Valerian & Hops Ingredients & Drug Interactions
by TerraVita
What is this page for?
First and foremost: checking Valerian & Hops against your medications. The heart of this page is the interaction checker and the full interaction report — how this product’s ingredients may interact with prescription and over-the-counter medicines you may be taking.
Around that, we add a pharmacist’s high-level view of the product as a whole — what’s inside, the evidence for its stated use, how transparent the label is, and what safety data exists — so you can see the full picture in one place. It’s educational information from our licensed clinical databases and the clinical staff at HelloPharmacist — not medical advice — and we don’t sell or endorse products. Our editorial policy
Valerian & Hops is a dietary supplement by TerraVita with 1 active ingredient. Its ingredients are commonly taken for insomnia and poor sleep, anxiety and stress, restlessness.Based on those ingredients, 930 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Valerian & Hops Glycerite Liquid Extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Valerian & Hops by TerraVita
Ask about any prescription or over-the-counter medication and we check it for interactions with Valerian & Hops by TerraVita — and tell you which ingredient is responsible.
AI summaries are generated from our interaction database for education only — always confirm with your pharmacist. How we use AI
Ask the Pharmacist
A licensed pharmacist will answer your question by email — free, usually within 24 hours.
Got it — thank you!
A licensed pharmacist will answer within 24 hours. Keep an eye on your email (worth checking spam, just in case).
HelloPharmacist Scorecard of Valerian & Hops by TerraVita
Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.
What’s inside
Low disclosure
This product contains 2 active ingredients. Valerian glycerite liquid extract is a concentrated form of the valerian plant, traditionally used to help with sleep and calm.
Hops glycerite liquid extract comes from the hops plant and is also used to support relaxation and sleep. The product is delivered in a liquid glycerin base, which is an inactive carrier.
Does it work?
Moderate evidence
For insomnia, valerian is rated possibly effective based on available evidence — it may help some people fall or stay asleep, though results aren't guaranteed. Hops has insufficient evidence to rate for insomnia or any other condition we hold data for.
For other uses like anxiety, restless legs syndrome, or stress relief, the evidence for valerian is also insufficient to know whether it works. If sleep is your main goal, valerian shows the most promise, but talk with your doctor about whether it's right for you.
How safe is it?
Well-documented data
Valerian is generally well tolerated in the short term, though dizziness, drowsiness, and mental slowness are common side effects. Hops is also generally well tolerated short-term but may cause drowsiness.
Long-term safety for both ingredients is not well studied. Rare serious side effects have been reported with valerian, including liver injury (though this occurred in multi-ingredient products, not valerian alone) and, in isolated cases, hypomania.
If you stop valerian abruptly after extended use, you may experience withdrawal symptoms such as anxiety, irritability, and insomnia — taper slowly instead. During pregnancy, the safety data advises against this product.
While breastfeeding, there isn't enough safety information; talk with your doctor or pharmacist before use.
Meds to double-check
Moderate interaction found
Before you take this, double-check with your pharmacist or doctor if you're on CNS depressants (sleep aids, sedatives, anesthetics), estrogens or hormone replacement therapy, alprazolam (Xanax), alcohol, glucuronidated drugs (liver-processed medications), or CYP3A4 or CYP2D6 substrates. The most serious concern is additive sedation with CNS depressants and alcohol.
Use our search tool on this page to look up your medications.
The bottom line
Scorecard at a glanceFormula with limited ingredient disclosure with some supporting evidence for its stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.
This product may help with sleep, especially if valerian's effects work for you, but be aware it can make you drowsy and shouldn't be combined with alcohol or sedating medications. If you're on any prescription drugs, hormone therapy, or take alprazolam, check them against our search tool first — there are many potential interactions.
Pregnancy and breastfeeding are times to skip it. Talk it over with your own doctor or pharmacist before starting.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 2 of 2 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Dec 13, 2022.
