VCVITAMINS/CHART

The Bottom Line

Yes, vitamin B5 and St. John's Wort are safe to combine — no significant interaction exists.

VERDICT

Vitamin B5 (pantothenic acid) and St. John's Wort together are safe. There is no known mechanism for interaction because B5 does not rely on liver enzymes that St. John's Wort induces. You can add St. John's Wort to your current B5 supplement without concern.

Safe to combine Moderate evidence
01 / MECHANISM

How They Interact

St. John's Wort is a strong inducer of cytochrome P450 enzymes, particularly CYP3A4, which speeds up the breakdown of many medications. Vitamin B5, however, does not rely on these enzymes for absorption or metabolism; it is absorbed directly in the gut and used to make coenzyme A. Because B5 is water-soluble and follows a distinct metabolic pathway, St. John's Wort's enzyme induction does not affect its levels. No competing receptors or transport proteins have been identified for these two compounds. In short, they work through separate systems in the body, so no interaction occurs.

02 / BEST PRACTICES

How To Take Them

You can take vitamin B5 and St. John's Wort at the same time or separately, with or without food. If you're taking other medications, take St. John's Wort at the same time each day, ideally with your largest meal. B5 is safe on an empty stomach, but taking it with food may reduce any mild gastrointestinal upset. There is no need to space them apart. If you miss a dose, don't double up — just resume your normal schedule the next day.

03 / FORM MATTERS

Form & Quality Differences

Both supplements are commonly used in standard forms: B5 as pantothenic acid or calcium pantothenate, and St. John's Wort as a standardized extract containing hypericin and hyperforin. The lack of interaction holds across these forms. For St. John's Wort, the hyperforin content can vary and is more relevant for drug interactions, but that does not change its safety with B5.

04 / COMMON STACKS

Where This Pair Shows Up

B5 is commonly found in B-complex supplements, stress-support blends, and acne-support formulas. St. John's Wort is not typically stacked with B5 in commercial products, but both may appear in broad-spectrum mood-support formulas.

Multivitamins Prenatals Performance Longevity
05

Practical Tips

06

Frequently Asked Questions

Who Should Be Careful St. John's Wort is not recommended during pregnancy or breastfeeding due to potential effects on infant weight and unknown long-term risks. It can also interfere with oral contraceptives, immunosuppressants, blood thinners, and antidepressants. If you have bipolar disorder, major depression, or take any prescription medication, talk to your doctor before starting St. John's Wort. Vitamin B5 has no specific cautions at standard intake levels.
08

Sources & Further Reading

  1. NIH ODS NIH Office of Dietary Supplements — Vitamin B5 Fact Sheet
  2. NIH ODS NIH Office of Dietary Supplements — St. John's Wort Fact Sheet
  3. Examine.com Examine.com — Vitamin B5 interaction page
  4. Examine.com Examine.com — St. John's Wort interaction page

Reviewed by Caroline M. on June 11, 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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