Passion Flower Drug Interactions, Uses, Effectiveness, Safety & More
What is this page for?
First and foremost: how Passion Flower interacts with medications. The heart of this page is the interaction list — every drug Passion Flower is known to interact with, and how serious each one is.
But these pages have grown well beyond that into a full monograph — what Passion Flower is, what people use it for and how strong the evidence is, its safety and side effects, and answers to the questions we’re asked most — written and reviewed by the clinical staff at HelloPharmacist. It’s educational information from our licensed clinical databases, not medical advice, and we don’t sell or endorse products. Our editorial policy
Check Passion Flower against your medication
Add one medicationPassion Flower Drug Interactions: The Bottom Line
From the HelloPharmacist Editorial Team · Updated July 2026Based on the available evidence, the overall risk of a clinically significant Passion Flower drug interaction appears low for most people. None of the listed interactions are rated major, and the great majority are minor, with the rest moderate and supported by limited evidence.
The combination that deserves the most attention is passion flower with sedative medications, sometimes called CNS depressants, such as lorazepam. Passion flower has shown calming, sedative effects in both animal and human research, so taking it alongside these medicines could add to drowsiness or slowed thinking. This is the only moderate concern in the profile, and even here the documentation is limited rather than well established.
Passion flower shows up alongside a very long list of medications, but most of those entries are theoretical. They rest on lab studies suggesting passion flower might affect enzymes or transport proteins the body uses to process certain drugs, and these effects have not been shown to cause meaningful changes in people. A long list here reflects caution, not proven harm.
Based on HelloPharmacist’s Passion Flower interaction data and reviewed under our editorial standards.
Drugs that interact with Passion Flower
838 medications have a known interaction with Passion Flower, graded by severity. Select any drug for the full evidence-based detail.
Don’t want to scroll the list? Just ask.
Tell us the medications you take and we’ll check each one against Passion Flower using our pharmacist-reviewed interaction data.
AI summaries are generated from our Passion Flower interaction data for education only — always confirm with your pharmacist. How we use AI
No drugs match “”.
What Severity, Likelihood & Evidence Mean
Severity — How Serious It Can Be
- Major. Clinically significant; generally best avoided, or used only under direct professional supervision.
- Moderate. May need monitoring, a dose adjustment, or separating the times you take each one.
- Minor. Generally not clinically significant, but still worth noting and mentioning to your pharmacist.
- No known interaction. Checked against our sources with nothing documented — not the same as proven safety.
Likelihood — How Well It’s Documented
- Likely. Well-controlled human studies have demonstrated the likely existence of this interaction
- Probable. Interaction 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.
- Possible. 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
- Unlikely. Interaction has been demonstrated in animal or in lab research but has been shown not to occur in humans.
Where This Data Comes From
- Interaction records are evidence-graded and sourced from the Natural Medicines database (TRC Healthcare), the same reference used by pharmacists and hospitals.
- Each drug listed above links to the full report for that exact Passion Flower combination — clinical detail, likelihood, evidence level, and citations.
- Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
The kinds of drugs Passion Flower affects
Every type of medication (drug category) Passion Flower is known to interact with. Open any category for the detail — or search your exact drug in the checker above.
Cns Depressants
Concomitant use of passion flower with sedative drugs might cause additive effects and side effects.
Research in animals and humans shows that passion flower has sedative effects which can be additive when used with sedative medications like lorazepam.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, passion flower might decrease the effects of CYP3A4 substrates.
In vitro research suggests that passion flower can induce CYP3A4 enzymes, albeit to a much lower degree than rifampin, a known CYP3A4 inducer.
Organic Anion-Transporting Polypeptide Substrates (Oatp)
Theoretically, passion flower might reduce the bioavailability of OATP2B1 and OATP1A2 substrates.
In vitro research shows that the passion flower constituents apigenin and vitexin inhibit OATP2B1 and OATP1A2. This inhibition may be dose-dependent. One specific high-flavonoid passion flower extract (Valverde) seems to inhibit OATP2B1 and OATP1A2, while another extract with a lower flavonoid concentration (Arkocaps) shows less potent inhibition. OATPs are responsible for the uptake of drugs and other compounds into the body; however, the specific activities of OATP2B1 and OATP1A2 are not well characterized.
Passion Flower: Uses, Safety & Side Effects
Passion flower is a traditional calming herb that many people use for anxiety and sleep. Early studies hint it may help with mild anxiety and restlessness, but the evidence is limited and more research is needed. It is generally well tolerated short-term, but should be avoided in pregnancy and discussed with your pharmacist or doctor first.

- Scientific name
- Passiflora incarnata
- Family
- Passifloraceae
- Part used
- Above-ground parts (flowers, leaves, stems)
- Common forms
- Tea, capsules, tablets, liquid extracts, tinctures
- Anxiety and stress
- Trouble sleeping
- Restlessness
- Mild nervous tension
- Muscle tension
Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.