This Scorecard evaluates available label information, ingredient evidence, and known medication-safety considerations. It does not independently verify product identity, purity, potency, contamination, or manufacturing quality. How these ratings are computed
General information
Key facts about Valerian & Hops, straight from the product label.
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.
Supplement Facts
The label details for Valerian & Hops by TerraVita, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Valerian Glycerite Liquid Extract | 0 NP | -- |
| Hops Glycerite Liquid Extract | 0 NP | -- |
| Valerian & Hops Glycerite Liquid Extract | 0.13 mL | -- |
Other ingredients: Glycerin
Tap any ingredient to jump to its full detail below.
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
Brand IP Statement(s)
Copyright 2018 TerraVita - Distributed by ZooScape LLC, All Rights Reserved.
Formula
Glycerite liquid extract (1:5)
Formulation
Alcohol free
No flavor
Suggested/Recommended/Usage/Directions
Suggested Use: Take 25-40 drops of extract in a small amount of warm water 3-4 times daily. Shake well before using.
Precautions
Keep away from children.
Do not use if safety seal around cap is broken or missing.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Valerian & Hops by TerraVita label
The label scan from the NIH Dietary Supplement Label Database. Tap to enlarge.
Label images are published by the NIH Dietary Supplement Label Database for the version of this product on file. Always read your actual product label.
View the full label (PDF)The Ingredients in Valerian & Hops by TerraVita
This is the 1 active ingredient this product is made of. Select it to open its full monograph.
Serving size25 Drop(s) Dosage formLiquid Servings per container227 Amounts shown are per serving.
Valerian & Hops Glycerite Liquid Extract
Interacts with902 drugs
Valerian is an herb whose root is widely used as a natural sleep aid and for calming nerves. The evidence is mixed and often weak, so it may help some...
Valerian & Hops Glycerite Liquid Extract monograph & interactionsOther (inactive) ingredients: Glycerin. These complete the product’s ingredient list but are not active constituents.
Valerian & Hops by TerraVita Drug Interactions
HelloPharmacist Interaction Report
TerraVita's Valerian & Hops can interact with several medication types.
Through its valerian and hops content, the product has Moderate interactions with CNS depressants (sedatives, sleep aids, anesthetics) — both ingredients can add to their drowsy effects — and with estrogens (including hormone replacement therapy), where hops may theoretically interfere with hormone absorption. Valerian also carries Moderate interactions with alprazolam (Xanax), alcohol, and drugs that are glucuronidated (processed by your liver via a pathway called UGT), potentially raising their levels in your blood.
Read the full breakdown — every affected drug type, severity by severity
Minor interactions are documented with drugs metabolized by CYP3A4 and CYP2D6 enzymes in your liver — valerian appears unlikely to affect these significantly, and hops' effect on CYP3A4 is probably not clinically important. Hops also has minor data on CYP1A2 substrates, though a human study suggests it does not meaningfully affect them.
Alcohol deserves its own note: combining it with this product raises the risk of excessive sedation. Additionally, valerian can cause withdrawal symptoms like anxiety, irritability, and insomnia if you stop it suddenly after extended use — taper your dose slowly.
Altogether, these interactions span 931 individual medications. Use the search tool below to check your exact drugs before starting, and confirm with your own doctor or pharmacist.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Valerian & Hops?
Ask about interactions with your drugs in plain English — “Can I take it with lisinopril?” — and we find you the answer in seconds, ingredient by ingredient.
Go to the checkerIngredients driving the most interactions
Individual Drug Interactions
The ingredients in Valerian & Hops interact with 930 drugs. Click any drug to see the details.
1 of the 1 ingredient in Valerian & Hops interact with drugs. Each result below shows which ingredient is responsible. Valerian & Hops Glycerite Liquid Extract
Tenofovir, Emtricitabine, EfavirenzAtripla
How Tenofovir, Emtricitabine, Efavirenz interacts with Valerian & Hops — through 2 ingredients. Tap an ingredient for the detail:
Hops Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, hops extract might alter metabolism of CYP3A4 substrates; however, this effect may not be clinically significant.
