UCALM ST JOHNS WORT TABLETS
Active substance(s): ST JOHNS WORT EXTRACT
PATIENT INFORMATION LEAFLET
Care St John’s Wort Low Mood Relief Tablets
St John’s Wort extract 300mg
Read all of this leaflet carefully before you start taking this medicine because it contains important
information for you.
Always take this medicine exactly as described in this leaflet or as your doctor or pharmacist has told you.
- Keep this leaflet. You may need to read it again.
- Ask your pharmacist if you need more information or advice.
- If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed
in this leaflet. See section 4.
- You must talk to a doctor if you do not feel better or if you feel worse after 6 weeks.
What is in this leaflet:
1. What Care St John’s Wort Tablets are and what
4. Possible side effects
they are used for
5. How to store Care St John’s Wort Tablets
2. Before you take Care St John’s Wort Tablets
6. Contents of the pack and other information
3. How to take Care St John’s Wort Tablets
CARE ST JOHN’S WORT TABLETS ARE AND WHAT THEY ARE USED FOR
Care St. John’s Wort Low Mood Relief Tablets are a traditional herbal medicinal product used to relieve the
symptoms of slightly low mood and mild anxiety, based on traditional use only.
Each film coated tablet contains 300mg of extract (as dry extract) from St. John’s Wort aerial parts (Hypericum
perforatum L.) (5-7:1) (equivalent to 1500-2100mg of St. John’s Wort herb). Extraction solvent: Ethanol 60% v/v.
2. BEFORE YOU TAKE CARE ST JOHN’S WORT TABLETS
Do not take this product:
• if you know you are allergic to St John’s Wort
• if you are pregnant or breastfeeding
or any of the other ingredients of this medicine
• if you are about to undergo surgery
(listed in section 6)
• if your skin is exceptionally sensitive to light
• if you are under 18 years of age
(photosensitive) and if you are having light treatment
• if you have been diagnosed with depression, or think
(phototherapy) for any condition
you may be depressed, (see below)
Warnings and Precautions
Avoid excessive sunbathing or the use of sunbeds/solariums. Stop using this medicine at least 10 days prior to
undergoing any surgery.
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 in concentrating.
If your doctor has told you that you are suffering from depression do not use this product. If you think you are
suffering from depression, you should tell your doctor.
Other medicines and Care St John’s Wort Tablets
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 yourself 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:
DO NOT TAKE THIS PRODUCT IF YOU ARE TAKING ANY OF THE FOLLOWING MEDICINES
All hormonal contraceptives:
The birth control “Pill”, emergency contraception (also known as the “morning
after” pill), hormonal implants, creams, patches, intra-uterine devices with
All medicines for depression/anxiety:
Amitriptyline, clomipramine, moclobemide, citalopram, escitalopram, fluoxetine,
fluvoxamine, paroxetine, sertraline, duloxetine, venlafaxine.
MHRA Header Box
All hormonal replacement therapy (HRT) HRT tablets, patches, gels, vaginal rings.
Point Sizes Used
treatments: Care St John's Wort Low Mood Relief
for thinning the blood:
Helvetica LT Std
All medicines for epilepsy:
Carbamazepine, phenobarbitone, phenytoin, primidone, sodium valproate.
All immunosuppressant medicines:
All medicines for HIV infections:
Amprenavir, atazanavir, darunavir, fosamprenavir, indinavir, lopinavir, nelfinavir,
ritonavir, saquinavir, tipranavir, efavirenz, nevirapine, delavirdine.
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,
Some medicines for high blood pressure: Amlodipine, nifedipine, felodipine, verapamil.
A medicine for regulating mood:
A thyroid hormone:
Avoid excessive sunbathing or the use of sunbeds/solariums. Stop using it at least 10 days prior to undergoing any surgery.
