VCVITAMINS/CHART

The Bottom Line

Yes, you can take vitamin B6 (pyridoxine) and St. John's Wort together — no significant interaction has been reported.

VERDICT

Vitamin B6 (pyridoxine) and St. John's Wort together are safe and neutral, meaning neither supplement meaningfully changes how the other works. This pairing does not require any special timing or dose adjustments for most healthy adults.

Safe to combine Strong evidence
01 / MECHANISM

How They Interact

Vitamin B6 is a water-soluble vitamin that is absorbed passively in the upper small intestine and converted to its active coenzyme form, pyridoxal 5'-phosphate, primarily in the liver. St. John's Wort is a potent inducer of cytochrome P450 enzymes such as CYP3A4 and CYP2C19, as well as the drug transporter P-glycoprotein. However, vitamin B6 is not a major substrate for these enzymes or transporters, so St. John's Wort does not accelerate vitamin B6 breakdown or reduce its absorption. Vitamin B6 also does not interfere with the hyperforin or hypericin components responsible for St. John's Wort's mood effects. Because their metabolic pathways are distinct, taking them together does not create a meaningful nutritional or pharmacological competition.

02 / BEST PRACTICES

How To Take Them

If you need both vitamin B6 and St. John's Wort, you can take them together at any time of day — morning or evening — because no timing or spacing is required for absorption or effectiveness. Taking them with a light meal containing some fat is fine and may help you remember them, but it is not necessary. Aim for your individual vitamin B6 needs (about 1.3–2.0 mg daily for most adults) and do not exceed 100 mg daily from supplements. For St. John's Wort, follow the dosing on the label, typically 300 mg three times daily or 900 mg once daily, and be consistent. If you miss a dose, just resume your normal schedule the next day, and never double up to catch up.

05

Practical Tips

06

Frequently Asked Questions

Who Should Be Careful St. John's Wort strongly interacts with many prescription medications by speeding up their breakdown, so people taking antidepressants, oral contraceptives, anticoagulants, immunosuppressants, or anti-seizure drugs should avoid it unless directed by their healthcare provider. Vitamin B6 above 100 mg daily from supplements can cause peripheral neuropathy, so long-term high doses are not advised. Pregnant and breastfeeding women should stick to the recommended B6 intake and use St. John's Wort only under medical guidance, as its safety during pregnancy is not firmly established.
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Sources & Further Reading

  1. NIH ODS NIH Office of Dietary Supplements — Vitamin B6 Fact Sheet
  2. NIH ODS NIH Office of Dietary Supplements — St. John's Wort Fact Sheet
  3. Examine.com Examine.com — Vitamin B6 interaction page
  4. Examine.com Examine.com — St. John's Wort interaction page

Reviewed by Caroline M. on April 15, 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 Vitamin B6 (Pyridoxine) Interactions All St. John's Wort Interactions