VCVITAMINS/CHART

The Bottom Line

Yes, you can take St. John's wort and branched-chain amino acids together; no significant interaction is known and the combination is safe for most adults.

VERDICT

St. John's wort and branched-chain amino acids together have no reported interactions, and combining them appears safe for most healthy adults. Neither supplement alters the absorption or breakdown of the other, so you can take them as part of your normal routine.

Safe to combine Limited evidence
01 / MECHANISM

How They Interact

St. John's wort works by inhibiting the reuptake of serotonin, dopamine, and norepinephrine, and its active compound hyperforin induces several cytochrome P450 liver enzymes (including CYP3A4) that metabolize many drugs. However, branched-chain amino acids (leucine, isoleucine, and valine) are not metabolized by these same enzymes; they are absorbed directly into the bloodstream through intestinal amino acid transporters and are primarily used for muscle protein synthesis. Because BCAAs are not substrates for CYP3A4, P-glycoprotein, or other pathways affected by St. John's wort, there is no pharmacokinetic interaction between them. Although both supplements have subtle effects on brain neurotransmitter transport – BCAAs compete with large neutral amino acids like tryptophan for entry into the brain – this does not create a clinically meaningful safety problem when combined with St. John's wort. In short, the two supplements operate through entirely different mechanisms and do not interfere with each other.

02 / BEST PRACTICES

How To Take Them

You can take both together without special precautions. For optimal benefit, take St. John's wort in the morning with breakfast and BCAAs before or after your workout, depending on your training routine. If you prefer to keep things simple, you can take them at the same time with food; there is no need to separate them. If you miss a dose, just take it as soon as you remember, unless your next dose is due soon. Use the supplement forms you tolerate best – capsules, tablets, or powder – and follow the label instructions for each.

05

Practical Tips

06

Frequently Asked Questions

Who Should Be Careful People who are pregnant or breastfeeding, taking antidepressants, blood thinners, immunosuppressants, or oral contraceptives should be extra careful with St. John's wort, which can reduce the effectiveness of many medications. BCAAs are generally safe for healthy adults, but those with ALS (Lou Gehrig's disease), maple syrup urine disease, or a history of kidney or liver disease should avoid them unless cleared by a physician. If you are preparing for surgery, stop St. John's wort at least two weeks in advance and ask your surgeon for guidance.
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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 — Branched-Chain Amino Acids Fact Sheet
  3. Examine.com Examine.com — St. John's Wort interaction page
  4. Examine.com Examine.com — Branched-Chain Amino Acids interaction page

Reviewed by Caroline M. on April 1, 2025 for accuracy against the sources listed above. This page is educational and is not a substitute for professional medical advice.

WANT THE FULL PICTURE?

The matrix has 86 supplements and 7310 pairwise interactions. Click any cell to see the full breakdown.

Back To The Vitamins Chart All St. John's Wort Interactions All Branched-Chain Amino Acids (BCAAs: Leucine, Isoleucine, Valine) Interactions