PlainPill

SSRI vs St. John's Wort for mood

Short answer: For mood, more users report improvement with St. John's Wort — 87% of 127 reports, versus 50% of 34 for SSRI.

St. John's Wort has 98 meta-analyses and 111 randomized trials on PubMed; the other has not been graded.

Based on 85 reports about SSRI and 314 about St. John's Wort. Not medical advice.

SSRI
Medication
St. John's Wort
Supplement
Users say it helped14%helped54 reports · medium confidence50%helped151 reports · high confidence
Verdict
Mostly negative
Mixed
ResearchNot gradedAResearch: Strong
Meta-analyses / RCTs—98 / 111
Mainly used for
Mood
% reporting improvement
50% (34)87% (127)
Anxiety
% reporting improvement
73% (11)82% (44)
Libido
% reporting improvement
0% (14)33% (3)
Energy
% reporting improvement
25% (4)60% (10)
Focus
% reporting improvement
50% (2)71% (7)
Common side effectsanhedonia, brain fog, erectile dysfunction, emotional bluntingphotosensitivity, serotonin syndrome, eye problems, dissociation
Typical dose reportedNot listed100 mg
SSRI
What a user said
“then i came to SSRI , it helped a little bit then.”
Full SSRI profile →
St. John's Wort
Latest review conclusion

Our research supports the use of SJW as it reduced the number of depressive patients and their HAMD scores while having fewer risks and side effects than conventional medications.

Adv Clin Exp Med, 2023 ↗
What a user said
“St. John's Wort, Passion Flower, Hops, and Skullcap. My sleep improved with those.”
Full St. John's Wort profile →

Related comparisons

Percentages come from first-hand user reports and are not clinical outcomes. Talk to a doctor before starting, stopping or combining anything. How we rate