Black Pepper + Zaleplon
Zaleplon brand names: Sonata, Starnoc.
Black Pepper has a moderate interaction with Zaleplon. Theoretically, black pepper might increase levels of drugs metabolized by CYP3A4.
Read the full interaction reportBlack Pepper and Zaleplon
Here is the interaction we found between these two, with the evidence behind it.
CYTOCHROME P450 3A4 (CYP3A4) SUBSTRATES
Why this applies to Zaleplon
Zaleplon falls under CYTOCHROME P450 3A4 (CYP3A4) SUBSTRATES — the group Black Pepper interacts with.
In vitro research and pharmacokinetic simulation data suggest that piperine, a constituent of black pepper, as well as the pepper fruit seem to inhibit CYP3A4. This has not been reported in humans.
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.
Here's the simple version. Your body clears zaleplon using a liver enzyme called CYP3A4. The piperine in concentrated black pepper supplements may slow that enzyme down a bit. If it does, a little more zaleplon could linger in your system, which might make its sleepy effects feel stronger. With this drug that could mean extra next-morning grogginess, dizziness, or feeling unsteady on your feet.
I want to be honest about how soft this evidence is. This concern comes only from lab and computer-model studies, not from real people, so we don't actually know it happens in humans. Sprinkling pepper on dinner is not the worry here; concentrated piperine supplements are. If you take both, just mention it to your pharmacist or doctor before changing anything.
- Bhardwaj RK, Glaeser H, Becquemont L, et al. Piperine, a major constituent of black pepper, inhibits human P-glycoprotein and CYP3A4. J Pharmacol Exp Ther 2002;302:645-50. PubMed
- Usia, T., Iwata, H., Hiratsuka, A., Watabe, T., Kadota, S., and Tezuka, Y. CYP3A4 and CYP2D6 inhibitory activities of Indonesian medicinal plants. Phytomedicine. 2006;13(1-2):67-73. PubMed
- Lin F, Hu Y, Zhang Y, Zhao L, Zhong D, Liu J. Predicting Food-Drug Interactions between Piperine and CYP3A4 Substrate Drugs Using PBPK Modeling. Int J Mol Sci 2024;25(20):10955. PubMed
What These Ratings Mean
Every interaction above is graded three ways — here’s the key to each label.
Clinically significant. Avoid the combination, or use only under close professional supervision.
Usually worth avoiding or managing — may need monitoring, a dose change, or timing apart.
Generally not serious. Be aware of it and mention it to your pharmacist.
- LikelyWell-controlled human studies have demonstrated the likely existence of this interaction.
- ProbableInteraction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
- PossibleInteraction 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.
- UnlikelyInteraction has been demonstrated in animal or in lab research but has been shown not to occur in humans.
- AHigh-quality meta-analysis (quantitative systematic review).
- BCase-control study.
- CConsensus.
- DAnecdotal evidence.
These ratings are for information only. Never start, stop, or otherwise change your therapy before speaking with your provider.
Black Pepper Also Interacts With Other Medications
Black Pepper has 975 moderate, 43 minor known drug interactions in our database — the Zaleplon one above is one of them. If you take anything else, check it against the full list below.
Check Another of Your Medications Against Black Pepper
We haven’t checked that one against Black Pepper yet — ask our pharmacists directly.
Covers the 2,830 medications we’ve checked against Black Pepper. Pick one to open its full report.
Questions About Black Pepper or Zaleplon
These are real questions from readers, answered by the pharmacists at HelloPharmacist — written by a person, not generated from a database. Each one covers Black Pepper or Zaleplon, not necessarily both, but if one is close to what you were about to ask it will usually go further than a database entry can:
- Celebrex With Curcumin And Black Pepper Interaction Concerns ›
- Help! Trazodone Is Not Working Well To Help Me Sleep ›
- Cotellic With Turmeric And Black Pepper Interaction ›
- Can You Take Dr. Berg Liver Cleanse With Albuterol? ›
Not quite your question? Ask our pharmacists directly — it is free, there is no account required, and answers usually come back within 24 hours.
See Every Supplement That Interacts With Zaleplon
This page covers Black Pepper only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Zaleplon page lists 195 supplements it has a documented interaction with, worst first, each one explained.
