Drug & supplement interaction

Red-spur Valerian + Alpelisib

Alpelisib brand name: Piqray.

No Known Interaction

Medically reviewed by Dr. Brian Staiger, PharmD, BCPS · Updated June 2026 · Pair last verified Sep 13, 2026

The bottom line No known interaction

We found no known interaction between Red-spur Valerian and Alpelisib in our sources. Absence of a documented interaction is not the same as proven safety, and does not guarantee one does not exist. Do not start, stop, or change a medication or supplement based on this page; confirm with your pharmacist or doctor first. Additionally, although there is no interaction, the label for Alpelisib states a food rule worth keeping to.

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Interaction report

Red-spur Valerian and Alpelisib

We checked these two against our interaction database. Here is what we found.

No Known Interaction Found

We did not find a documented interaction between Alpelisib and Red-spur Valerian in our sources. This does not guarantee that the combination is completely free of risk — there is often limited research on supplements and herbal products, especially around drug interactions.

Worth understanding: our licensed dataset holds no drug-interaction record for Red-spur Valerian at all — not against Alpelisib, and not against any other medication we track. This verdict therefore rests on the absence of any recorded data, not on research that looked at this combination and found nothing. We cannot rule an interaction out.

If you decide to take both, the practical routine is simple: add one new thing at a time and note the date you started it. If the combination is going to disagree with you, it usually shows in the first days to a couple of weeks — and a start date turns “I’ve been feeling off” into something a pharmacist can actually work with. Do not stop a prescribed medicine on your own.

Always talk with your pharmacist or doctor before making changes to your medications or supplements, particularly if you take several medications or have an ongoing health condition.

Red-spur Valerian safety at a glance

Red-spur Valerian overall Not established There is very little reliable safety data on red-spur valerian in humans.

Pregnancy Avoid Safety is unknown, so it is best to avoid use during pregnancy.

Breastfeeding Avoid There is no safety information for nursing, so avoid use.

Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Still wondering about combining Alpelisib and Red-spur Valerian? Ask Dr. Brian Staiger, PharmD, BCPS directly ›

What to actually watch for

What Alpelisib’s Own FDA Label Lists

This is not an interaction — none of it involves Red-spur Valerian. These are the most notable effects listed in the ADVERSE REACTIONS section of Alpelisib’s own FDA label, for the medication by itself. Knowing the drug’s own list makes it easier to work out the likely cause if something new turns up while you take both. 8 of them are worth acting on rather than waiting out — marked below.

High blood sugar Worth acting on
A severe skin reaction Worth acting on
A low platelet count Worth acting on
Kidney problems Worth acting on
Anemia Worth acting on
A severe allergic reaction Worth acting on
A higher chance of infection Worth acting on
An allergic reaction Worth acting on
Dry skin
A change in taste

Showing the 10 most notable of 26 label-listed effects — ranked by how unusual each one is across medicines generally, with serious effects weighted up.

From the ADVERSE REACTIONS section of the FDA label for Alpelisib. Read the label on DailyMed › Red-spur Valerian’s licensed record lists no adverse effects our clinical vocabulary could match, so there is no Red-spur Valerian side to compare — that is a limit of the record, not a statement that Red-spur Valerian has no side effects.

How to take them

Some Alpelisib Products Have a Food Rule — Red-spur Valerian Should Not Break It

At least one FDA label for a product containing Alpelisib says to take it with food. If you take Red-spur Valerian on an empty stomach out of habit, keep them separate — and take Alpelisib with a meal where the label says to.

This may not be true of your version. Food instructions belong to the product, not the ingredient: two Alpelisib products can carry different directions, and extended-release forms often differ from immediate-release ones. The label we read is quoted below — check the directions on your own box or bottle, or ask your pharmacist, for how to take the exact product you were given.

2 DOSAGE AND ADMINISTRATION Recommended Dose: Pediatric patients (2 to less than 18 years of age): 50 mg taken orally once daily with food.

From the Dosage and Administration section of the FDA label we read for Alpelisib — where that label names a specific product, the instruction is that product's. Read the label on DailyMed ›

A food rule is not an interaction — it is about how much of the medicine you absorb. The directions that came with your own product, and your pharmacist, outrank anything on this page.

Everything else you take

See Every Supplement That Interacts With Alpelisib

This page covers Red-spur Valerian only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Alpelisib page lists 139 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Grapefruit (major), St. John's Wort (major), Acacia Rigidula (moderate) and Adrafinil (moderate).

By severity: 3 major · 96 moderate · 40 minor.

From our pharmacist’s overview on the Alpelisib page

“Alpelisib (Piqray) treats PIK3CA-mutated breast cancer, and a drug doing that job leaves little room for supplements that shift its blood level. Yet that is what most of this list does: 121 of the 139 ingredients on file can raise or lower alpelisib through CYP3A4, the liver enzyme that clears it.”

Reviewed by 2 · Jul 18, 2026

Open the Alpelisib interaction page

How much people look this up

Where Red-spur Valerian and Alpelisib 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.

Supplement Red-spur Valerian

Steady interest

#907 of 1,452 supplements looked up here in the last 7 days

29 days ago today

Medication Alpelisib

Steady interest

#1,970 of 2,830 medications looked up here in the last 7 days

29 days ago today

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.

Where does our data come from?

