Zusammenfassung
Obwohl Johanniskrautpräparate weltweit über viele Jahre und in groβer Häufigkeit eingenommen wurden, liegen Berichte zu Arzneimittelwechselwirkungen erst seit kurzem vor [24, 30, 38, 51]. Die zum Teil deutlichen Effekte einer Johanniskrautgabe auf komedizierte Arzneimittel mündeten in eine Vielzahl von Studien, die sich mit der klinischen Relevanz und den zugrundeliegenden Mechanismen der Interaktionen beschäftigten. Der vorliegende Beitrag möchte diese neuen Erkenntnisse und Studienergebnisse zusammenfassen und sowohl über das Spektrum als auch über mögliche Mechanismen der Interaktionen mit Johanniskraut Auskunft geben.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
Literatur
Anonymus (2001) Vorsicht: “Pillen”-Versager durch Johanniskraut. Arznei-Telegramm 32:35
Arold G, Donath F, Maurer A, Diefenbach K, Bauer S, Henneike-v. Zepelin HH, Friede M, Roots I (2001) The influence of St. John’s wort extract (SJW, Esbericum capsules) on the pharmacokinetics of alprazolam, caffeine, tolbutamide and digoxin in human. 5th Congress of the European Association for Clinical Pharmacology and Therapeutics, Odense, Denmark. Pharmacol Toxicol 89(Suppl l):74–75
Barbenel DM, Yusufi B, O’Shea D, Bench CJ (2000) Mania in a patient receiving testosterone replacement postorchidectomy taking St. John’s wort and sertraline. J Psychopharmacol 14:84–86
Barnes J, Anderson LA, Phillipson JD (2001) St. John’s wort (Hypericum perforatum L.): a review of its chemistry, pharmacology and clinical properties. J Pharm Pharmacol 53:583–600
Barone GW, Gurley BJ, Ketel BL, Abul-Ezz SR (2001) Herbal supplements: a potential for drug interactions in transplant recipients. Transplantation 71:239–241
Beckman SE, Sommi RW, Switzer J (2000) Consumer use of St. John’s wort: a survey on effectiveness, safety, and tolerability. Pharmacotherapy 20:568–574
Biber A, Fischer H, Römer A, Chatterjee SS (1998) Oral bioavailability of hyperforin from hypericum extracts in rats and human volunteers. Pharmacopsychiatry 31(Suppl l):36–43
Bon H, Hartmann K, Kuhn M (1999) Johanniskraut: Ein Enzyminduktor? Schweizer Apothekerzeitschrift 16:535–536
Breidenbach T, Hoffmann MW, Becker T, Schlitt H, Klempnauer J (2000) Drug interaction of St. John’s wort with cyclosporin. Lancet 355:1912
Budzinski JW, Foster BC, Vandenhoek S, Arnason JT (2000) An in vitro evaluation of human cytochrome P450 3A4 inhibition by selected commercial herbal extracts and tinctures. 3Phytomedicine 7:273–282
Burstein AH, Horton RL, Dunn T, Alfaro RM, Piscitelli SC, Theodore W (2000) Lack of effect of St. John’s Wort on carbamazepine pharmacokinetics in healthy volunteers.Clin Pharmacol Ther 68:605–612
Carson SW, Hill-Zabala CE, Blalock SB, Hoyler SL, Clarke MJ (2001) Constituents of St. John’s wort inhibit cytochrome P450 3A4 and P450 reductase activity in human liver microsomes. Clin Pharmacol Ther 69:P8
de Maat MM, Hoetelmans RM, Mathot RA, Van Gorp EC, Meenhorst PL, Mulder JW, Beijnen JH (2001) Drug interaction between St. John’s wort and nevirapine. Aids 15:420–421
Demott K (1998) St. John’s wort tied to Serotonine syndrome. Clin Psychiatry News 26:28
Denke A, Schempp H, Mann E, Schneider W, Elstner EF (1999) Biochemical activities of extracts from Hypericum perforatum L. 4th Communication: influence of different cultivation methods. Arzneimittelforschung 49:120–125
Dresser GK, Schwarz UI, Wilkinson GR, Kim RB (2001) St. John’s wort induces intestinal and hepatic CYP3A4 and P-glycoprotein in healthy volunteers. Clin Pharmacol Ther 69:P23
Drewe J, Gutmann H, Török M, Eschenmoser M, Käufeler R, Schaffner W, Beglinger C (2000) Mechanismen der Interaktionen mit Johanniskrautextrakten. In: Rietbrock N (Hrsg) Phytopharmaka VI-Forschung und klinische Anwendung. Steinkopff, Darmstadt, S 75–81
