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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should I Ask A Woman With Nerve Pain From Mastectomy About Antidepressant Use Before Recommending Hypericum 30C?

Hi, I want to recommend to a woman who had a mastectomy and has nerve pain Hypericum 30C. Do I have to ask if she’s on antidepressants? I ve heard herbal St. Johnwort should not be taken with anti depressants but am assuming it’s not an issue with homeopathic doses?
posted on Sun, 24 Nov 2024
Twitter Wed, 23 Jul 2025 Answered on
Twitter Sun, 3 Aug 2025 Last reviewed on
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General & Family Physician,  's  Response
Hello,

For post-mastectomy pain syndrome (PMPS), medicines like Gabapentin or pregabalin (nerve stabilizers), Amitriptyline(tricyclic antidepressants — at low doses for pain), are prescribed. If needed, lidocaine patches or creams and capsaicin cream are also prescribed. Nerve blocks: Injections to calm irritated nerves are also prescribed.

Let her get the treatment that her treating surgeon is giving. Chronic pain also affects mood and coping with all that. You are advised to counsel and support her. Help her recover. Let her finish with all the prescribed medicines. You can help her get connected with a pain specialist. Homoeopathic Hypericum 30C is not considered a primary remedy for depression, though it is widely used for nerve pain.

It is not advisable to give homoeopathic and allopathic medicines all at a time. Give her time to recover as she is already being treated by her Surgeon. If you’re looking for a gentle, supportive suggestion for someone with depression and you want to include homeopathy, it’s better to consult a trained homeopath to select a constitutional remedy based on the full picture.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Nupur K., General & Family Physician
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Should I Ask A Woman With Nerve Pain From Mastectomy About Antidepressant Use Before Recommending Hypericum 30C?

Hello, For post-mastectomy pain syndrome (PMPS), medicines like Gabapentin or pregabalin (nerve stabilizers), Amitriptyline(tricyclic antidepressants — at low doses for pain), are prescribed. If needed, lidocaine patches or creams and capsaicin cream are also prescribed. Nerve blocks: Injections to calm irritated nerves are also prescribed. Let her get the treatment that her treating surgeon is giving. Chronic pain also affects mood and coping with all that. You are advised to counsel and support her. Help her recover. Let her finish with all the prescribed medicines. You can help her get connected with a pain specialist. Homoeopathic Hypericum 30C is not considered a primary remedy for depression, though it is widely used for nerve pain. It is not advisable to give homoeopathic and allopathic medicines all at a time. Give her time to recover as she is already being treated by her Surgeon. If you’re looking for a gentle, supportive suggestion for someone with depression and you want to include homeopathy, it’s better to consult a trained homeopath to select a constitutional remedy based on the full picture. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Nupur K., General & Family Physician