SLU doctor warns against St. John's wort for anxiety

Apr 06, 2010

In a broad-based review of studies focused on drugs that treat anxiety, a Saint Louis University doctor found no evidence supporting the use of so-called "natural" treatments in combating the effects of anxiety.

St. John's wort, kava extract and valerian, herbal remedies touted on the Internet, have not been proven to be effective in treating anxiety wrote Kimberly Zoberi, M.D., associate professor of family and community medicine at Saint Louis University School of Medicine. Additionally, she raised concerns about the safety of valerian, particularly lacking any long-term studies of the herb.

"Patients should be extremely cautious about garnering medical advice from the Internet," says Zoberi. "There is no evidence that those medications are effective. If a patient wishes to avoid drug therapy, her doctor can suggest alternatives such as ."

In addition to the findings regarding "natural" treatments, Zoberi compared the differing prescription drug regimens available on the market for patients suffering from anxiety. According to Zoberi, most physicians recommend (SSRIs) as a first-line treatment because they were safe, effective and less expensive. However, some patients suffer sexual or gastrointestinal side effects.

Zoberi found that medications from the anticonvulsant class of drugs are among the quickest and most effective ways to provide relief to patients in distress without the side effects of other first-line treatments. The downside is that these prescriptions are fairly expensive compared to other treatments.

Ultimately, Zoberi strongly recommends consulting with a health care professional before beginning any drug regimen for .

The review article was published in last month's issue of the .

Explore further: Evidence lacking for long-term opioid use in low back pain

Provided by Saint Louis University

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doctorkim
not rated yet Apr 06, 2010
Certainly it is always prudent to consult with your doctor before self medicating for anxiety but if you would like to go a more “natural” route you might want to find a board certified Anti-Aging and Integrative Care M.D. We use bio-identical hormones such as pregnenolone and progesterone (if found to be deficient) to treat anxiety, and some natural substances such as GABA and 5-OH-tryptophan and other substances; sometimes herbals proven to be safe and effective. I agree that SJW is largely ineffective for anxiety disorders but have found that it is helpful in mild depression. Again; please consult with your doctor before trying anything suggested in this posting. More info on my website.
Kim Crawford,M.D./Anti-Aging Mind,Body,Skin Care

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