Dürr D, Stieger B, Kullak-Ublick GA, Rentsch KM, Steinert HC, Meier PJ, Fattinger K (2000) St. John’s Wort induces intestinal P-glycoprotein/MDR1 and intestinal and hepatic CYP3A4. Clin Pharmacol Ther 68:598–604
Dürr D, Stieger B, Meier PJ, Fattinger K (2001) St. John’s wort (SJW) and dexamethasone (DEX) selectively induce hepatic Oatp2 expression in rats. 5th Congress of the European Association for Clinical Pharmacology and Therapeutics, Odense, Denmark, Pharmacol toxicol 89(Suppl)l:73
Ereshewsky B, Gewertz N, Lam YWF, Vega LM, Ereshewsky L (1999) Determination of SJW differential metabolism at CYP2D6 and CYP3A4, using dextromethorphan probe methodology. 39th annual meeting of the New Clinical Drug Evaluation Unit, Boca Raton, Florida, USA, poster 130
Fromm MF (2000) P-glycoprotein: a defense mechanism limiting oral bioavailability and CNS accumulation of drugs. Int J Clin Pharmacol Ther 38:69–74
Gerloff T, Störnier E, Mrozikiewicz PM, Mrozikiewicz A, Roots I (2000) Hypericum perforatum (St. John’s wort) has no effect on protein expression of intestinal p-glycoprotein (MDR1) in the rat. VII World Conference on Clinical Pharmacology and Therapeutics IUPHAR & 4th Congress of the European Association for Clinical Pharmacology and Therapeutics (EACPT), Florence, Italy 194
Gewertz N, Ereshewsky B, Lam YWF, Benavides R, Ereshewsky L (1999) Determination of the differential effects of St. John’s wort on the CYP 1A2 and NAT2 metabolic pathways useing caffeine probe methodology. 39th annual meeting, New Clinical Drug Evaluation Unit, Boca Raton, Florida, USA, poster 131
Gordon JB (1998) SSRIs and St. John’s Wort: possible toxicity? Am Fam Physician 57:950
Greeson JM, Sanford B, Monti DA (2001) St. John’s wort (Hypericum perforatum): a review of the current pharmacological, toxicological, and clinical literature. Psychopharmacology (Berl) 153:402–414
Guengerich FP (1999) Cytochrome P-450 3A4: regulation and role in drug metabolism. Annu Rev Pharmacol Toxicol 39:1–17
Gurley BJ, Gardner SF, Hubbard MA (2000) Clinical assessment of potential cytochrome P450-mediated herb-drug interactions. American Association of Pharmaceutical Scientists Annual Meeting, Indianapolis, USA. http://www.aapspharmaceutica.com/ scientificjournals/pharmsci/am_abstracts/2000/1817.html
Hamman MA, Wang Z, Honig P, Collins J, Lesko L, Huang SM, Hall SD (2001) Effects of acute and chronic Saint John’s wort (SJW) administration on fexofenadine (FEX) disposition. Clin Pharmacol Ther 69:P53
Irefin S, Sprung J (2000) A possible cause of cardiovascular collapse during anesthesia: long-term use of St. John’s Wort. J Clin Anesth 12:498–499
Johne A, Brockmöller J, Bauer S, Maurer A, Langheinrich M, Roots I (1999) Pharmacokinetic interaction of digoxin with an herbal extract from St. John’s wort (Hypericum perforatum). Clin Pharmacol Ther 66:338–345
Johne A, Schmider J, Brockmöller J, Stadelmann AM, Störmer E, Bauer S, Scholler G, Langheinrich M, Roots I (2002) Decreased plasma levels of amitriptyline and its metabolites on comedication with an extract from St. John’s wort (Hypericum perforatum). J Clin Psychopharmacol 22:46–54
Käufeler R, Meier B, Brattström A (2000) Johanniskrautextrakt Ze 117-Klinische Wirksamkeit und Verträglichkeit. In: Rietbrock N (Hrsg) Phytopharmaka VI-Forschung und klinische Anwendung. Steinkopff, Darmstadt, S 84–89
Kerb R, Bauer S, Brockmöller J, Roots I (1997) Urinary 6β-hydroxycortisol excretion rate is affected by treatment with hypericum extract. Eur J Clin Pharmacol 52(Suppl 1):A186
Kerb R, Brockmöller J, Staffeldt B, Ploch M, Roots I (1996) Single-dose and steadystate pharmacokinetics of hypericin and pseudohypericin. Antimicrob Agents Chemother 40:2087–2093
