Journal of Literature Pharmacy Sciences

Geçmişten Günümüze Hypericum perforatum (Sarı Kantaron) ve Depresyon Tedavisi-Neler Biliyoruz?
Hypericum perforatum (St John's Wort) for Depression Treatment from Past to Present-What Do We Know?
Ezgi ERSOYa, Esra EROĞLU ÖZKANa
aİstanbul Üniversitesi Eczacılık Fakültesi, Farmakognozi ABD, İstanbul, TÜRKİYE
J Lit Pharm Sci. 2020;9(2):137-48
doi: 10.5336/pharmsci.2019-72764
Article Language: TR
Full Text
ÖZET
 Hypericum perforatum L., antik çağlardan beri depresyon dâhil pek çok farklı hastalığın tedavisinde kullanılan çok yıllık bir bitkidir. Antidepresan etkisiyle ilgili bilinen ilk kayıt 1. yüzyıla aittir. Bitkinin antidepresan özelliklerini araştırmak üzere çok sayıda çalışma yapılmış ve bunların sonucunda bitkinin plaseboya göre daha etkili olduğu, standart antidepresanlarla aynı etkinliği gösterdiği ve bunlara kıyasla daha az yan etkiye neden olduğu belirlenmiştir. Bitkinin sahip olduğu antidepresan etki, bileşiminde bulunan farklı bileşiklerden oluşan zengin karışımdan kaynaklanmaktadır. Bu karışımda bulunan ve bir floroglusinol türevi olan hiperforin aktiviteden sorumlu ana bileşiktir. Antidepresan etki mekanizması günümüzde hâlâ tam olarak bilinememekle birlikte, bitkideki flavonoidlerin antidepresan aktivitede rol oynadığını gösteren bazı kanıtlar mevcuttur. Hem dünyada hem de Türkiye'de en çok satılan bitkisel ilaçlardan biri olması dolayısıyla H. perforatum ve sahip olduğu antidepresan etki ile ilgili daha fazla bilgi edinmek oldukça önemli hâle gelmiştir. Olası bazı ilaç etkileşimleri, aynı zamanda ürünlerin kalitesinin oldukça değişken olması, hatta bazı ürünlerin hiç etken madde içermediğinin tespit edilmesi gibi nedenlerden dolayı bitkinin kontrolsüzce kullanımı sorun teşkil etmektedir. Bu çalışmanın amacı, H. perforatum bitkisinin geçmişten günümüze depresyon tedavisinde kullanımı, yapılan çalışmalarla sunulan kanıtlar, kayıt altına alınan muhtemel yan etkiler ve ilaç etkileşimleri ile ilgili bilgi vermektir.

Anahtar Kelimeler: Hypericum perforatum; sarı kantaron; depresyon
ABSTRACT
 Hypericum perforatum L., is a perennial herb that has been used since ancient times for the treatment of several diseases including depression. The first record about its antidepressant effect is from the 1st century. There have been numerous studies designed to investigate its antidepressant properties, and accordingly it can be said that the plant is more effective than placebo, and as effective as the standard antidepressants with significantly less side effects. The antidepressant properties of the plant are attributed to its rich mixture of different compounds, among them the floroglucinol derivative hyperforin is mainly responsible for the activity. Although the exact mechanism of action still remains unknown, there is evidence that flavonoids of the plant also play a role in antidepressant activity. Being one of the most selling herbal drugs in the world and also in Turkey, it has become crucial to gain more knowledge about the antidepressant properties of H. perforatum. The uncontrolled use of the plant could be problematic because of the possible drug interactions, besides the quality of the preparations can differ considerably, and it has been showed that some of the products do not even contain any bioactive consituents. This study aims to give information about H. perforatum for the treatment of depression, including evidence provided by the studies, the possible side effects and drug interactions recorded from past to present.

Keywords: Hypericum perforatum; St. John's wort; depression
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4.6. "USER"s agree and undertake that they will not perform any action leading to unfair competition, weakening the personal and commercial credit of "Turkiye Klinikleri" and a third party,  encroaching and attacking on personal rights within the "SITE" in accordance with the Turkish Commercial Code Law.

