St. John's wort considerations

Adverse reactions which are uncommon include photosensitivity, constipation, vertigo, dry mouth, restlessness, & sleep disturbance. Patients should not use with MAOis, alcoholic beverages, opioids, prescribes antidepressants, sympathomimetics, & food such as chocolate, aged cheeses, & beer. Do not give to pregnant or breast-feeding patients or children. Drug interactions include amiodarone, amitriptyline, chemotherapy drugs, digoxin, contraceptives