St. John'S Wort + Methadone Hydrochloride Interaction

Majorinteraction on record

Description

CYP3A4, CYP2B6, CYP2C19, and CYP2C9 inducer decreases methadone plasma concentration, resulting in decreased efficacy or withdrawal symptoms.

Mechanism

Induction of CYP-mediated methadone N-demethylation

Source: NLP:methadone hydrochloride