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herb contraindications with SSRIs

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Hi Everyone,

I has anyone heard of St John's wart being contraindicated for someone on SSRIs.

Ive just started treating a patient who suffers with depression and have been

reading in Robert Rister's book on Japanese Herbal Medicine that SSRI's are

contraindicated with certain herbs including St Johns wart. I treat the patient

with acupuncture but have recently studied kanpo and was thinking of prescribing

min Cinnamon and Peony or Major 4 as they fit his abdominal pattern and overal

deficiency appearance.

Any advice appreciated.

Tony UK

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Dear Tony,

Warnings were sent out about this herb a few years ago since

it was discovered that it can help liver function and as a

result 'burn up' drugs in the body quicker. It was therefore not

recommended that anyone on a long, long list of drugs take it. As a

Western herbalist I have used it for years without noticing any

adverse effect. If you are not sure about the combination with the

drug then I would advise to leave well alone, due to the above

history. At least you'll be able to sleep at night! Usually if I was

using it for lowered mood I would always use a combination of many

other herbs anyway, it is easy to find ways round it.

 

Lorraine Hodgkinson

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