Read the full Hops Glycerite Liquid Extract + Tenofovir, Emtricitabine, Efavirenz interactionValerian & Hops Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Valerian does not seem to have a clinically relevant effect on levels of drugs metabolized by CYP3A4.
Read the full Valerian & Hops Glycerite Liquid Extract + Tenofovir, Emtricitabine, Efavirenz interactionTepotinibTepmetko
How Tepotinib interacts with Valerian & Hops — through 2 ingredients. Tap an ingredient for the detail:
Hops Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, hops extract might alter metabolism of CYP3A4 substrates; however, this effect may not be clinically significant.
Read the full Hops Glycerite Liquid Extract + Tepotinib interactionValerian & Hops Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Valerian does not seem to have a clinically relevant effect on levels of drugs metabolized by CYP3A4.
Read the full Valerian & Hops Glycerite Liquid Extract + Tepotinib interactionTestosteroneAndrogel, Andropatch, Delatestryl, Intrinsa, Natesto, Nebido +3 more
How Testosterone interacts with Valerian & Hops — through 2 ingredients. Tap an ingredient for the detail:
Valerian & Hops Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Valerian does not seem to have a clinically relevant effect on levels of drugs metabolized by CYP3A4.
Read the full Valerian & Hops Glycerite Liquid Extract + Testosterone interactionHops Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, hops extract might alter metabolism of CYP3A4 substrates; however, this effect may not be clinically significant.
Read the full Hops Glycerite Liquid Extract + Testosterone interactionTestosterone EnanthateXyosted
How Testosterone Enanthate interacts with Valerian & Hops — through 2 ingredients. Tap an ingredient for the detail:
Valerian & Hops Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Valerian does not seem to have a clinically relevant effect on levels of drugs metabolized by CYP3A4.
Read the full Valerian & Hops Glycerite Liquid Extract + Testosterone Enanthate interactionHops Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, hops extract might alter metabolism of CYP3A4 substrates; however, this effect may not be clinically significant.
Read the full Hops Glycerite Liquid Extract + Testosterone Enanthate interactionTestosterone UndecanoateAndriol, Aveed, Jatenzo, Kyzatrex
How Testosterone Undecanoate interacts with Valerian & Hops — through 2 ingredients. Tap an ingredient for the detail:
Hops Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, hops extract might alter metabolism of CYP3A4 substrates; however, this effect may not be clinically significant.
Read the full Hops Glycerite Liquid Extract + Testosterone Undecanoate interactionValerian & Hops Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Valerian does not seem to have a clinically relevant effect on levels of drugs metabolized by CYP3A4.
Read the full Valerian & Hops Glycerite Liquid Extract + Testosterone Undecanoate interactionTezacaftor, IvacaftorSymdeko
How Tezacaftor, Ivacaftor interacts with Valerian & Hops — through 2 ingredients. Tap an ingredient for the detail:
Hops Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, hops extract might alter metabolism of CYP3A4 substrates; however, this effect may not be clinically significant.
Read the full Hops Glycerite Liquid Extract + Tezacaftor, Ivacaftor interactionValerian & Hops Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Valerian does not seem to have a clinically relevant effect on levels of drugs metabolized by CYP3A4.
Read the full Valerian & Hops Glycerite Liquid Extract + Tezacaftor, Ivacaftor interactionTheophyllineAerolate III, Aerolate JR, Aerolate SR, Bronkodyl, Constant-T, Duraphyl +18 more
How Theophylline interacts with Valerian & Hops — through 1 ingredient. Tap an ingredient for the detail:
Hops Glycerite Liquid ExtractCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Hops extract does not seem to affect the metabolism of CYP1A2 substrates.
