Hermetica Superfood Encyclopedia
The Short Answer
St. John's Wort (Hypericum perforatum) is a European herb containing hypericin (0.0095-0.466%) and hyperforin (2-4.5%) as primary bioactive compounds. These compounds interact with CYP enzymes including CYP3A4 and CYP1A2, though clinical evidence remains limited.
CategoryHerbs (Global Traditional)
GroupEuropean
Evidence LevelStrong
Primary KeywordSt. John's Wort benefits
Synergy Pairings3

St. John's Wort (Hypericum perforatum) — botanical close-up
Health Benefits
Origin & History

Natural habitat
St. John's Wort (Hypericum perforatum) is a perennial herbaceous plant native to Europe, Asia, and North America, traditionally harvested from its aerial parts, particularly flowers and leaves. The herb is extracted using hydroalcoholic methods or solvents like methanol and acetone to yield standardized extracts containing bioactive compounds including naphthodianthrones, phloroglucinols, and flavonoids.
“The research dossier provides no information on historical context, traditional medicine systems, or traditional indications for Hypericum perforatum. Duration of traditional use is not specified in the available sources.”Traditional Medicine
Scientific Research
The research dossier provides no specific details on human clinical trials, RCTs, or meta-analyses for Hypericum perforatum. No PMIDs, study designs, sample sizes, or clinical outcomes are available in the provided sources.
Preparation & Dosage

Traditional preparation
No clinically studied dosage ranges are specified in the research dossier for extracts, powder, or standardized forms. Consult a healthcare provider before starting any new supplement.
Nutritional Profile
St. John's Wort (Hypericum perforatum) is primarily valued as a medicinal herb rather than a nutritional food source. Its key bioactive compounds dominate its profile: Hypericin and pseudohypericin (naphthodianthrone derivatives) at 0.0095–0.466% dry weight, serving as marker compounds for standardization; Hyperforin and adhyperforin (phloroglucinol derivatives) at 2–4.5% dry weight, considered primary active constituents for neuromodulatory effects. Flavonoids constitute 2–12% total dry weight, including hyperoside (quercetin-3-galactoside, ~0.5–2%), quercitrin (~0.3–1%), rutin (~0.3–0.8%), isoquercitrin, kaempferol, and luteolin glycosides; these exhibit moderate oral bioavailability (20–50%) influenced by gut microbiota metabolism and efflux transporters. Phenolic acids include chlorogenic acid, caffeic acid, and protocatechuic acid at trace to minor levels (~0.1–0.5%). Tannins (condensed and hydrolysable) range from 3–16% dry weight, contributing astringent properties but potentially reducing absorption of co-administered compounds. Essential oils comprise approximately 0.05–0.9%, containing caryophyllene, humulene, and pinene. Macro/micronutrient content is nutritionally insignificant; the herb provides negligible protein (<5% DW), minimal lipids (<3% DW), and modest carbohydrates. Bioavailability notes: Hyperforin is highly lipophilic (LogP ~7), requiring micellar solubilization for absorption; peak plasma concentrations observed 3–4 hours post-ingestion. Hypericin bioavailability is low (~14%) due to poor aqueous solubility. Flavonoid glycosides require intestinal hydrolysis to aglycone forms prior to absorption. CYP3A4 and CYP1A2 induction by hyperforin significantly alters co-administered drug pharmacokinetics, reducing systemic exposure of numerous medications.
How It Works
Mechanism of Action
St. John's Wort's primary bioactive compounds hypericin and hyperforin interact with cytochrome P450 enzymes, specifically CYP3A4 and CYP1A2. The phloroglucinol derivatives, particularly hyperforin, modulate hepatic enzyme activity and may affect neurotransmitter pathways. Flavonoids comprising 2-12% of the extract provide additional bioactive properties through antioxidant mechanisms.
Clinical Evidence
Current research dossier contains no specific human clinical trials or quantified outcomes data for St. John's Wort. Available evidence is limited and lacks standardized study protocols with measurable endpoints. The absence of controlled human trials makes it difficult to establish definitive therapeutic efficacy. Most available data focuses on phytochemical composition rather than clinical outcomes.
Safety & Interactions
St. John's Wort significantly interacts with medications metabolized by CYP3A4 and CYP1A2 enzymes, potentially altering drug effectiveness. Common interactions include reduced efficacy of birth control pills, blood thinners, and certain antidepressants. Side effects may include photosensitivity, gastrointestinal upset, and dizziness. Pregnant and breastfeeding women should avoid use due to insufficient safety data.
Synergy Stack
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Also Known As
Hypericum perforatumPerforate St John's-wortCommon St John's wortGoatweedKlamath weedTipton's weedChase-devilAmber
Frequently Asked Questions
What are the active compounds in St. John's Wort?
St. John's Wort contains hypericin at concentrations of 0.0095-0.466% and hyperforin at 2-4.5% as primary bioactive compounds. The herb also contains flavonoids comprising 2-12% of the total extract composition.
Does St. John's Wort interact with birth control pills?
Yes, St. John's Wort interacts with CYP3A4 enzymes that metabolize birth control hormones, potentially reducing contraceptive effectiveness. This interaction can lead to breakthrough bleeding and unintended pregnancy.
How much clinical evidence exists for St. John's Wort?
Current research dossiers contain no specific human trials or quantified outcomes data for St. John's Wort. Available evidence is limited and lacks standardized clinical protocols with measurable therapeutic endpoints.
Can St. John's Wort cause photosensitivity?
Yes, hypericin in St. John's Wort can cause increased sensitivity to sunlight and UV radiation. Users may experience skin reactions, rashes, or sunburn more easily when exposed to sunlight during supplementation.
Which medications should not be taken with St. John's Wort?
St. John's Wort should not be combined with medications metabolized by CYP3A4 and CYP1A2 enzymes, including blood thinners, certain antidepressants, and immunosuppressants. These interactions can significantly alter medication effectiveness and safety profiles.
Is St. John's Wort safe to take during pregnancy and breastfeeding?
St. John's Wort is not recommended during pregnancy or breastfeeding due to limited safety data and potential risks of altered hormone levels and effects on fetal development. The herb crosses the placental barrier and is excreted in breast milk, which may expose infants to hypericin and hyperforin. Healthcare providers typically advise pregnant and nursing women to avoid this supplement until more robust safety studies are available.
What is the recommended daily dosage of St. John's Wort, and when should it be taken?
Typical clinical dosing ranges from 300–1,800 mg daily in divided doses, standardized to 0.3% hypericin content, though optimal dosing remains unclear due to limited human trial data. St. John's Wort is best taken with meals to enhance absorption of its fat-soluble compounds and should be divided into morning and afternoon doses for consistent CYP enzyme modulation. Individual responses vary significantly, and dosing should be supervised by a healthcare provider, especially when taken alongside other medications.
Are there safer herbal alternatives to St. John's Wort with similar benefits?
Alternatives like SAMe, 5-HTP, and L-theanine may offer mood support with potentially fewer drug interactions, though clinical evidence varies for each. Unlike St. John's Wort, most of these alternatives do not significantly induce CYP450 enzymes, making them safer options for people taking multiple medications. The choice between alternatives depends on individual health status, medication regimen, and specific therapeutic goals—consultation with a healthcare provider is essential for safe substitution.

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