Generally well tolerated short-term, but it can cause drowsiness.
When used orally. Some case reports suggest that passion flower use during the first and second trimesters of pregnancy may be associated with an incr...
Read the full pregnancy detailInsufficient reliable information available; avoid using.
Read the full breastfeeding detailPregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center). Safety guidance is general; always confirm with your pharmacist or doctor for your situation.
Overview
Passion flower (Passiflora incarnata) is a climbing vine with striking white and purple flowers. It is native to the Americas, especially the southeastern United States, and is also grown in other warm parts of the world. It is sometimes called maypop, apricot vine, or maracuja.
People have used passion flower in traditional medicine for a long time, mainly as a calming herb. Today it is taken as a tea, capsule, tablet, tincture, or liquid extract. It is often combined with other calming herbs such as valerian or lemon balm in sleep and stress products.
How it works
Passion flower is thought to work mainly by affecting GABA, a brain chemical that helps calm nerve activity and regulate mood and sleep. By gently boosting GABA activity, it may produce a mild relaxing or sedative effect.
The plant contains compounds such as flavonoids (including vitexin) that are believed to be involved in its effects. Much of what we know about how it works comes from laboratory and animal studies, so the exact mechanism in people is still not fully understood.
Does Passion Flower work?
How to read these evidence grades
Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.
Possibly Effective Insomnia
Moderate-sized clinical studies suggest that oral passion flower may modestly improve total sleep time in patients with insomnia; however, its effects on sleep latency and maintenance are mixed.
Possibly Effective Pre-procedural anxiety
Oral passion flower modestly reduces preoperative anxiety.
Also studied for 12 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Adjustment disorders
Oral passion flower has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Alcohol use disorder
Oral passion flower has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Attention deficit-hyperactivity disorder (ADHD)
It is unclear if oral passion flower is beneficial in patients with ADHD.
Insufficient Reliable Evidence To Rate Benzodiazepine withdrawal
It is unclear if oral passion flower is beneficial for benzodiazepine withdrawal.
Insufficient Reliable Evidence To Rate Congestive heart failure (CHF)
Oral passion flower has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Fibromyalgia
Although there is interest in using oral passion flower for fibromyalgia, there is insufficient reliable information about the clinical effects of passion flower for this condition.
Insufficient Reliable Evidence To Rate Menopausal symptoms
Although there is interest in using oral passion flower for menopausal symptoms, there is insufficient reliable information about the clinical effects of passion flower for this purpose.
Insufficient Reliable Evidence To Rate Muscle cramps
Although there is interest in using oral passion flower for muscle cramps, there is insufficient reliable information about the clinical effects of passion flower for this purpose.
Insufficient Reliable Evidence To Rate Neuropathic pain
Although there is interest in using oral passion flower for neuropathic pain, there is insufficient reliable information about the clinical effects of passion flower for this condition.
Insufficient Reliable Evidence To Rate Opioid withdrawal
It is unclear if oral passion flower helps to prevent opioid withdrawal.
Insufficient Reliable Evidence To Rate Seizures
Although there is interest in using oral passion flower for seizures, there is insufficient reliable information about the clinical effects of passion flower for this condition.
Insufficient Reliable Evidence To Rate Stress
It is unclear if oral passion flower reduces stress.
Source & disclaimer. Effectiveness ratings and evidence summaries are provided by Natural Medicines (Therapeutic Research Center) and shown as licensed. Where Natural Medicines hasn’t rated a use, HelloPharmacist’s pharmacists may add their own reviewed rating and evidence (each such entry is labeled). This is educational information, not medical advice — talk with your pharmacist or doctor before starting, stopping, or changing a supplement.
Safety & precautions
For most healthy adults, passion flower appears to be reasonably safe when taken by mouth for a short time. Because it can cause drowsiness, you should not drive or operate machinery until you know how it affects you, and you should be careful combining it with anything else that makes you sleepy.
People who are scheduled for surgery should stop taking it beforehand, since its sedating effects could add to anesthesia. Anyone with a medical condition or who takes regular medications should talk with a pharmacist or doctor first.
Pregnancy: Avoid passion flower during pregnancy. There is not enough safety information, and some sources are concerned it may stimulate the uterus. Breastfeeding: Avoid it while breastfeeding because there is not enough data to know it is safe for the baby.
Side effects
Passion flower is usually well tolerated. The most common side effects are drowsiness, dizziness, and confusion or grogginess, especially at higher doses. Some people may have an upset stomach.
Rare but more serious effects, such as fast heartbeat or unusual mental changes, have been reported in isolated cases. Stop taking it and seek medical advice if you have a worrying reaction, such as a rash, swelling, or trouble breathing, which could signal an allergy.