Read the full Hops Glycerite Liquid Extract + Theophylline interactionThioridazineMellaril
How Thioridazine interacts with Valerian & Hops — through 1 ingredient. Tap an ingredient for the detail:
Valerian & Hops Glycerite Liquid ExtractCytochrome P450 2d6 (cyp2d6) Substrates Minor
Interaction Summary
Valerian does not seem to have a clinically relevant effect on levels of drugs metabolized by CYP2D6.
Read the full Valerian & Hops Glycerite Liquid Extract + Thioridazine interactionThiotepaTepadina, Thioplex
How Thiotepa interacts with Valerian & Hops — through 2 ingredients. Tap an ingredient for the detail:
Hops Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, hops extract might alter metabolism of CYP3A4 substrates; however, this effect may not be clinically significant.
Read the full Hops Glycerite Liquid Extract + Thiotepa interactionValerian & Hops Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Valerian does not seem to have a clinically relevant effect on levels of drugs metabolized by CYP3A4.
Read the full Valerian & Hops Glycerite Liquid Extract + Thiotepa interactionTicagrelorBrilinta
How Ticagrelor interacts with Valerian & Hops — through 2 ingredients. Tap an ingredient for the detail:
Hops Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, hops extract might alter metabolism of CYP3A4 substrates; however, this effect may not be clinically significant.
Read the full Hops Glycerite Liquid Extract + Ticagrelor interactionValerian & Hops Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Valerian does not seem to have a clinically relevant effect on levels of drugs metabolized by CYP3A4.
Read the full Valerian & Hops Glycerite Liquid Extract + Ticagrelor interactionTimololBlocadren, Timol, Timoptic
How Timolol interacts with Valerian & Hops — through 1 ingredient. Tap an ingredient for the detail:
Valerian & Hops Glycerite Liquid ExtractCytochrome P450 2d6 (cyp2d6) Substrates Minor
Interaction Summary
Valerian does not seem to have a clinically relevant effect on levels of drugs metabolized by CYP2D6.
Read the full Valerian & Hops Glycerite Liquid Extract + Timolol interactionTinidazoleTindamax
How Tinidazole interacts with Valerian & Hops — through 2 ingredients. Tap an ingredient for the detail:
Valerian & Hops Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Valerian does not seem to have a clinically relevant effect on levels of drugs metabolized by CYP3A4.
Read the full Valerian & Hops Glycerite Liquid Extract + Tinidazole interactionHops Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, hops extract might alter metabolism of CYP3A4 substrates; however, this effect may not be clinically significant.
Read the full Hops Glycerite Liquid Extract + Tinidazole interactionTisotumab Vedotin-tftvTivdak
How Tisotumab Vedotin-tftv interacts with Valerian & Hops — through 2 ingredients. Tap an ingredient for the detail:
Hops Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, hops extract might alter metabolism of CYP3A4 substrates; however, this effect may not be clinically significant.
Read the full Hops Glycerite Liquid Extract + Tisotumab Vedotin-tftv interactionValerian & Hops Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Valerian does not seem to have a clinically relevant effect on levels of drugs metabolized by CYP3A4.
Read the full Valerian & Hops Glycerite Liquid Extract + Tisotumab Vedotin-tftv interactionTivozanib HydrochlorideFotivda
How Tivozanib Hydrochloride interacts with Valerian & Hops — through 2 ingredients. Tap an ingredient for the detail:
Valerian & Hops Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Valerian does not seem to have a clinically relevant effect on levels of drugs metabolized by CYP3A4.
Read the full Valerian & Hops Glycerite Liquid Extract + Tivozanib Hydrochloride interactionHops Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, hops extract might alter metabolism of CYP3A4 substrates; however, this effect may not be clinically significant.
Read the full Hops Glycerite Liquid Extract + Tivozanib Hydrochloride interactionTizanidineOntralfy, Zanaflex
How Tizanidine interacts with Valerian & Hops — through 1 ingredient. Tap an ingredient for the detail:
Hops Glycerite Liquid ExtractCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Hops extract does not seem to affect the metabolism of CYP1A2 substrates.
