Can breastfeeding moms take St. Johns Wort?

Introduction
Breastfeeding mothers often seek natural remedies to manage various conditions, including postpartum depression, anxiety, and stress. One such remedy that has gained popularity is St. John’s Wort (Hypericum perforatum), a herbal supplement known for its potential antidepressant properties. However, the safety and effects of St. John’s Wort during breastfeeding are topics of significant concern and discussion among healthcare professionals and mothers alike.
The Basics of St. John’s Wort
St. John’s Wort is a flowering plant that has been used for centuries in herbal medicine. Its primary active compounds, hypericin and hyperforin, are believed to help alleviate symptoms of depression by influencing neurotransmitters in the brain, such as serotonin. While it has been shown to be effective in treating mild to moderate depression in some individuals, the implications for breastfeeding mothers remain complex.
Safety Concerns for Breastfeeding Mothers
When considering the use of St. John’s Wort while breastfeeding, it is crucial to weigh the potential benefits against the risks:
1. Transfer to Breast Milk: Research indicates that St. John’s Wort can be transferred into breast milk, although the exact amount can vary. While some studies suggest that the levels found in breast milk are relatively low, there is still a lack of comprehensive research on the long-term effects of these compounds on infants.
2. Infant Sensitivity: Infants are particularly vulnerable as their bodies are still developing. They may react differently to herbal substances compared to adults. Potential side effects in infants could include gastrointestinal issues, sedation, or agitation, although specific data on these reactions are limited.
3. Drug Interactions: St. John’s Wort is known for its ability to interact with various medications, including antidepressants, birth control pills, and other prescription drugs. For breastfeeding mothers who may still be taking medications postpartum, this could pose serious risks.
Expert Recommendations
Given the uncertainties surrounding the use of St. John’s Wort during breastfeeding, many healthcare providers advocate caution. The following recommendations are commonly made:
– Consult Healthcare Providers: It is essential for breastfeeding mothers to discuss any herbal supplements with their healthcare providers. A qualified professional can assess individual health needs and provide tailored advice.
– Consider Alternatives: For mothers dealing with postpartum depression or anxiety, exploring safer alternatives—such as therapy, lifestyle changes, or prescribed medications—may be advisable.
– Monitoring: If a mother chooses to use St. John’s Wort, careful monitoring of both her and her infant’s health is crucial. Any adverse effects should be reported to a healthcare provider immediately.
Conclusion
While St. John’s Wort is popular for its potential benefits in treating mood disorders, its use during breastfeeding requires careful consideration. The lack of extensive research on its effects on infants, combined with the possibility of drug interactions, highlights the importance of consulting with healthcare professionals. Ultimately, the health and safety of both mother and child should always come first, ensuring that any treatment approach is both effective and safe.

Are there any herbs to avoid while breastfeeding?

Herbs to avoid while breastfeeding

• Periwinkle Herb (Vinca minor)
• Sage (Salvia officinalis)
• Sorrel (Rumex acetosa)
• Spearmint
• Thyme
• Yarrow

What herbs are safe for anxiety while breastfeeding?

Studies show that passion flower and oat are as effective as prescription anxiety medications. Plus, oats can help boost the metabolism of fats and increase milk production for nursing mamas. Melissa (Lemon Balm). Melissa, a member of the mint family, helps ease anxiety and depression and is an effective antiviral.

Can St. John’s Wort worsen anxiety?

John’s wort are usually minor and uncommon. They may include upset stomach, dry mouth, headache, fatigue, dizziness, confusion, sexual dysfunction, or sensitivity to sunlight. Also, St. John’s wort is a stimulant and may worsen feelings of anxiety in some people.

How much does St. John’s Wort affect birth control?

St. John’s Wort is associated with increased metabolism of norethindrone and ethinyl estradiol, breakthrough bleeding, follicle growth and ovulation. Women using OCs should be cautioned that St. John’s Wort might interfere with contraceptive effectiveness.

What supplements should I avoid while breastfeeding?

Dietary Supplements and Herbs to Avoid When Breastfeeding

• Answer: Certain herbals, high dose vitamins, and other dietary supplements can be dangerous to breastfed babies through breast milk.
• Aloe latex.
• Ashwagandha.
• Berberine/goldenseal.
• Bilberry.
• Black cohosh.
• Butterbur.
• Dong quai.

What can breastfeeding moms take for anxiety?

Safe medication in breastfeeding
They include, in no particular order: SSRI antidepressants e.g. sertraline, citalopram, fluoxetine, paroxetine all have anti- anxiety activity. They take 4 to 6 weeks to exert full benefit. Tri-cyclic antidepressants e.g. amitriptyline, imipramine.

Who cannot take St. John’s Wort?

For people with major depression, there’s some concern that taking St. John’s wort may increase the risk for mania. Women who are pregnant, trying to become pregnant, or breastfeeding should not take St. John’s wort.

Why no ashwagandha while breastfeeding?

Although it is rare, there have been a number of cases that link liver injury to ashwagandha supplements. Ashwagandha should be avoided during pregnancy and should not be used while breastfeeding.

What medication is used for anxiety in nursing?

Anxiolytics Nursing Interventions

• Lorazepam.
• Diazepam.
• Alprazolam.
• Clonazepam.

Is St. John’s Wort safe when breastfeeding?

The results of this study provide reassurance that with some precau- tions the St. John’s wort extract LI 160 is safe during breastfeeding.