VCVITAMINS/CHART

The Bottom Line

Yes, you can take probiotics and St. John's Wort together without any known interaction, so combining them is safe.

VERDICT

Probiotics and St. John's Wort together do not produce any meaningful interaction, making them a safe combination. Probiotics support gut health while St. John's Wort works on mood pathways, and neither disrupts the other's beneficial action.

Safe to combine Moderate evidence
01 / MECHANISM

How They Interact

St. John's Wort is a botanical that potently induces drug-metabolizing enzymes such as cytochrome P450 (CYP3A4) and P-glycoprotein, which influence how many medications are broken down and cleared from the body. Probiotics, including Lactobacillus, Bifidobacterium, and Saccharomyces boulardii, are live microorganisms that primarily act in the gastrointestinal lumen without being processed by those same enzyme systems. Since probiotics are not substrates of hepatic CYP enzymes, St. John's Wort does not alter their viability or activity. The yeast probiotic Saccharomyces boulardii is especially resistant to various stressors, and there is no evidence that the active compounds in St. John's Wort, such as hypericin or hyperforin, affect probiotic survival. Therefore, a direct pharmacokinetic or pharmacodynamic interaction is not physiologically plausible.

02 / BEST PRACTICES

How To Take Them

You can take both supplements together at any time of day that fits your routine. A simple approach is to take St. John's Wort with breakfast and your probiotic with lunch or dinner. If you prefer taking both at once, that is also fine because they do not compete for absorption. If you miss a dose of either one, simply resume with your next scheduled dose rather than doubling up.

03 / FORM MATTERS

Form & Quality Differences

No form-specific interaction is known between these two supplements. Whether St. John's Wort is taken as a standardized capsule, tablet, or tea, and whether the probiotic is a lyophilized powder, capsule, or fermented food, the neutral interaction remains unchanged. Choose high-quality products from reputable brands to ensure accurate labeling and potency.

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Practical Tips

06

Frequently Asked Questions

Who Should Be Careful Although the interaction between probiotics and St. John's Wort is neutral, St. John's Wort itself is not appropriate for everyone. Pregnant or breastfeeding individuals, people with bipolar disorder, and those taking antidepressants, immunosuppressants, HIV medications, or hormonal contraceptives should avoid St. John's Wort without medical supervision. Probiotics are generally well tolerated, but anyone who is severely immunocompromised should consult a doctor before taking any live organism supplement.
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Sources & Further Reading

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

Reviewed by Caroline M. on April 8, 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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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 Probiotics (Lactobacillus, Bifidobacterium, Saccharomyces boulardii strains) Interactions