Read the full Hops Glycerite Liquid Extract + Tizanidine interactionTofacitinibXeljanz, Xeljanz XR
How Tofacitinib interacts with Valerian & Hops — through 2 ingredients. Tap an ingredient for the detail:
Hops Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, hops extract might alter metabolism of CYP3A4 substrates; however, this effect may not be clinically significant.
Read the full Hops Glycerite Liquid Extract + Tofacitinib interactionValerian & Hops Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Valerian does not seem to have a clinically relevant effect on levels of drugs metabolized by CYP3A4.
Read the full Valerian & Hops Glycerite Liquid Extract + Tofacitinib interactionTolterodineDetrol, Detrol LA
How Tolterodine interacts with Valerian & Hops — through 2 ingredients. Tap an ingredient for the detail:
Valerian & Hops Glycerite Liquid ExtractCytochrome P450 2d6 (cyp2d6) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Valerian does not seem to have a clinically relevant effect on levels of drugs metabolized by CYP2D6.
Read the full Valerian & Hops Glycerite Liquid Extract + Tolterodine interactionHops Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, hops extract might alter metabolism of CYP3A4 substrates; however, this effect may not be clinically significant.
Read the full Hops Glycerite Liquid Extract + Tolterodine interactionTolvaptanJynarque, Samsca
How Tolvaptan interacts with Valerian & Hops — through 2 ingredients. Tap an ingredient for the detail:
Hops Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, hops extract might alter metabolism of CYP3A4 substrates; however, this effect may not be clinically significant.
Read the full Hops Glycerite Liquid Extract + Tolvaptan interactionValerian & Hops Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Valerian does not seem to have a clinically relevant effect on levels of drugs metabolized by CYP3A4.
Read the full Valerian & Hops Glycerite Liquid Extract + Tolvaptan interactionTrabectedinYondelis
How Trabectedin interacts with Valerian & Hops — through 2 ingredients. Tap an ingredient for the detail:
Valerian & Hops Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Valerian does not seem to have a clinically relevant effect on levels of drugs metabolized by CYP3A4.
Read the full Valerian & Hops Glycerite Liquid Extract + Trabectedin interactionHops Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, hops extract might alter metabolism of CYP3A4 substrates; however, this effect may not be clinically significant.
Read the full Hops Glycerite Liquid Extract + Trabectedin interactionTrandolapril, VerapamilTarka
How Trandolapril, Verapamil interacts with Valerian & Hops — through 2 ingredients. Tap an ingredient for the detail:
Hops Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, hops extract might alter metabolism of CYP3A4 substrates; however, this effect may not be clinically significant.
Read the full Hops Glycerite Liquid Extract + Trandolapril, Verapamil interactionValerian & Hops Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Valerian does not seem to have a clinically relevant effect on levels of drugs metabolized by CYP3A4.
Read the full Valerian & Hops Glycerite Liquid Extract + Trandolapril, Verapamil interactionTrazodoneDesyrel, Oleptro
How Trazodone interacts with Valerian & Hops — through 2 ingredients. Tap an ingredient for the detail:
Hops Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, hops extract might alter metabolism of CYP3A4 substrates; however, this effect may not be clinically significant.
Read the full Hops Glycerite Liquid Extract + Trazodone interactionValerian & Hops Glycerite Liquid ExtractCytochrome P450 2d6 (cyp2d6) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Valerian does not seem to have a clinically relevant effect on levels of drugs metabolized by CYP2D6.
Read the full Valerian & Hops Glycerite Liquid Extract + Trazodone interactionTrazodone HclTrazorel
How Trazodone Hcl interacts with Valerian & Hops — through 2 ingredients. Tap an ingredient for the detail:
Hops Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, hops extract might alter metabolism of CYP3A4 substrates; however, this effect may not be clinically significant.
