Kira St Johns Wort One a Day Tablets:

St. John's Wort preparations are unlicensed herbal remedies. Their levels of active ingredients can vary from one preparation to another. They are widely used in the U.K. being available from pharmacies, health food shops and herbal practitioners.

St. John's Wort preparations may interfere (interact) with medicines, stopping them from working properly:

• If you are taking medicines it may not be safe for you to take St. John's Wort preparations

Kira St Johns Wort instructions for use:

• One tablet per day with your main meal.
• Swallow whole with a glass cold water or cold liquid.
• Do not chew

Do not exceed the stated daily dose

• Do not use during pregnancy or whilst breastfeeding
• Always follow the instructions on your own product

Check with your doctor or pharmacist if you are taking any prescribed medication as St John's Wort may affect the way they work

Photosensitisation (increased sensitivity of the skin to sunlight) may occur in rare cases (especially those with fair-skin)

Kira St Johns Wort Standardised LI-160 gently dried extract 300mg of St John's Wort (Hypericum perforatum L) per tablet.

• Guaranteed Hypericin yield: 900µg per tablet

Ingredients: Hypericum dry extract, sucrose, lactose, cellulose, talc, thickener hypromellose, silicon dioxide, acacia, colour titanium dioxide, magnesium stearate, vegetable oil, povidone, glazing agents white beeswax and carnauba wax.

Important Safety Information for people taking St. John's Wort preparations:

I am currently taking a St. John's Wort preparation, and I am not taking any medicine(s).

Advice: If you buy a medicine from a pharmacy or are prescribed a medicine by your doctor you must tell your pharmacist or a doctor about the St. John's Wort preparation.

I am already taking medicine(s) but I would like to start taking a St. John's Wort preparation.

Advice: You must not take a St. John's Wort preparation until you have checked with your pharmacist or doctor that it is safe for you to do so.

Epilepsy or fits: I am on tablets for epilepsy/fits and I am also taking a St. John's Wort preparation.

Transplant: I am on tablets following a transplant and I am also taking a St. John's Wort preparation.

Asthma or chronic bronchitis: I am on theophylline tablets for my chest and I am also taking a St. John's Wort preparation.

Heart condition: I am taking digoxin for a heart condition and I am also taking a St. John's Wort preparation.

Blood clots: I am taking warfarin to thin my blood and I am also taking a St. John's Wort preparation.

Advice for patients with any of these conditions: You will need to stop taking the St. John's Wort preparation as it may stop your medicine from working properly. However, you should see your pharmacist or doctor before stopping the St. John's Wort preparation as the dose of your medicine may need to be altered to prevent side effects.

Contraceptive pill: I am on the pill and I am also taking a St. John's Wort preparation.

Advice: You should stop taking the St. John's Wort preparation as it may stop your pill from working. Continue to take your contraceptive pill as normal. There is no need to see your pharmacist or doctor urgently, however, mention it when you next consult your doctor or are dispensed a medicine.

Migraine: I take treatment for migraine and I am also taking a St. John's Wort preparation.

Depression: I am on treatment for depression and I am also taking a St. John's Wort preparation.

Advice: You should stop taking the St. John's Wort preparation as it may stop your medicine from working. There is no need to see your pharmacist or doctor urgently, however, mention it when you next consult your doctor or are dispensed a medicine.

HIV: I am HIV positive and on treatment and I am also taking a St. John's Wort preparation.

Advice: You should stop taking the St. John's Wort preparation and see your doctor who may suggest you have your HIV viral load checked.

I am currently taking both a St. John's Wort preparation and a prescribed medicine not mentioned above.

Advice: Tell your pharmacist or doctor that you are taking a St. John's Wort preparation when you are next dispensed a medicine or consult your doctor.

• It is important to always tell your pharmacist or doctor about any herbal remedy or over the counter medicine you are taking
• For further information call NHS Direct on 08 45 46 47. Kira Ltd. Customer Services Dept.: 01202 780558