What would happen if you take an SSRI like Lexpro with St. John's Wort?!


Question: What would happen if you take an SSRI like Lexpro with St. John's Wort.?
I looked online, and found information that this combination should be avoided... but why.? I know an SSRI should never be taken with an MAOI, but does that mean that St. John's Wort is a naturally occuring MAOI.? Or is the warnings against combining the two anything to do with seratonin syndrome.? ie: Would St. John's cause a boost in seratonin, and the SSRI prevent its reabsorbtion.?Health Question & Answer


Answers:
The real worry is that taking a naturally occurring serotonin enhancer such as St. John's Wort or MOOD-care with an SSRI antidepressant can cause too much serotonin. This could lead to a manic episode in people with Bipolar Disorder or simply an excess of serotonin in previously depressed people.

It is important to have a good balance between all the neurotransmitters.Health Question & Answer

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I took St. John's wort and experienced increased blood pressure, nervousness and excessive bleeding. Side effects of MAOIs and SSRIs include hypertensive crisis, so both at once are probably being contraindicated on the basis of blood pressure.Health Question & Answer

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