Mechanism of action: Hypericin ballicule
Visual mnemonic: Hypericin mascot
“Hyper rice”
says St John’s wort
What it isSt John’s wort pigment and a photosensitiser.
Why this oneIt is the constituent behind the phototoxicity of the herb.
What limits itIt is also the compound most often standardized on the label, though hyperforin drives the interactions.
Molecular structure: Hypericin
FDA-approved for
- St John's wort constituent (not approved)
Off-label
- St John's wort constituent studied for depression and as a photosensitizer
Principal riskPhotosensitivity
Classes and tags
Clinical profile
Therapeutic safety burden3 / 4
Direct muscarinic antagonism0 / 4
Defining liabilityDose- and light-dependent phototoxicity
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