NSTK · 01.2026Independent supplement reference
NutriStack
Edition 1.0Updated August 1, 2026

Supplement × Supplement·Evidence index

St. John's Wort and Vitex (Chasteberry): what the published research says

PubMed indexes 4 records that name St. John's Wort and Vitex (Chasteberry) together, either in the title or in an interaction, co-administration, or pharmacokinetic context. Each one is listed below with its study design and, where the abstract states one, the authors’ own conclusion, quoted and linked. This page reports that literature. It does not tell you whether to combine them.

Read this first

An evidence index, not guidance.

Every statement below is attributed to a named, dated, linked source.

This page lists published research relevant to St. John's Wort and Vitex (Chasteberry). It deliberately does not state whether the combination is safe, whether it interacts, in which direction, at what dose, or how far apart to take them.

The research

4 studies naming St. John's Wort and Vitex (Chasteberry).

Strongest relevance first: papers naming both substances in the title, then human trials and systematic reviews.

Efficacy of Cimicifuga racemosa, Hypericum perforatum and Agnus castus in the treatment of climacteric complaints: a systematic review.

Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology · 2012 · PMID 22385322

Systematic ReviewHuman subjects

“CR monotherapy as well as HP and Agnus castus showed no better effect than placebo. The combination of CR with HP demonstrated a positive effect on climacteric complaints.”

Laakmann et al. · Authors' conclusion

Names both St. John's Wort and Vitex (Chasteberry) in its title.

Hypericum perforatum with Vitex agnus-castus in menopausal symptoms: a randomized, controlled trial.

Menopause (New York, N.Y.) · 2009 · PMID 18791483

Randomized Controlled Trial

“The herbal combination of H. perforatum and V. agnus-castus was not found to be superior to placebo for the treatment of menopausal symptoms. The herbal combination was well tolerated with no significant adverse events noted in the short term. Robust findings from quality studies such as this are important for informing the community, healthcare providers, and regulatory authorities.”

van Die et al. · Authors' conclusion

Names both St. John's Wort and Vitex (Chasteberry) in its title.

Effects of a combination of Hypericum perforatum and Vitex agnus-castus on PMS-like symptoms in late-perimenopausal women: findings from a subpopulation analysis.

Journal of alternative and complementary medicine (New York, N.Y.) · 2009 · PMID 19757982

Randomized Controlled Trial

“These results suggest a potentially significant clinical application for this phytotherapeutic combination in PMS-like symptoms among perimenopausal women. Further research is warranted through a randomized, controlled trial dedicated to investigation of these symptoms.”

van Die et al. · Authors' conclusion

Names both St. John's Wort and Vitex (Chasteberry) in its title.

A Critical Approach to Evaluating Clinical Efficacy, Adverse Events and Drug Interactions of Herbal Remedies.

Phytotherapy research : PTR · 2016 · PMID 26887532

Meta-AnalysisSystematic ReviewHuman subjects

“This suggests the need to be vigilant when using herbal remedies, particularly in specific conditions, such as during pregnancy and in the paediatric population. Copyright © 2016 John Wiley & Sons, Ltd.”

Izzo et al. · From the abstract

Names St. John's Wort and Vitex (Chasteberry) together in an interaction, co-administration, or pharmacokinetic context.

Limitations

What this evidence cannot tell you.

Search-based evidence indexes have real limits, and it is worth being explicit about them:

NutriStack

Track what you actually take.

NutriStack is a free iPhone app for organising a supplement routine: what you take, when, and what the published record says about it. Its exploratory interaction checker covers St. John's Wort, Vitex (Chasteberry), and several hundred other substances.

The checker is a research and organisation tool, not a clinical decision aid, and its per-pair assessments are excluded from search until they pass claim-level review.

NutriStack is an informational and organizational tool, not a medical service, and not a substitute for professional advice. Always consult a qualified healthcare professional before starting, stopping, or changing any supplement or medication.