Ashwagandha - Neurontin (Gabapentin) Interaction

Interaction Details

Gabapentin is classified as belonging to the following category: Cns Depressants

Theoretically, taking ashwagandha might increase the sedative effects of CNS depressants.
Ashwagandha seems to have sedative effects. Theoretically, this may potentiate the effects of barbiturates, other sedatives, and anxiolytics.

Interaction Rating

Likelihood of Occurrence

Interaction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists

Pharmacist Analysis

Ashwagandha is a widely used herbal ingredient and is found in many dietary supplements. It is commonly used for a variety of conditions, including for its purported ability to improve sleep and reduce stress.

Some preliminary research has shown that ashwagandha has mild sedative effects, and can help to alleviate stress and anxiety via several mechanisms, such as the modulation of certain neurotransmitters, including serotonin and GABA. It may also have an effect on dopamine in the brain but more research is needed to better understand how ashwagandha works and its overall effects.

While ashwagandha may have sedative effects, there is no evidence to suggest that it causes respiratory depression like some other medications that have sedative effects (such as benzodiazepines and opioids).

Caution should always be taken with combining sedative drugs but unlike certain dangerous combinations (e.g., opioids and benzodiazepines) which can affect your breathing, the primary concern with ashwagandha is additive sedation.

References

• Upton R, ed. Ashwagandha Root (Withania somnifera): Analytical, quality control, and therapuetic monograph. Santa Cruz, CA: American Herbal Pharmacopoeia 2000:1-25.

Gabapentin Overview

• Gabapentin capsules, tablets, and oral solution are used along with other medications to help control certain types of seizures in people who have epilepsy. Gabapentin capsules, tablets, and oral solution are also used to relieve the pain of postherpetic neuralgia (PHN; the burning, stabbing pain or aches that may last for months or years after an attack of shingles). Gabapentin extended-release tablets (Horizant) are used to treat restless legs syndrome (RLS; a condition that causes discomfort in the legs and a strong urge to move the legs, especially at night and when sitting or lying down). Gabapentin is in a class of medications called anticonvulsants. Gabapentin treats seizures by decreasing abnormal excitement in the brain. Gabapentin relieves the pain of PHN by changing the way the body senses pain. It is not known exactly how gabapentin works to treat restless legs syndrome.

Ashwagandha - More Interactions

Ashwagandha interacts with 1326 drugs

Interaction Rating Key

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