VCVITAMINS/CHART

The Bottom Line

Yes, you can take St. John's Wort and green tea extract (EGCG) together; they do not have a known significant interaction.

VERDICT

St. John's Wort and green tea extract (EGCG) together are considered safe for most adults. They use different metabolic pathways and do not block each other's absorption or breakdown. You can add green tea extract without worrying about a negative reaction.

Safe to combine Moderate evidence
01 / MECHANISM

How They Interact

St. John's Wort is a well-known inducer of liver enzymes, particularly CYP3A4, as well as P-glycoprotein, which can speed up clearance of many drugs and supplements. Green tea's active compound EGCG, however, is primarily metabolized through phase II conjugation pathways like glucuronidation and sulfation, not the CYP3A4 enzyme system. Because of this, St. John's Wort is unlikely to change EGCG levels in your body. Conversely, EGCG does not meaningfully inhibit or induce the enzymes that process the active constituents of St. John's Wort. The two compounds simply travel along separate handling routes, so combining them does not create a meaningful interaction.

02 / BEST PRACTICES

How To Take Them

I recommend taking St. John's Wort in the morning with breakfast and green tea extract with lunch or mid-afternoon. Taking both with food reduces the chance of nausea and keeps absorption steady. If you prefer to take them together, a single meal early in the day works fine. For most people, separating them by 2–3 hours is not necessary but can help if you feel sensitive. Keep your total EGCG intake from all supplement and tea sources under 800 mg per day.

03 / FORM MATTERS

Form & Quality Differences

Most St. John's Wort extracts are standardized to hypericin or hyperforin, but hyperforin content varies by brand and specifically affects drug interactions rather than green tea extract. For green tea extract, choose a product standardized to at least 50% EGCG, as lower-quality extracts may contain more caffeine or other catechins. Taking the extract with food can reduce potential stomach discomfort, and decaffeinated or time-released versions are easier on sensitive stomachs.

04 / COMMON STACKS

Where This Pair Shows Up

This pair is not a classic supplement stack, but it occasionally appears in combination mood support and weight management formulas alongside omega-3 fatty acids and vitamin D.

Multivitamins Prenatals Performance Longevity
05

Practical Tips

06

Frequently Asked Questions

Who Should Be Careful Avoid St. John's Wort entirely if you are pregnant or breastfeeding, and limit green tea extract to food amounts. St. John's Wort can significantly reduce the effectiveness of birth control pills, antidepressants, blood thinners, and many other medications, so talk to your prescriber first. High-dose green tea extract has rarely been linked to liver injury; anyone with liver disease should stick to brewed green tea. If you are sensitive to caffeine, choose a decaffeinated green tea extract.
08

Sources & Further Reading

  1. NIH ODS NIH Office of Dietary Supplements — St. John's Wort Fact Sheet
  2. NIH ODS NIH Office of Dietary Supplements — Green Tea Extract Fact Sheet
  3. Examine.com Examine.com — St. John's Wort interaction page
  4. Examine.com Examine.com — Green Tea Extract interaction page

Reviewed by Caroline M. on April 8, 2025 for accuracy against the sources listed above. This page is educational and is not a substitute for professional medical advice.

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Back To The Vitamins Chart All Green Tea Extract (EGCG) Interactions All St. John's Wort Interactions