Educational reference only · Not medical advice
Botanical illustration of St. John's Wort

Hypericum perforatum

St. John's Wort

Hypericaceae

Evidence: ModerateCaffeine Free EuropeSafety information on file
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At a Glance

Common name
St. John's Wort
Scientific name
Hypericum perforatum
Family
Hypericaceae
Region
Europe
Plant part
Aerial parts, Flowering tops
Caffeine
Caffeine Free
Evidence
Moderate
Safety review
Safety information on file

Safety & Cautions

Safety information on file
Contraindications
Major drug interactions — avoid with many prescription drugs, SSRIs/SNRIs, MAO inhibitors, warfarin, digoxin, oral contraceptives, immunosuppressants, and photosensitizing drugs. Avoid in bipolar disorder, pregnancy, breastfeeding, and before surgery. Can cause photosensitivity.
Drug interactions
Numerous clinically significant interactions — strongly induces CYP3A4/P-glycoprotein, reducing levels of many drugs (antidepressants, contraceptives, warfarin, digoxin, antiretrovirals, immunosuppressants); serotonin syndrome risk with antidepressants. Consult a clinician before use with ANY medication.
Pregnancy
Avoid medicinal doses.
Children
Not recommended for children without professional supervision.
Allergies
Possible in those sensitive to Hypericaceae/Clusiaceae; rare rash.
Known adverse effects
Generally well tolerated; may cause GI upset, dry mouth, restlessness, or photosensitivity (sunburn) at higher doses. Stopping suddenly after long use may rarely cause withdrawal-like symptoms.

Botanical Description

An erect perennial 30-80 cm tall with opposite oval leaves held to light showing translucent oil glands, and flat-topped clusters of bright yellow five-petalled flowers with many bushy stamens dotted with black glands.

Also known as: Hypericum, Klamath Weed, Tipton's Weed

Historical Background

St. John's wort has been a revered European healing herb since antiquity, named for the feast of St. John the Baptist near which it blooms. Its golden, oil-dotted flowers were infused in oil for a red healing salve, and the plant has long been used to lift the spirits. Today it is among the most studied herbal mood remedies.

Earliest recorded uses: Greek and medieval European medicine; named for St. John the Baptist (blooms near his feast day); a traditional mood herb.

Traditional preparations:

  • Aerial-part infusion
  • Red oil infusion (topical)
  • Mood blends with lemon balm

Traditional Uses

These uses document historical traditions and do not imply proven effectiveness.

Traditional European Herbalism

Nervine for low mood, wounds, and seasonal melancholy.

Modern Herbalism

Mood-supporting nervine (with major drug-interaction caution).

Flavor & Aroma

HerbalWarmBalsamicSlightly Bitter

Aroma: Herbal, warm, balsamic, slightly bitter

Tea Preparation

Preparation methods
Infusion
Steeping temperature
200°F (93°C)
Steeping time
10 minutes (covered)
Recommended vessel
Covered teapot
Blends well with
Lemon Balm, Oatstraw, Skullcap, Lavender, Rose
200°F (93°C) 10 minutes (covered)

Modern Evidence

Evidence level: Moderate

St. John's wort has the strongest clinical evidence of most herbs for mild-to-moderate low mood, with trials comparing it to standard antidepressants. However, it has clinically significant drug interactions that can reduce the effectiveness of many medications. It is not a substitute for professional care and must be discussed with a clinician.

Evidence levels describe the state of research for the traditional use discussed here, not a recommendation. Historical use does not imply effectiveness.

References & Sources

  1. NCCIH · St. John's Wort (2023)
  2. MSKCC · St. John's wort information (2022)

Entry last updated August 4, 2026

Soothing Brews

An educational encyclopedia preserving the history, traditions, and modern evidence behind herbs used in teas and infusions. Inspired by antique botanical manuscripts.

Steeped in tradition, grounded in honesty.

Please Note

This is an educational reference, not a medical resource. Historical use does not imply effectiveness. Natural does not always mean safe. Consult a qualified healthcare professional before using herbs, especially if pregnant, nursing, or taking medications.

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Preferred sources: NIH ODS · NCCIH · MSK Herbs · PubMed · WHO · EMA · German Commission E · Cochrane