St John’s Wort may also affect the following medicines. Therefore do not take Care St John’s Wort Low Mood Relief
Tablets with these medicines unless a doctor has said it is safe to do so:
• aprepitant (used to treat post-operative vomiting)
• fentanyl, propofol, sevoflurane and midazolam
• butobarbital and Phenobarbital (barbiturates)
• methyl phenidate (a central nervous system or CNS
• tramadol (an analgesic)
• erythromycin, clarithromycin & telithromycin (antibiotics) stimulant)
• exemestane (a hormone antagonist)
• itroconazole and voriconazole (antifungals)
• eplerenone (a diuretic)
• artemether and lumfantrine (antimalarials)
• lansoprazole and omeprazole (proton pump inhibitors)
• rasagiline (an anti-Parkinsons medicine)
• theophylline (a bronchodilator)
• aripiprazole (an antipsychotic medicine)
• gliclazide (an antidiabetic medicine)
• busprione (an anxiolytic)
Driving and using machines: St John’s Wort may make you feel dizzy or sleepy. If affected do not drive or use
Care St John’s Wort Tablets contain glucose. If you have been told by your doctor that you have an intolerance to
some sugars, contact your doctor before taking this product.
3. HOW TO TAKE CARE ST JOHN’S WORT TABLETS
Adults and the elderly: Take 2 tablets once a day. The tablets should be swallowed whole with a little water or
other liquid. The tablets should not be chewed.
Do not take more than the label tells you to.
See your doctor or qualified healthcare practitioner if symptoms worsen, or persist for more than 6 weeks.
Not suitable for children or adolescents under the age of 18 years.
If you take more of this product than you should
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 does not matter if you have missed a dose.
If you are unsure about anything or have any questions about this product, consult your doctor, pharmacist or
qualified healthcare practitioner.
4. POSSIBLE SIDE EFFECTS
Like all medicines, this product can cause side effects, although not everybody gets them.
The following side effects have been reported:
- gastrointestinal disorders such as indigestion, loss of appetite, nausea, diarrhoea, constipation; fatigue and
- 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.
If any of the above side effects become serious or if other side effects not mentioned above occur, a doctor or
pharmacist should be consulted.
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 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.
5. HOW TO STORE THIS PRODUCT
Do not store above 25°C. Store in the original package in order to protect from light and moisture.
Keep out of the sight and reach of children.
Do not use this product after the expiry date which is stated on the base of the bottle after EXP. The expiry date
refers to the last day of that month.
Boxshould not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of
medicines no longer required. These measures will help protect the environment.
Point Sizes Used
Care St John's Wort Low Mood Relief
OF THE PACK AND OTHER INFORMATION
Helvetica LT Std
What Care St John’s Wort Tablets contain
- Each film-coated
Leaflet tablet contains 300mg of extract (as dry extract) from St John’s Wort aerial parts
(Hypericum perforatum L.) (5-7:1) (equivalent to 1500 – 2100mg St. John’s Wort). Extraction solvent 60% v/v.
ingredients are; maltodextrin; silica collodial anhydrous; calcium hydrogen phosphate dihydrate;
- The other
microcrystalline; hydroxypropylmethyl-cellulose; croscarmellose sodium; silica colloidal hydrated;
IG Code cellulose
magnesium stearate; sodium carboxymethylcellulose; lecithin; dextrose monohydrate; sodium citrate; dextrin.
Wort Tablets look like and contents of the pack
Care St John’s Wort Low Mood Relief Tablets are round, dark brown, shallow convex tablets. Do not use this
product if 10
you notice anyDate
discolouring or softening of the tablets as this may mean that they have
Each bottle contains 30, 60, 90 and 120 capsules. Not all pack sizes may be marketed.
Registration number: THR 33336/0003
Traditional Herbal Registration Holder and Manufacturer: Natures Aid Ltd, St Georges Park,
Preston, Lancs., PR4 2DQ, UK.
Distributed by: Thornton & Ross Ltd., Huddersfield, HD7 5QH, UK.
This leaflet was last revised in November 2017.
For a large print, braille or audio version of this leaflet please call 01484 848164
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.