Passion Flower: Reported Adverse Effects
Documented safety reports on Passion Flower from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.
Orally, passion flower is well tolerated.
Most Common Adverse Effects:
Orally: Confusion, dizziness, hypersensitivity, and sedation.
Allergic rhinitis (hay fever) Immunologic
An idiosyncratic hypersensitivity reaction characterized by urticaria and cutaneous vasculitis has been reported in a 77-year-old male with rheumatoid arthritis after taking a specific combination product that included passion flower extract (Naturest). It is unclear if these effects were caused by passion flower or other ingredients.
In clinical trials, passion flower has been reported to cause allergy symptoms including sinus irritation; however, the frequency of these events was statistically nonsignificant when compared to treatment with midazolam 15 mg.
- Smith, G. W., Chalmers, T. M., and Nuki, G. Vasculitis associated with herbal preparation containing Passiflora extract. Br J Rheumatol. 1993;32(1):87-88.
- Dantas LP, de Oliveira-Ribeiro A, de Almeida-Souza LM, Groppo FC. Effects of passiflora incarnata and midazolam for control of anxiety in patients undergoing dental extraction. Med Oral Patol Oral Cir Bucal. 2017;22(1):e95-e101.
Myasthenia gravis Cardiovascular
There is a case report involving a 34-year-old female who was hospitalized with severe nausea, vomiting, drowsiness, prolonged QT interval, and episodes of nonsustained ventricular tachycardia following use of passion flower extract tablets (Sedacalm, Bioplus Healthcare), 1500 mg on day 1 and 2000 mg on day 2 to relieve stress. All symptoms resolved within one week after passion flower was discontinued.
Vertigo Neurologic/CNS
Orally, sedation, dizziness, ataxia, and confusion have been reported in clinical trials. However, these events generally do not necessitate discontinuation. Altered consciousness has been reported with use of a specific herbal product (Relaxir) produced mainly from the fruits of passion flower.
- Akhondzadeh S, Naghavi HR, Shayeganpour A, et al. Passionflower in the treatment of generalized anxiety: a pilot double-blind randomized controlled trial with oxazepam. J Clin Pharm Ther 2001;26:363-7.
- Mori A, Hasegawa K, Murasaki M, et al. Clinical evaluation of Passiflamin (passiflora extract) on neurosis - multicenter double blind study in comparison with mexazolam. Rinsho Hyoka (Clinical Evaluation) 1993;21:383-440.
- Miyasaka LS, Atallah AN, Soares BG. Passiflora for anxiety disorder. Cochrane Database Syst Rev 2007;(1):CD004518.
- Nojoumi M, Ghaeli P, Salimi S, Sharifi A, Raisi F. Effects of Passion Flower Extract, as an Add-On Treatment to Sertraline, on Reaction Time in Patients ?with Generalized Anxiety Disorder: A Double-Blind Placebo-Controlled Study. Iran J Psychiatry. 2016;1
- Dantas LP, de Oliveira-Ribeiro A, de Almeida-Souza LM, Groppo FC. Effects of passiflora incarnata and midazolam for control of anxiety in patients undergoing dental extraction. Med Oral Patol Oral Cir Bucal. 2017;22(1):e95-e101.
- The Review of Natural Products by Facts and Comparisons. St. Louis, MO: Wolters Kluwer Co., 1999.
Adverse-effects data: Natural Medicines, Therapeutic Research Center
Dosing
There is no single official or proven dose for passion flower. The amount in products varies widely depending on the form (tea, capsule, tincture, or extract) and how it is prepared. Many supplements are standardized to contain a certain percentage of the flavonoid vitexin.
The safest approach is to follow the directions on the product label and not exceed them. Because strength differs between brands, check with your pharmacist or doctor before starting, especially if you take other medications or have a health condition.
Passion Flower & Pregnancy
Passion Flower & Breastfeeding
© 2026 Therapeutic Research Center
Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center
References & further reading
The 19 references that drive our Passion Flower monograph and interaction data, from the evidence-graded Natural Medicines (TRC Healthcare) database. Citations with a link open the study on PubMed or the publisher’s site.
- Newall CA, Anderson LA, Philpson JD. Herbal Medicine: A Guide for Healthcare Professionals. London, UK: The Pharmaceutical Press, 1996.
- The Review of Natural Products by Facts and Comparisons. St. Louis, MO: Wolters Kluwer Co., 1999.
- Fisher AA, Purcell P, Le Couteur DG. Toxicity of Passiflora incarnata L. J Toxicol Clin Toxicol 2000;38:63-6.