The most serious there right now: 1,4-butanediol (major), Activated Charcoal (major), Beer (major), Gamma-hydroxybutyrate (ghb) (major) and Grapefruit (major).
By severity: 9 major · 147 moderate · 39 minor.
Taking Black Pepper as Part of a Dietary Supplement Product? Check It for Interactions
We hold 5,528 real supplement products containing Black Pepper, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Black Pepper. Your product may carry other ingredients that interact with Zaleplon too, on top of Black Pepper — and those would not show on this page. Find your product and we’ll check every ingredient on its label:
Where Black Pepper and Zaleplon Sit Against Everything Else
Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.
#33 of 1,452 supplements looked up here in the last 7 days
#2,186 of 2,830 medications looked up here in the last 7 days
Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.
About Black Pepper
What is Black Pepper?
- Flavoring and culinary use
- Digestive complaints like bloating and indigestion
- Boosting absorption of other supplements
- Antioxidant and anti-inflammatory support
- Cold and congestion remedies
Black pepper is a common kitchen spice that is generally safe in the amounts used in food. Its extract, piperine, is mostly added to supplements to help the body absorb other ingredients (like curcumin from turmeric). Strong human evidence for black pepper treating specific health conditions is limited, so use supplement-strength products with care and check with your pharmacist.
About Zaleplon
What Is Zaleplon Used For?
Brand names: Sonata, Starnoc
Zaleplon capsules are approved for the short-term treatment of insomnia. Specifically, they help reduce the time it takes to fall asleep (sleep onset). Clinical studies showed this benefit for up to 30 days of use.
Zaleplon has not been shown to increase total sleep time or reduce the number of times you wake up during the night. It is intended for short-term use, and if sleep problems continue beyond 7–10 days, a doctor should evaluate you for an underlying cause.
Other Drugs & Black Pepper
Browse every other medication we’ve checked against Black Pepper — both the ones with a known interaction and the ones without. Select any drug for the full detail.
No drugs match “”.
975 interactions
- Diclofenac Sodium ›
- Diltiazem ›
- Theophylline ›
- Nifedipine ›
- Ibuprofen ›
- Aspirin ›
- Hydrocortisone ›
- Insulin (rdna) ›
- Naproxen ›
- Doxycycline ›
- Erythromycin ›
- Estradiol ›
- Minocycline ›
- Propranolol ›
- Tetracycline ›
- Lidocaine ›
- Ranitidine ›
- Norethindrone ›
- Testosterone ›
- Verapamil ›
- Levonorgestrel ›
- Prednisone ›
- Quinidine ›
- Cyclosporine ›
- Dexamethasone ›
- Glyburide ›
- Insulin (pork) ›
- Triazolam ›
- Zopiclone ›
- Colchicine ›
- Fentanyl ›
- Oxybutynin ›
- Oxycodone ›
- Phenytoin ›
- Prednisolone ›
- Tacrolimus ›
- Temazepam ›
- Triamcinolone ›
- Apomorphine ›
- Budesonide ›
- Carbamazepine ›
- Clindamycin ›
- Dextromethorphan ›
- Diclofenac Potassium ›
- Dipyridamole ›
- Doxorubicin ›
- Fluticasone ›
- Formoterol ›
- Insulin (human) ›
- Miconazole ›
- Morphine Sulfate ›
- Amphetamine ›
- Buprenorphine ›
- Conjugated Estrogens ›
- Diazepam ›
- Everolimus ›
- Ivabradine ›
- Ivermectin ›
- Ketoprofen ›
- Lofepramine ›
Showing 60 of 975 moderate interactions — see all 975 on the Black Pepper page.
