
practitioner if your symptoms worsen, if they do not
improve after six weeks, or if any of the side effects
become serious or if you notice any side effects not
mentioned in the leaflet.
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 the package 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.

5. How to store this product
Keep the tablets out of the sight and reach of children.
Keep your tablet in the packaging until it is time to
take them.
Do not store above 25°C.
Do not use Lamberts® St. John’s Wort tablets after the
expiry date which is stated on the box and blister pack.
The expiry date refers to the last day of that month. Return
any out-of-date tablets to your pharmacist.

Take 1 tablet daily. Swallow the tablets whole with some
water or other liquid. Do not chew the tablets.

6. Further information

Do not exceed the stated dose.

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
1850mg-2590mg of St. John’s Wort). Extraction
Solvent: Ethanol 60% v/v.

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.

Active Ingredient

If you forget to take this product
Continue to take your usual dose at the usual time, it
does not matter if you have missed a dose.

This product also contains the following ingredients:

If you have any questions, or are unsure about
anything, please ask your doctor, pharmacist or
qualified healthcare practitioner.

Tablet Core - Maltodextrin, Microcrystalline Cellulose,
Croscarmellose Sodium, Stearic Acid, Magnesium
Stearate, Silica Colloidal Anhydrous.

After taking this product

Tablet Coating - Hypromellose, Glycerol.

If your symptoms worsen, if they do not improve
after 6 weeks, if side effects become serious or if
you experience side effects not mentioned in this
leaflet, you must consult your doctor, pharmacist
or qualified healthcare practitioner.

The tablets are clear coated, brown speckled and
oval shaped.

4. Possible side effects
Like all medicines, this product can have side effects.
The following side effects have been reported:
• 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.

Excipients in the extract - Maltodextrin, Silica Colloidal
Anhydrous.

Each pack contains 30, 60 or 90 coated tablets.
Not all pack sizes may be marketed.
Traditional herbal registration holder for this product:
Lamberts Healthcare Ltd., 1 Lamberts Road,
Tunbridge Wells, Kent TN2 3EH.
Manufacturer of this product: Thompson & Capper Ltd,
Hardwick Road, Astmoor, Runcorn, Cheshire WA7 1PH.
Traditional Herbal Registration Number:
THR34425/0001
If you would like further information about this product
or would like a large print, Braille or audio version of
this leaflet please contact: Lamberts Healthcare Ltd.,
1 Lamberts Road, Tunbridge Wells, Kent TN2 3EH.
Tel: 01892 554312.
This leaflet was updated in July 2016.
LK63-2
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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