- Akhondzadeh S, Naghavi HR, Shayeganpour A, et al. Passionflower in the treatment of generalized anxiety: a pilot double-blind randomized controlled trial with oxazepam. J Clin Pharm Ther 2001;26:363-7. PubMed
- Farnsworth N, Bingel A, Cordell G, et al. Potential value of plants as sources of new antifertility agents I. J Pharm Sci 1975;64:535-98. DOI
- Mori A, Hasegawa K, Murasaki M, et al. Clinical evaluation of Passiflamin (passiflora extract) on neurosis - multicenter double blind study in comparison with mexazolam. Rinsho Hyoka (Clinical Evaluation) 1993;21:383-440.
- Miyasaka LS, Atallah AN, Soares BG. Passiflora for anxiety disorder. Cochrane Database Syst Rev 2007;(1):CD004518. DOI
- Speroni E., Minghetti A. Neuropharmacological activity of extracts from Passiflora incarnata. Planta Med. 1988;54:488-91.
- Capasso A., Sorrentino L. Pharmacological studies on the sedative and hypnotic effect of Kava kava and Passiflora extracts combination. Phytomedicine. 2005;12:39-45. PubMed
- Carrasco MC, Vallejo JR, Pardo-de-Santayana M, et al. Interactions of Valeriana officinalis L. and Passiflora incarnata L. in a patient treated with lorazepam. Phytother Res. 2009 Dec;23:1795-6.
- Smith, G. W., Chalmers, T. M., and Nuki, G. Vasculitis associated with herbal preparation containing Passiflora extract. Br J Rheumatol. 1993;32(1):87-88.
- Soulimani, R., Younos, C., Jarmouni, S., Bousta, D., Misslin, R., and Mortier, F. Behavioural effects of Passiflora incarnata L. and its indole alkaloid and flavonoid derivatives and maltol in the mouse. J Ethnopharmacol. 1997;57(1):11-20. PubMed
- Nojoumi M, Ghaeli P, Salimi S, Sharifi A, Raisi F. Effects of Passion Flower Extract, as an Add-On Treatment to Sertraline, on Reaction Time in Patients ?with Generalized Anxiety Disorder: A Double-Blind Placebo-Controlled Study. Iran J Psychiatry. 2016;1
- Rokhtabnak F, Ghodraty MR, Kholdebarin A, et al. Comparing the Effect of Preoperative Administration of Melatonin and Passiflora incarnata on Postoperative Cognitive Disorders in Adult Patients Undergoing Elective Surgery. Anesth Pain Med. 2016;7(1):e4123 PubMed
- Dantas LP, de Oliveira-Ribeiro A, de Almeida-Souza LM, Groppo FC. Effects of passiflora incarnata and midazolam for control of anxiety in patients undergoing dental extraction. Med Oral Patol Oral Cir Bucal. 2017;22(1):e95-e101. PubMed
- Ozturk Z, Kalayci CC. Pregnancy outcomes in psychiatric patients treated with passiflora incarnata. Complement Ther Med. 2018 Feb;36:30-32. PubMed
- da Cunha RS, Amorim KS, Gercina AC, et al. Herbal medicines as anxiolytics prior to third molar surgical extraction. A randomized controlled clinical trial. Clin Oral Investig. 2020. PubMed
- Schäfer AM, Gilgen PM, Spirgi C, et al. Constituents of Passiflora incarnata, but Not of Valeriana officinalis, Interact with the Organic Anion Transporting Polypeptides (OATP)2B1 and OATP1A2. Planta Med. 2021. PubMed
- Mazzari ALDA, Lacerda MG, Milton FA, et al. In vitro effects of European and Latin-American medicinal plants in CYP3A4 gene expression, glutathione levels, and P-glycoprotein activity. Front Pharmacol 2022;13:826395. PubMed
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.
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
Brands that make products with Passion Flower
523 brands in our database make a supplement containing Passion Flower.
Supplement products with Passion Flower
2,145 products in our database contain Passion Flower. Open any to see its full ingredient list and every drug interaction we check.
Passion Flower: Common Questions
What is Passion Flower used for, and does it work?
Does Passion Flower interact with prescription medications?
How are Passion Flower interactions rated?
Is it safe to take Passion Flower with my medications?
Where does this Passion Flower interaction information come from?
What is Passion Flower used for?
Does Passion Flower make you sleepy?
Is Passion Flower safe to take every day?
Can I take Passion Flower while pregnant or breastfeeding?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Products that contain Passion Flower
A rotating sample of real supplements in our database that list Passion Flower — open any to see its full ingredients and every drug interaction we check.
- Gaba Plus by Nature's Sunshine
- St. John's Wort by DC
- Botanicalm PM by Ortho Molecular Products
- Sleep Full Spectrum Cannabinoid Gummies Lemon Mango by Lazarus Naturals
- Highly Absorbable Stress-B by Healthy Choice Naturals
- Neuro-Natural Sleep by XtendLife
- SleepThru by Gaia Herbs
- Stress Less by Rise-N-Shine
- Ultra Vita-Men by Wonder Laboratories
- Mel-O-Max by Maxi Health
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