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ssri and st johns wort

Risk of serotonin syndrome

What's happening

St. John's Wort increases serotonin levels. Combined with SSRIs, this can cause dangerous serotonin syndrome.

Recommendation

Do NOT combine with antidepressants without medical supervision.

Timing

Do not combine

Sources

  • FDA
  • BMJ

Frequently Asked Questions

Can I take ssri and st johns wort together?

Risk of serotonin syndrome. Do NOT combine with antidepressants without medical supervision.

How should I time ssri and st johns wort?

Do not combine

Is this interaction dangerous?

This interaction is rated “Danger” by Formulate. St. John's Wort increases serotonin levels. Combined with SSRIs, this can cause dangerous serotonin syndrome.

Want to check your whole stack?

The free checker lets you add any combination of supplements and medications at once. Formulate's desktop app goes further — every stack change surfaces interaction alerts automatically.

Medical disclaimer. This page is for educational purposes only and does not replace advice from a qualified healthcare provider.