VCVITAMINS/CHART

The Bottom Line

Yes, you can take Vitamin B9 (folate) and St. John's Wort together; these two supplements are safe to combine with no significant interaction.

VERDICT

Vitamin B9 (Folate, Folic Acid, Methylfolate) and St. John's Wort together do not interact meaningfully. You can safely add St. John's Wort to your folate supplement without worrying about reduced effectiveness or unexpected side effects. These two supplements complement your routine through separate pathways.

Safe to combine Moderate evidence
01 / MECHANISM

How They Interact

St. John's Wort is a well-known inducer of cytochrome P450 enzymes, primarily CYP3A4, as well as the drug transporter P-glycoprotein, which is why it accelerates clearance of many medications and supplements. Folate, however, does not rely on these enzyme systems for absorption, metabolism, or cellular action. Folate is absorbed via specialized transporters in the proximal small intestine and converted to its active coenzyme form, 5-methyltetrahydrofolate, through enzymatic steps that are completely independent of the CYP system. Hyperforin, the active compound in St. John's Wort, does not bind to or affect these folate-specific enzymes or transporters. For these reasons, there is no pharmacologic basis for an interaction, and no clinical evidence shows any negative effect when these two are combined.

02 / BEST PRACTICES

How To Take Them

You can take both supplements at any time of day that suits your schedule, and you don't need to separate them. I suggest taking them in the morning with breakfast to make the habit easier to maintain. If you prefer an empty stomach, that works fine as well—neither requires food for proper absorption, though a light meal may reduce any mild nausea from St. John's Wort. If you are also taking other medications, separate St. John's Wort from those by at least two hours, but your folate can stay right with St. John's Wort. Should you miss a dose, just resume with your next meal; doubling up is unnecessary.

03 / FORM MATTERS

Form & Quality Differences

The form of folate you take doesn't change the interaction: folic acid, food-derived folate, and 5-MTHF (methylfolate) all share the same transport and conversion steps that St. John's Wort does not disrupt. If you choose methylfolate for genetic reasons such as an MTHFR variant, it remains just as safe with St. John's Wort. St. John's Wort extracts standardized to hyperforin or hypericin behave the same way. No specific formulation of either supplement creates a special concern.

04 / COMMON STACKS

Where This Pair Shows Up

These two are not usually bundled together in commercial stacks, as St. John's Wort is typically taken as a standalone herbal extract to minimize drug interactions. You may find folate included in a B-complex or prenatal vitamin while St. John's Wort is a separate product bought independently.

Multivitamins Prenatals Performance Longevity
05

Practical Tips

06

Frequently Asked Questions

Who Should Be Careful Women who are pregnant or breastfeeding should speak with their doctor before using St. John's Wort, as safety data during pregnancy are limited and it can interact with other medications. If you take antidepressants, oral contraceptives, blood thinners like warfarin, or immunosuppressants, you need extra caution because St. John's Wort can reduce the effectiveness of those drugs—though this is not due to an interaction with folate. High doses of folic acid can mask a vitamin B12 deficiency, so older adults or strict vegetarians should have B12 levels checked regularly. Anyone with bipolar disorder should avoid St. John's Wort because it may trigger a manic episode.
08

Sources & Further Reading

  1. NIH ODS NIH Office of Dietary Supplements — Vitamin B9 (Folate) Fact Sheet
  2. NIH ODS NIH Office of Dietary Supplements — St. John's Wort Fact Sheet
  3. Examine.com Examine.com — Folate 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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