VCVITAMINS/CHART

The Bottom Line

Yes, you can safely take selenium and St. John's Wort together; there is no significant interaction between these two supplements.

VERDICT

Selenium and St. John's Wort are safe to combine. The mineral and the herbal supplement work through different pathways and do not affect each other's absorption or activity. Selenium and St. John's Wort together are unlikely to cause side effects.

Safe to combine Moderate evidence
01 / MECHANISM

How They Interact

Selenium is an essential trace mineral that becomes part of selenoproteins, including glutathione peroxidases, which help protect cells from oxidative damage. St. John's Wort contains hypericin and hyperforin, compounds that influence serotonin and other neurotransmitters, and it is known to induce certain liver enzymes (CYP3A4, CYP2C19). However, selenium does not rely on these enzyme pathways for absorption or metabolism, and St. John's Wort does not alter gastrointestinal mineral transporters. In short, there is no known metabolic or molecular competition, so the two supplements act independently. You can take them together without worrying about one blocking the other.

02 / BEST PRACTICES

How To Take Them

If you are already taking selenium and want to start St. John's Wort, I recommend taking both with breakfast so you don't forget. There is no need to separate them by minutes or hours. Just follow the dose on each label, and keep selenium between 100 and 200 mcg if you want to be conservative. If you miss a dose, take it with your next meal that day, but skip it if you don't remember until the next day. Continue taking them together unless you notice unusual symptoms.

03 / FORM MATTERS

Form & Quality Differences

Selenium is available as selenomethionine, selenium yeast, and sodium selenite; organic forms like selenomethionine tend to be better absorbed, but this does not change the lack of interaction with St. John's Wort. St. John's Wort supplements are often standardized to hypericin or hyperforin content; either form works the same way with selenium. Whichever form you choose, the neutral relationship remains the same.

05

Practical Tips

06

Frequently Asked Questions

Who Should Be Careful St. John's Wort is notorious for speeding up the breakdown of many medications, including oral contraceptives, warfarin, and antidepressants, so if you rely on any of these, talk to your doctor before adding it. Selenium is generally safe at dietary amounts, but high doses (over 400 mcg) can cause selenosis, so stick to standard multivitamin levels. Pregnant and breastfeeding women should be especially cautious with St. John's Wort due to limited safety data, and anyone with a history of bipolar disorder or on psychiatric medication should avoid it entirely.
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Sources & Further Reading

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

Reviewed by Caroline M. on April 12, 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.

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