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HerbStrong Evidence

St. John's Wort

Hypericum perforatum

The most studied herbal antidepressant, with meta-analyses showing efficacy comparable to SSRIs for mild-to-moderate depression. Modulates serotonin, dopamine, and norepinephrine.

Known Health Benefits

May improve mild-to-moderate depression
Anxiolytic properties
Anti-inflammatory activity
Wound healing support

Active Compounds

Hypericin, hyperforin, flavonoids, xanthones

Potential Side Effects

Photosensitivity, GI upset, dizziness; may trigger mania in bipolar disorder

Known Drug Interactions

MAJOR interactions with SSRIs (serotonin syndrome), birth control, blood thinners, HIV medications, and many other drugs via CYP450 induction

Evidence Classification

Strong Evidence

Supported by randomized controlled trials (RCTs), systematic reviews, or meta-analyses published in peer-reviewed journals.

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