Herbal and Complementary Medicines

Several herbal remedies have been investigated in Europe and may help depression, though U.S. studies to date are not conclusive. A large multi-center trial sponsored by the National Institute of Health is underway.

St. John's Wort (Hypericum Perforatum) has been studied in Germany and appears to be helpful for mild to moderate depression. This agent may interact with SSRI's and should not be combined with them.

Sam-E (S-adenosyl methionine) may assist other antidepressant agents by increasing the rate of reactions that are necessary to build levels of brain neurochemicals. It has not been well studied as an agent that acts alone however.

Omega 3 fatty acids may be useful in combating depression in patients with bipolar illness, and are beginning to be used in conjunction with traditional antidepressants, but like the other agents are not yet studied well in the U.S.A.