Drug & supplement interaction

Red-spur Valerian + Nelarabine

Nelarabine brand name: Atriance.

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 Nelarabine 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.

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Interaction report

Red-spur Valerian and Nelarabine

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 Nelarabine 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 Nelarabine, 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 Nelarabine and Red-spur Valerian? Ask Dr. Brian Staiger, PharmD, BCPS directly ›

What to actually watch for

What Nelarabine’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 Nelarabine’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. 10 of them are worth acting on rather than waiting out — marked below.

Muscle weakness Worth acting on mentioned in 5.8% of FDA reports for Nelarabine
Low magnesium Worth acting on
Severe muscle breakdown Worth acting on
Memory problems Worth acting on
Dehydration Worth acting on
Unsteadiness Worth acting on
Low blood sugar Worth acting on
Low potassium Worth acting on
Yellowing of the skin or eyes Worth acting on
High blood sugar Worth acting on

Showing the 10 most notable of 51 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 Nelarabine. Read the label on DailyMed › Where a percentage is shown, it is the share of 956 voluntary FDA FAERS reports for Nelarabine that mention that effect — a reporting proportion, not an incidence rate and not evidence the drug caused it. 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.

Everything else you take

See Every Supplement That Interacts With Nelarabine

This page covers Red-spur Valerian only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Nelarabine page lists 130 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: 1,4-butanediol (major), Beer (major), Gamma-hydroxybutyrate (ghb) (major), Kava (major) and L-tryptophan (major).

By severity: 6 major · 118 moderate · 6 minor.

From our pharmacist’s overview on the Nelarabine page

“Nelarabine (Atriance) is chemotherapy for a rare T-cell leukemia and lymphoma, and its most feared side effect is damage to the nervous system, from heavy drowsiness up to seizures. Most of the 130 supplement and herbal ingredients on this list press on exactly that weak point.”

Reviewed by 2 · Jul 18, 2026

Open the Nelarabine interaction page

How much people look this up

Where Red-spur Valerian and Nelarabine 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

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

29 days ago today

Medication Nelarabine

Steady interest

#2,158 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 Nelarabine 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 Nelarabine Injection

What Is Nelarabine Injection Used For?

Brand name: Atriance

Nelarabine injection (brand name Arranon) is used to treat two aggressive blood cancers: T-cell acute lymphoblastic leukemia (T-ALL) and T-cell lymphoblastic lymphoma (T-LBL). It is approved for adult and pediatric patients age 1 year and older whose disease has not responded to — or has come back after — at least two prior chemotherapy regimens.

Nelarabine injection may also be given in combination with multi-agent chemotherapy as part of treatment for newly diagnosed T-ALL and T-LBL in certain settings, as studied in clinical trials.

Most-Reported Side Effects for Nelarabine

From FAERS, the FDA’s public side-effect reporting system (956 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Febrile neutropenia 75 reports

Neuropathy peripheral 60 reports

Neurotoxicity 60 reports

Sepsis 56 reports

Muscular weakness 55 reports

See full Nelarabine Injection 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 Nelarabine, 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 Nelarabine Together: Common Questions

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

We do not list a known interaction between Red-spur Valerian and Nelarabine. 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.

Does Nelarabine interact with any supplements?

Yes. Nelarabine has documented interactions with 130 supplements in our database — Red-spur Valerian is not one of them. The Nelarabine 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 Nelarabine Injection drug information The full plain-English guide to this medication Nelarabine supplement interactions Every supplement checked against Nelarabine, 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 Nelarabine 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.