St. John's Wort may interact with which type of medications?

St. John's Wort is well-known for its ability to interact with various medications, particularly antidepressants. This herbal supplement is often used to treat mild to moderate depression due to its active compounds, which primarily affect neurotransmitters in the brain. When taken in conjunction with conventional antidepressants, St. John's Wort can potentially enhance the effects of these medications, leading to an increased risk of serotonin syndrome, a serious condition that occurs when there is too much serotonin in the brain.

Furthermore, when used with selective serotonin reuptake inhibitors (SSRIs) or other classes of antidepressants, there can be significant implications on how these drugs are metabolized in the body. St. John's Wort can induce certain liver enzymes (particularly CYP3A4), which may lower the effectiveness of antidepressants and create adverse effects.

Other options listed may also interact with St. John's Wort, but the most critical and well-documented interactions occur with antidepressants. Understanding this relationship helps ensure safe and effective use of both natural supplements and prescribed medications in a patient's treatment plan.