43 interactions
- Amoxicillin ›
- Acetaminophen ›
- Bendamustine ›
- Riluzole ›
- Asenapine ›
- Ropinirole ›
- Tizanidine ›
- Agomelatine ›
- Bendamustine Hydrochloride ›
- Chlordiazepoxide ›
- Fenfluamine ›
- Fezolinetant ›
- Grepafloxacin ›
- Paracetamol ›
- Pentazocine ›
- Pirfenidone ›
- Rasagiline ›
- Ropivacaine ›
- Tacrine ›
- Triclabendazole ›
- Acetaminophen, Butalbital ›
- Acetaminophen, Pseudoephedrine ›
- Amoxicillin, Clavulanate Potassium ›
- Acetaminophen, Dichloralantipyrine, Isometheptene ›
- Acetaminophen, Chlorzoxazone ›
- Acetaminophen, Diphenhydramine, Pseudoephedrine ›
- Acetaminophen, Pamabrom, Pyrilamine ›
- Acetaminophen, Diphenhydramine ›
- Acetaminophen, Phenyltoloxamine ›
- Acetaminophen, Brompheniramine, Phenylpropanolamine ›
- Acetaminophen, Dexbrompheniramine, Pseudoephedrine ›
- Acetaminophen, Dichloralphenazone, Isometheptene ›
- Acetaminophen, Dichlorophenazone, Isometheptane ›
- Acetaminophen, Doxylamine, Pseudoephedrine ›
- Acetaminophen, Methocarbamol ›
- Acetaminophen, Orphenadrine ›
- Acetaminophen, Pentazocine ›
- Acetaminophen, Phenylpropanolamine ›
- Acetaminophen, Phenylpropanolamine, Phenyltoloxamine ›
- Acetaminophen, Phenyltoloxamine, Salicylamide ›
- Acetaminophen, Pseudoephedrine, Triprolidine ›
- Chlordiazepoxide, Clidinium Bromide ›
- Naloxone, Pentazocine ›
No interaction 1,811 drugs checked — show the list
We also checked Black Pepper against these medications and found no known interaction in our sources. Open any page to confirm.
- Levothyroxine ›
- Methylphenidate ›
- Rosuvastatin ›
- Escitalopram ›
- Docusate ›
- Valacyclovir ›
- Hydroxyurea ›
- Sumatriptan ›
- Lisinopril ›
- Bupropion ›
- Acyclovir ›
- Methotrexate ›
- Lamotrigine ›
- Pregabalin ›
- Azithromycin ›
- Gabapentin ›
- Isotretinoin ›
- Methylene Blue ›
- Ciprofloxacin ›
- Levothyroxine, Liothyronine ›
- Candesartan Cilexetil ›
- Cephalexin ›
- Cyclopentolate ›
- Acetaminophen, Dextromethorphan, Doxylamine ›
- Roxithromycin ›
- Mannitol ›
- Pegunigalsidase Alfa-iwxj ›
- Levetiracetam ›
- Daptomycin ›
- Levothyroxine Sodium ›
- Valsartan ›
- Ezetimibe ›
- Dexmethylphenidate ›
- Spironolactone ›
- Phentermine, Topiramate ›
- Hexobarbitone ›
- Thyroid Hormone ›
- Carbidopa, Levodopa ›
- Factor 7a ›
- Levodopa ›
- Lenvatinib ›
- Mitomycin ›
- Hethylphenidate Hcl ›
- Minoxidil ›
- Cefaclor ›
- Azelaic Acid ›
- Phenylephrine ›
- Hydroxychloroquine ›
- Bentoquatam ›
- Vancomycin ›
- Pizotifen ›
- Triptorelin ›
- Dirithromycin ›
- Procainamide ›
- Dextrothyroxine ›
- Tocainide ›
- Sodium Valproate ›
- Rocuronium ›
- Hydrochlorothiazide ›
- Telmisartan ›
Showing the 60 most looked-up of 1,811 medications checked with no known interaction — see the full Black Pepper list.
Sources & How We Checked
Interaction details are evidence-graded and sourced from the Natural Medicines database. The medication overview comes from MedlinePlus.
- Natural Medicines (Therapeutic Research Center) — Evidence-graded clinical reference for vitamins, herbs and supplements — the basis for our interaction data.
- MedlinePlus, U.S. National Library of Medicine — NIH consumer drug information, used for the medication overviews.
- NIH Dietary Supplement Label Database (DSLD) — Official supplement product labels.
Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.
Parts of this content are provided by the Therapeutic Research Center, LLC.
DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.
© 2021 Therapeutic Research Center, LLC
Taking Black Pepper and Zaleplon Together: Common Questions
Can you take Black Pepper with Zaleplon?
How serious is the Black Pepper and Zaleplon interaction?
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