Ginkgo vs St. John's Wort for mood: which has better evidence?
St. John's Wort has the stronger evidence for mood (Ginkgo Grade C vs St. John's Wort Grade B). For mood, St. John's Wort has the stronger evidence grade.
Platform evidence comparison
These existing platform assessments are separate from the source-reported findings below. They do not represent a direct trial comparing these treatments.
| Ginkgo | St. John's Wort | |
|---|---|---|
| Grade | grade C | grade B |
| Certainty | low | moderate |
| Effect | Systematic review and network meta-analysis of herbal anxiolytics: Ginkgo biloba showed a modest anxiety-reducing signal among the herbs assessed, but the evidence base is heterogeneous and of limited certainty. | effective for mild-to-moderate depression in trials |
| Studied dose | not standardized | 300 mg ×3/day |
| Population | adults with anxiety symptoms | adults, mild-to-moderate depression |
| Safety | 2 modeled interaction(s) | 1 modeled interaction(s) |
Grade C / low: hints of benefit in small trials; a well-run RCT could easily push this to B or to null.
Direct comparison evidence
There are no direct RCTs in our corpus comparing Ginkgo and St. John's Wort head-to-head for mood. What we present above is an indirect comparison: each side's own trials, contrasted. This is standard practice for supplement comparisons — dose, population, and outcome-instrument differences between the two evidence bases add uncertainty on top of each side's own grade.
Can you take both?
No modeled interaction between Ginkgo and St. John's Wort in our corpus. Absence of a recorded interaction is not proof of additive benefit — combined-effect trials are usually absent for supplement pairs, so treat "stack" claims skeptically.
Decision guidance
- If certainty matters most — choose whichever side carries the higher certainty rating at a similar grade.
- If you're on medications — check each side's interaction pages before deciding; safety differences dominate small evidence-grade gaps.
- If your population is under-studied — the smaller-effect side with better population evidence often wins over the higher-grade side studied in a different demographic.
- If cost matters — form and dose page differences (Ginkgo vs St. John's Wort) can invert the practical winner.
Grade history
No grade changes yet. Initial grade assigned; re-reviewed on every 6 months (Grade C+) — next review by . Methodology v1.
Re-review cadence: every 6 months (Grade C+) · next scheduled by · methodology v1.
Frequently asked
Which has stronger evidence: Ginkgo or St. John's Wort for mood?
Ginkgo carries Grade C at low certainty; St. John's Wort carries Grade B at moderate. The stronger evidence points to St. John's Wort, subject to the caveat that direct head-to-head trials are usually absent for supplement pairings.
Can I take Ginkgo and St. John's Wort together?
No modeled interaction between Ginkgo and St. John's Wort; combining is not documented to be problematic, but combined-effect trials are also absent, so treat additive benefit claims skeptically.
Have Ginkgo and St. John's Wort been compared head-to-head?
Direct RCTs comparing the two for mood are uncommon. This page contrasts each side's own trial evidence — that is an indirect comparison, which introduces confounds from population and dose differences. See the direct-comparison block above.
What decides between Ginkgo and St. John's Wort for me?
Read the decision guidance below — the split usually comes down to population fit, interaction risk with your other medications, and how much certainty you want behind the recommendation.
Related
Cite this page
Citation is encouraged. The proposed reuse license is CC-BY-4.0; status: pending-governance-ratification.
Plain-text citation
Substrate. Ginkgo vs St. John's Wort for mood. https://evidencebased.info/compare/ginkgo-vs-st-johns-wort-for-mood. Updated 2026-07-14.
BibTeX
@misc{substrate_vsstjohnswortformood,
author = {Substrate editorial},
title = {Ginkgo vs St. John's Wort for mood},
year = {2026},
url = {https://evidencebased.info/compare/ginkgo-vs-st-johns-wort-for-mood},
note = {evidencebased.info}
}