AgentPathwayType of reportEffect of St. John’s wort on drug levels in the blood
Amitriptyline (Elavil)CYP P450 3A4One-arm trial29 Decrease
Carbamazepine (Tegretol)CYP 3A4One-arm trial30 None
Cyclosporine (Sandimmune)CYP 3A4One-arm trial31 Decrease
DigoxinCYP 3A4Clinical trial32 Decrease
Indinavir (Crixivan)CYP 3A4One-arm trial33 Decrease
Irinotecan (Camptosar)CYP 3A4Crossover trial34 Decrease
Midazolam (Versed)CYP3AClinical trial35 Decrease
Nevirapine (Viramune)CYP 3A4One-arm trial36 Decrease
Oral contraceptivesCYP 3A4Clinical trial35 Decrease
Sertraline (Zoloft)CYP P450 3A4One-arm trial37 Decrease
Simvastatin (Zocor)CYP 3A4Clinical trial38 Decrease
Tacrolimus (Prograf)CYP 3A4One-arm trial31 Decrease
TheophyllineCYP 1A2Case report39 Decrease
Warfarin (Coumadin)CYP 2C9Case report40 Decrease