Source: the Natural Medicines (TRC Healthcare) clinical database — the evidence-graded professional reference for herb & supplement interactions. Red-spur Valerian is not yet covered by that licensed database, so its write-up cites publicly available medical sources directly (see the references below).
Citation library: 103,510 references behind our interaction content, 65,311 of them resolved to verified PubMed/DOI sources. See every Red-spur Valerian reference on this page ↓
Freshness: we automatically re-check this combination every week — this pair was last verified September 13, 2026. The Red-spur Valerian and Alpelisib records this page draws on were last updated June 22, 2026.
What “no known interaction” means: no documented interaction in the sources above — not a guarantee of safety. Supplements are studied far less than prescription drugs, so we say exactly what the evidence supports, and nothing more.

Data structure & sourcing designed and verified by Dr. Brian Staiger, PharmD, BCPS.

Supplement

About Red-spur Valerian

What is Red-spur Valerian?

Sleep and relaxation
Anxiety and nervousness
Digestive upset
Headaches

Red-spur valerian (Centranthus ruber) is a Mediterranean ornamental plant that has been used in folk medicine as a mild sedative, but there is almost no modern scientific research to support these uses. It is a different plant from true valerian (Valeriana officinalis), and its safety has not been well studied, so caution is warranted—especially during pregnancy, breastfeeding, and in children.

Centranthus ruber · Caprifoliaceae · Roots, leaves, and flowering tops · Rarely sold as a commercial supplement; traditionally used as teas or dried plant preparations

An interaction check asks whether these two react with each other — it does not ask whether Red-spur Valerian is a good idea for someone in your situation. Here is what our Red-spur Valerian record says about it on its own.

Red-spur Valerian: dosing

There is no established or standardized dose for red-spur valerian. It is not a common commercial supplement, and reliable dosing guidelines have not been set through research.If you find a product that contains it, follow the directions on the label and do not exceed the recommended amount.

From our Red-spur Valerian monograph — the full record covers uses, side effects and every documented interaction.

Read the full Red-spur Valerian monograph & all interactions

Medication

About Alpelisib

What Is Alpelisib Used For?

Brand name: Piqray

Alpelisib is approved for two distinct uses, each tied to a specific brand. Piqray is used in combination with another drug called fulvestrant to treat adults with hormone receptor (HR)-positive, HER2-negative, advanced or metastatic breast cancer whose tumors carry a PIK3CA mutation — and only after the cancer has progressed on or after a hormone-based treatment. A companion diagnostic test is required before starting Piqray.

Vijoice is used to treat adults and children 2 years of age and older who have severe manifestations of PIK3CA-Related Overgrowth Spectrum (PROS) — a rare condition where PIK3CA gene mutations cause abnormal tissue, vascular, and bone overgrowth — and who need systemic (whole-body) therapy. Vijoice's approval for PROS was granted under the FDA's accelerated approval pathway based on response data, and continued approval may depend on confirmatory trials.

See full Alpelisib drug information

Keep checking

Other Drugs & Red-spur Valerian

Browse every other medication we’ve checked against Red-spur Valerian — both the ones with a known interaction and the ones without. Select any drug for the full detail.

0Major

0Moderate

0Minor

2,829No known interaction

2,829 No interaction

No interaction 2,829 drugs checked — show the list

We also checked Red-spur Valerian against these medications and found no known interaction in our sources. Open any page to confirm.

Showing the 60 most looked-up of 2,829 medications checked with no known interaction — see the full Red-spur Valerian list.

See the full Red-spur Valerian interactions page

See every supplement checked against Alpelisib, ranked by severity

Evidence & sources

Red-spur Valerian References

The 2 sources that drive our Red-spur Valerian monograph — publicly available pages from reputable medical and government organizations. Every link was verified to work before publishing. Red-spur Valerian is not covered by the licensed Natural Medicines interaction database, so its page cites these public sources directly.

Valerian - Health Professional Fact Sheet — NIH Office of Dietary Supplements Source
Valerian — NIH NCCIH Source

Medication overviews come from MedlinePlus (NIH); supplement label data from the NIH Dietary Supplement Label Database. Content is written and reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.

Pharmacist Counseling Corner

Taking Red-spur Valerian and Alpelisib Together: Common Questions

Is it safe to take Red-spur Valerian with Alpelisib?

We do not list a known interaction between Red-spur Valerian and Alpelisib. That does not guarantee the combination is risk-free, so confirm with your pharmacist or doctor — especially if you take other medications or have a health condition.

Should I take Red-spur Valerian and Alpelisib at the same time of day?

At least one FDA label for a product containing Alpelisib says to take it with food. If you take Red-spur Valerian on an empty stomach out of habit, keep them separate and take Alpelisib with a meal where the label says to. Food instructions belong to the product rather than the ingredient — two Alpelisib products can differ — so check the directions on your own box. This is about absorption, not an interaction.

Does Alpelisib interact with any supplements?

Yes. Alpelisib has documented interactions with 139 supplements in our database — Red-spur Valerian is not one of them. The Alpelisib interaction page linked on this page lists every one, ranked by severity.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Where next

Keep Exploring

Red-spur Valerian monograph Uses, safety profile, and every drug interaction in one place Alpelisib drug information The full plain-English guide to this medication Alpelisib supplement interactions Every supplement checked against Alpelisib, ranked by severity Supplement interaction checker Check any supplement or product against your medications Browse medications A–Z Every drug we’ve checked against herbs & supplements References The 2 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Alpelisib and Red-spur Valerian?

Our pharmacists answer your medication & supplement questions — free.

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This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.