Hypericum perforatum
·
Hypericaceae
·
Temperate Europe and Asia

St. John's Wort

Goatweed, Klamath weed, Hypericum, Tipton weed

Useful parts

Buds, Flowers, Leaves

Key actions

Antidepressant, Anxiolytic, Anti-inflammatory, Antibacterial, Antiviral, Antioxidant

Active compounds

Polyphenols (flavonoids, phenolic acids, tannins), Terpenoids (hyperforin, hypericin), Essential oils

This Site is for Educational Use Only: The information on this page is for educational and informational purposes only and is not intended as medical advice, diagnosis, or treatment. I am not a licensed medical professional. Always consult a qualified healthcare provider before using any medicinal plants, especially if you are pregnant, nursing, taking medications, or have a medical condition.

Possible Proposed Uses

  • Mild to moderate depression
  • Anxiety
  • Cough
  • Stomach upset
  • Wound healing
  • Burns
  • Bruises
  • Skin conditions

Mechanism of Action

  • Inhibits reuptake of neurotransmitters (including serotonin)
  • Increases neurotransmitter availability in synapse

Possible Side Effects

  • Headache
  • GI upset
  • Dizziness
  • Confusion
  • Sedation
  • Sleep disturbances
  • Fatigue
  • Photosensitivity
  • Dermatitis

Possible Drug Interactions

  • Interacts with antidepressants
  • Birth control pills
  • Antivirals
  • Anticoagulants
  • Opioids
  • Digoxin
  • Psychedelic drugs
  • May reduce effectiveness of chemotherapy or radiation
  • Avoid with alcohol and sedatives

Abigail's notes

St. John's Wort has one of the more interesting historical narratives in this database. It was used to keep evil spirits away, which before the church recognized depression as a legitimate condition was essentially the way people described keeping depression away. Same thing, different century, different vocabulary.

It's an antidepressant, antiviral, nerve tonic, and wound healer, and has been used historically for everything from malaria and burns to bug bites and wounds. For mild depression and seasonal affective disorder it has genuine research support and is actually prescribed in some European countries as a first line option. The mood lifting effect is subtle rather than dramatic, which for mild to moderate depression is often exactly what's needed.

For nerve related pain specifically it's worth knowing about: neuralgia, neuropathy, exposed nerve sensitivities, toothache, shingles, and sciatica are all areas where it can help by dulling pain and speeding tissue repair. It also helps with gastritis and local wound healing topically.

The historical wound treatment has come full circle into modern use, which is always satisfying to see.

Safety note: This is the most important safety section in this entire database so please read it. St. John's Wort has more contraindications than almost anything else here and should be treated with real caution. Do not combine it with antidepressants. Do not take it with most other medications without checking first. It interacts with an unusually long list of drugs including birth control, blood thinners, and HIV medications among many others. It can also cause sensitivity to sunlight. If you are on any medication at all, please talk to your doctor before taking this one. That is not a throwaway disclaimer, it genuinely means any medication.

Last updated on:
May 20, 2026

Deeper research options for you (because I would never ask you to just take my word for it)

Hypericum perforatum: Traditional uses, clinical trials, and drug interactions https://pmc.ncbi.nlm.nih.gov/articles/PMC9526892/

St. John's wort https://www.mayoclinic.org/drugs-supplements-st-johns-wort/art-20362212

Medical Attributes of St. John’s Wort (Hypericum perforatum) https://www.ncbi.nlm.nih.gov/books/NBK92750/

St John’s Wort https://my.clevelandclinic.org/health/drugs/9304-st--johns-wort

St. John's Wort https://www.urmc.rochester.edu/encyclopedia/content?contenttypeid=19&contentid=StJohnsWort

Sacred Herbs by Opal Streisand

Medicinal Herbs by JJ Pursell

Herbal Remedies by Andrew Chevallier

Disclaimer: The content on this website is provided for informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. No provider-patient relationship is created by use of this site. The author makes no representations regarding the accuracy or completeness of the information and assumes no liability for any adverse effects resulting from the use of plants or remedies described herein.

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