VCVITAMINS/CHART

The Bottom Line

Yes, magnesium (citrate, glycinate, oxide, threonate) and St. John's Wort are safe to take together. There is no known interaction between them.

VERDICT

Magnesium (citrate, glycinate, oxide, threonate) and St. John's Wort together are safe for most adults. St. John's Wort does not affect magnesium absorption or mineral balance, and magnesium does not alter St. John's Wort's usual effects.

Safe to combine Moderate evidence
01 / MECHANISM

How They Interact

St. John's Wort is a well-known inducer of drug-metabolizing enzymes in the liver, especially cytochrome P450 3A4 and P-glycoprotein efflux pumps. Magnesium, however, is an electrolyte mineral absorbed via both passive and active pathways in the small intestine and is not metabolized by these enzymes. Magnesium does not rely on CYP450 breakdown for elimination, so enzyme induction does not impact its safety or effectiveness. Likewise, magnesium does not alter serotonin reuptake activity or the monoamine-oxidative pathways linked to St. John's Wort's mechanism of action. The two operate through independent physiological routes, which is why no clinically relevant interaction is expected.

02 / BEST PRACTICES

How To Take Them

If you want to take both daily, take St. John's Wort in the morning with breakfast—fat in breakfast can improve absorption, though this is not essential—and take magnesium in the evening, either with dinner or near bedtime. There is no required spacing between them, but if you find the combination causes GI upset, separate the doses by 2 hours. Choose a well-absorbed magnesium form like citrate or glycinate, especially if you take St. John's Wort long-term. If you miss a dose of St. John's Wort, skip it and continue the next day; never double up. Always inform your pharmacist or doctor that you take St. John's Wort, since it interacts with many medications, even though it does not interact with magnesium.

03 / FORM MATTERS

Form & Quality Differences

The magnesium salt matters for absorption and gastrointestinal tolerance, but all forms—citrate, glycinate, oxide, and threonate—are safe to take with St. John's Wort. St. John's Wort is typically standardized to hypericin or hyperforin; hyperforin-deficit extracts may have weaker enzyme-inducing effects, but that only impacts medications, not magnesium. If magnesium oxide causes loose stools, switching to glycinate or citrate may be more comfortable, but that is a form choice unrelated to St. John's Wort.

05

Practical Tips

06

Frequently Asked Questions

Who Should Be Careful People taking antidepressants, birth control pills, anticoagulants, or antirejection drugs should avoid St. John's Wort altogether—even though it is safe with magnesium, its enzyme-inducing effects can reduce medication effectiveness. Pregnant and breastfeeding women should avoid St. John's Wort due to insufficient safety data. People with kidney disease should be cautious with magnesium supplements and talk to their doctor before adding magnesium. Those with bipolar disorder or sensitivity to serotonin should not take St. John's Wort.
08

Sources & Further Reading

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

Reviewed by Caroline M. on April 26, 2026 for accuracy against the sources listed above. This page is educational and is not a substitute for professional medical advice.

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