4.7. "Turkiye Klinikleri" reserves the right to change the services and the context within the "SITE"  anytime. "Turkiye Klinikleri" may use this right without any notification and timelessly. "USER"s have to make the changes and/or corrections "Turkiye Klinikleri" required immediately. Any changes and/or corrections that are required by "Turkiye Klinikleri", may be made by "Turkiye Klinikleri" when needed. Any harm, criminal and civil liability resulted or will result from changes and/or corrections required by "Turkiye Klinikleri" and were not made on time by the "USER"s belongs completely to the users.

4.8. "Turkiye Klinikleri" may give links through the "SITE" to other websites and/or "CONTEXT"s and/or folders that are outside of their control and owned and run by third parties. These links are provided for ease of reference only and do not hold qualification for support the respective web SITE or the admin or declaration or guarantee for the information inside. "Turkiye Klinikleri" does not hold any responsibility over the web-sites connected through the links on the "SITE", folders and context, the services or products on the websites provided through these links or their context.

4.9. "Turkiye Klinikleri" may use the information provided to them by the "USERS" through the "SITE" in line with the terms of the "PRIVACY POLICY" and "USER CONTRACT". It may process the information or classify and save them on a database. "Turkiye Klinikleri" may also use the USER's or visitor's identity, address, e-mail address, phone number, IP number, which sections of the "SITE" they visited, domain type, browser type, date and time information to provide statistical evaluation and customized services.

5. PROPRIETARY RIGHTS

5.1. The information accessed through this "SITE" or provided by the users legally and all the elements (including but not limited to design, text, image, html code and other codes) of the "SITE" (all of them will be called as studies tied to "Turkiye Klinikleri"s copyrights) belongs to "Turkiye Klinikleri". Users do not have the right to resell, process, share, distribute, display or give someone permission to access or to use the "Turkiye Klinikleri" services, "Turkiye Klinikleri" information and the products under copyright protection by "Turkiye Klinikleri". Within hereby "Terms of Use" unless explicitly permitted by "Turkiye Klinikleri" nobody can reproduce, process, distribute or produce or prepare any study from those under "Turkiye Klinikleri" copyright protection.

5.2. Within hereby "Terms of Use", "Turkiye Klinikleri" reserves the rights for "Turkiye Klinikleri" services, "Turkiye Klinikleri" information, the products associated with "Turkiye Klinikleri" copyrights, "Turkiye Klinikleri" trademarks, "Turkiye Klinikleri" trade looks or its all rights for other entity and information it has through this website unless it is explicitly authorized by "Turkiye Klinikleri".

6. CHANGES IN THE TERMS OF USE

"Turkiye Klinikleri" in its sole discretion may change the hereby "Terms of Use" anytime announcing within the "SITE". The changed terms of the hereby "Terms of Use" will become valid when they are announced. Hereby "Terms of Use" cannot be changed by unilateral declarations of users.

7. FORCE MAJEURE

"Turkiye Klinikleri" is not responsible for executing late or never of this hereby "Terms of Use", privacy policy and "USER Contract" in any situation legally taken into account as force majeure. Being late or failure of performance or non-defaulting of this and similar cases like this will not be the case from the viewpoint of "Turkiye Klinikleri", and "Turkiye Klinikleri" will not have any damage liability for these situations. "Force majeure" term will be regarded as outside of the concerned party's reasonable control and any situation that "Turkiye Klinikleri" cannot prevent even though it shows due diligence. Also, force majeure situations include but not limited to natural disasters, rebellion, war, strike, communication problems, infrastructure and internet failure, power cut and bad weather conditions.

8. LAW AND AUTHORISATION TO FOLLOW

Turkish Law will be applied in practicing, interpreting the hereby "Terms of Use" and managing the emerging legal relationships within this "Terms of Use" in case of finding element of foreignness, except for the rules of Turkish conflict of laws. Ankara Courts and Enforcement Offices are entitled in any controversy happened or may happen due to hereby contract.

9. CLOSING AND AGREEMENT

Hereby "Terms of Use" come into force when announced in the "SITE" by "Turkiye Klinikleri". The users are regarded to agree to hereby contract terms by using the "SITE". "Turkiye Klinikleri" may change the contract terms and the changes will be come into force by specifying the version number and the date of change on time it is published in the "SITE".

 

30.03.2014

Privacy Policy

We recommend you to read the terms of use below before you visit our website. In case you agree these terms, following our rules will be to your favor. Please read our Terms of Use thoroughly.

www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com