Khawaja IS, Marotta RF, Lippmann S (1999) Herbal medicines as a factor in delirium. Psychiatr Serv 50:969–970
Krusekopf S, Roots I, Kleeberg U (2002) Differential drug-induced mRNA expression of human CYP3A4 compared to CYP3A5, CYP3A7, and CYP3A43, eingereicht
Ladner DP, Klein SD, Steiner RA, Walt H (2001) Synergistic toxicity of delta-aminolaevulinic acid-induced protoporphyrin IX used for photodiagnosis and hypericum extract, a herbal antidepressant. Br J Dermatol 144:916–918
Lantz MS, Buchalter E, Giambanco V (1999) St. John’s wort and antidepressant drug interactions in the elderly. J Geriatr Psychiatry Neurol 12:7–10
Mai I, Bauer S, Krüger H, Einecke G, Neumayer HH, Roots I (2001) Wechselwirkungen Von Johanniskraut mit Tacrolimus bei nierentransplantierten Patienten. Phytopharmaka VI, Forschung und Klinische Anwendung, Berlin, Poster 2
Mai I, Budde K, Krüger H, Rothermund L, Neumayer HH, Roots I (2001) Harmful interaction of Saint John’s wort with the immunosuppressant cyclosporin-a prospective trial. Am J Transplant 1:298
Mai I, Krüger H, Budde K, Johne A, Brockmöller J, Neumayer HH, Roots I (2000) Hazardous pharmacokinetic interaction of Saint John’s wort (Hypericum perforatum) with the immunosuppressant cyclosporin. Int J Clin Pharm Ther 38:500–502
Mandelbaum A, Pertzborn F, Martin-Facklam M, Wiesel M (2000) Unexplained decrease of cyclosporin trough levels in a compliant renal transplant patient. Nephrol Dial Transplant 15:1473–1474
Markowitz JS, DeVane CL, Boulton DW, Carson SW, Nahas Z, Risch SC (2000) Effect of St. John’s wort (Hypericum perforatum) on cytochrome P-450 2D6 and 3A4 activity in healthy volunteers. Life Sci 66:L133–139
Maurer A, Johne A, Bauer S, Brockmöller J, Donath F, Roots I, Langheinrich M, Hübner WD (1999) Interaction of St. John’s wort extract with phenprocoumon. Eur J Clin Pharmacol 55(3):A22
Moore LB, Goodwin B, Jones SA, Wisely GB, Serabjit-Singh CJ, Willson TM, Collins JL, Kliewer SA (2000) St. John’s wort induces hepatic drug metabolism through activation of the pregnane X receptor. Proc Natl Acad Sci USA 97:7500–7502
Moschella C, Jaber BL (2001) Interaction between cyclosporine and Hypericum perforatum (St. John’s wort) after organ transplantation. Am J Kidney Dis 38:1105–1107
Moses EL, Mallinger AG (2000) St. John’s wort: three cases of possible mania induction. J Clin Psychopharmacol 20:115–117
Müller S, Uehleke B, Wöhling H, Riethling A-K, Drewelow B (2001) Interaction of St. John’s wort and digoxin: Influence of formulation and dose of main constituents. 5th Congress of the European Association for Clinical Pharmacology and Therapeutics, Odense, Denmark. Pharmacol Toxicol 89(Suppl 1):78
Müller WE, Singer A, Wonnemann M (2000) Zum Wirkungsmechanismus Von Johanniskrautextrakt. Schweiz Rundsch Med Prax 89:2111–2121
Nahrstedt A, Butterweck V (1997) Biologically active and other chemical constituents of the herb of Hypericum perforatum L. Pharmacopsychiatry 30(Suppl 2):129–134
Nebel A, Schneider BJ, Baker RK, Kroll DJ (1999) Potential metabolic interaction between St. John’s wort and theophylline. Ann Pharmacother 33:502
Nierenberg AA, Burt T, Matthews J, Weiss AP (1999) Mania associated with St. John’s wort. Biol Psychiatry 46:1707–1708
Nöldner M, Chatterjee S (2001) Effects of two different extracts of St. John’s wort and some of their constituents on cytochrome P450 activities in rat liver microsomes. Pharmacopsychiatry 34(Suppl 1):S108–110
O’Breasail AM, Argouarch S (1998) Hypomania and St John’s wort. Can J Psychiatry 43:746–747
Obach RS (2000) Inhibition of human cytochrome P450 enzymes by constituents of St. John’s wort, an herbal preparation used in the treatment of depression. J Pharmacol Exp Ther 294:88–95
Parker V, Wong AH, Boon HS, Seeman MV (2001) Adverse reactions to St. John’s wort. Can J Psychiatry 46:77–79
Perloff MD, Von Moltke LL, Störnier E, Shader RI, Greenblatt DJ (2001) Saint John’s wort: An in vitro analysis of P-glycoprotein induction due to extended exposure. Br J Pharmacol: 134:1601–1608
Piscitelli SC, Burstein AH, Chaitt D, Alfaro RM, Falloon J (2000) Indinavir concentrations and St. John’s wort. Lancet 355:547–548
Prost N, Tichadou L, Rodor F, Nguyen N, David JM, Jean-Pastor MJ (2000) St. John’s wort-venlafaxine interaction. Presse Med 29:1285–1286
Radomski JW, Dursun SM, Reveley MA, Kutcher SP (2000) An exploratory approach to the serotonin syndrome: an update of clinical phenomenology and revised diagnostic criteria. Med Hypotheses 55:218–224
Rätz AE, Von Moos M, Drewe J (2001) Johanniskraut: Ein Phytopharmakon mit potenziell gefährlichen Interaktionen. Schweiz Rundsch Med Prax 90:843–849
Rey JM, Walter G (1998) Hypericum perforatum (St. John’s wort) in depression: pest or blessing? Med J Aust 169:583–586
Roby CA, Anderson GD, Kantor E, Dryer DA, Burstein AH (2000) St. John’s Wort: effect on CYP3A4 activity. Clin Pharmacol Ther 67:451–457
Roby CA, Dryer DA, Burstein AH (2001) St. John’s wort: effect on CYP2D6 activity using dextromethorphan-dextrorphan ratios. J Clin Psychopharmacol 21:530–532
Ruschitzka F, Meier PJ, Turina M, Luscher TF, Noll G (2000) Acute heart transplant rejection due to Saint John’s wort. Lancet 355:548–549
Schneck C (1998) St. John’s wort and hypomania. J Clin Psychiatry 59:689
Schulz V (2001) Incidence and clinical relevance of the interactions and side effects of Hypericum preparations. Phytomedicine 8:152–160
Schwarz UI, Büschel B, Kirch W (2001) Failure of oral contraceptives because of St. John’s wort. Eur J Clin Pharmacol 57(8):A25
Smith M, Lin KM, Zheng YP (2001) An open trial of nifedipine-herb interactions: Nifedipine with St. John’s wort, ginseng or ginkgo biloba. Clin Pharmacol Ther 69(2):P86
Synold TW, Dussault I, Forman BM (2001) The orphan nuclear receptor SXR coordinately regulates drug metabolism and efflux. Nat Med 7:584–590
Wagner H, Bladt S (1994) Pharmaceutical quality of hypericum extracts. J Geriatr Psychiatry Neurol 7(Suppl l):S65–68
Waksman JC, Heard K, Jolliff H, Daly FFS, Bogdan GM, Dart RC (2000) Serotonin syndrome associated with the use of St. John’s wort (Hypericum perforatum) and paroxetine. Clin Toxicol 38:521
Walter G, Rey JM, Harding A (2000) Psychiatrists’ experience and views regarding St. John’s wort and’ alternative’ treatments. Aust N Z J Psychiatry 34:992–996
Wang Z, Gorski JC, Honig P, Collins J, Lesko L, Huang SM, Hall SD (2001) St. John’s wort (SJW) alters CYP3A but not CYP1A2 or CYP2C9 activity in vivo. Clin Pharmacol Ther 69(2):P71
Wentworth JM, Agostini M, Love J, Schwabe JW, Chatterjee VK (2000) St. John’s wort, a herbal antidepressant, activates the steroid X receptor. J Endocrinol 166:R11–16
Wurglics M, Westerhoff K, Kaunzinger A, Wilke A, Baumeister A, Dressman J, Schubert-Zsilavecz M (2001) Batch-to-batch reproducibility of St. John’s wort preparations. Pharmacopsychiatry 34(Suppl 1):S152–156
Yue QY, Bergquist C, Gerden B (2000) Safety of St. John’s wort (Hypericum perforatum). Lancet 355:576–577
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2002 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Johne, A. et al. (2002). Übersicht zu Interaktionsstudien mit Johanniskrautextrakten. In: Schulz, V., Rietbrock, N., Roots, I., Loew, D. (eds) Phytopharmaka VII. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-642-57528-0_15
Download citation
DOI: https://doi.org/10.1007/978-3-642-57528-0_15
Publisher Name: Steinkopff, Heidelberg
Print ISBN: 978-3-642-63286-0
Online ISBN: 978-3-642-57528-0
eBook Packages: Springer Book Archive