Read the full Hops Glycerite Liquid Extract + Trazodone Hcl interactionValerian & Hops Glycerite Liquid ExtractCytochrome P450 2d6 (cyp2d6) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Valerian does not seem to have a clinically relevant effect on levels of drugs metabolized by CYP2D6.
Read the full Valerian & Hops Glycerite Liquid Extract + Trazodone Hcl interactionTriclabendazoleEgaten
How Triclabendazole interacts with Valerian & Hops — through 1 ingredient. Tap an ingredient for the detail:
Hops Glycerite Liquid ExtractCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Hops extract does not seem to affect the metabolism of CYP1A2 substrates.
Read the full Hops Glycerite Liquid Extract + Triclabendazole interactionTrimetrexate GlucuronateNeutrexin
How Trimetrexate Glucuronate interacts with Valerian & Hops — through 2 ingredients. Tap an ingredient for the detail:
Valerian & Hops Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Valerian does not seem to have a clinically relevant effect on levels of drugs metabolized by CYP3A4.
Read the full Valerian & Hops Glycerite Liquid Extract + Trimetrexate Glucuronate interactionHops Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, hops extract might alter metabolism of CYP3A4 substrates; however, this effect may not be clinically significant.
Read the full Hops Glycerite Liquid Extract + Trimetrexate Glucuronate interactionTucatinibTukysa
How Tucatinib interacts with Valerian & Hops — through 2 ingredients. Tap an ingredient for the detail:
Hops Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, hops extract might alter metabolism of CYP3A4 substrates; however, this effect may not be clinically significant.
Read the full Hops Glycerite Liquid Extract + Tucatinib interactionValerian & Hops Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Valerian does not seem to have a clinically relevant effect on levels of drugs metabolized by CYP3A4.
Read the full Valerian & Hops Glycerite Liquid Extract + Tucatinib interactionUbrogepantUbrelvy
How Ubrogepant interacts with Valerian & Hops — through 2 ingredients. Tap an ingredient for the detail:
Valerian & Hops Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Valerian does not seem to have a clinically relevant effect on levels of drugs metabolized by CYP3A4.
Read the full Valerian & Hops Glycerite Liquid Extract + Ubrogepant interactionHops Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, hops extract might alter metabolism of CYP3A4 substrates; however, this effect may not be clinically significant.
Read the full Hops Glycerite Liquid Extract + Ubrogepant interactionUlipristal AcetateElla
How Ulipristal Acetate interacts with Valerian & Hops — through 2 ingredients. Tap an ingredient for the detail:
Hops Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, hops extract might alter metabolism of CYP3A4 substrates; however, this effect may not be clinically significant.
Read the full Hops Glycerite Liquid Extract + Ulipristal Acetate interactionValerian & Hops Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Valerian does not seem to have a clinically relevant effect on levels of drugs metabolized by CYP3A4.
Read the full Valerian & Hops Glycerite Liquid Extract + Ulipristal Acetate interactionUmeclidinium Bromide, Vilanterol TrifenatateAnoro Ellipta
How Umeclidinium Bromide, Vilanterol Trifenatate interacts with Valerian & Hops — through 2 ingredients. Tap an ingredient for the detail:
Hops Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, hops extract might alter metabolism of CYP3A4 substrates; however, this effect may not be clinically significant.
Read the full Hops Glycerite Liquid Extract + Umeclidinium Bromide, Vilanterol Trifenatate interactionValerian & Hops Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Valerian does not seem to have a clinically relevant effect on levels of drugs metabolized by CYP3A4.
Read the full Valerian & Hops Glycerite Liquid Extract + Umeclidinium Bromide, Vilanterol Trifenatate interactionUpadacitinib HemihydrateRinvoq
How Upadacitinib Hemihydrate interacts with Valerian & Hops — through 2 ingredients. Tap an ingredient for the detail:
Valerian & Hops Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Valerian does not seem to have a clinically relevant effect on levels of drugs metabolized by CYP3A4.
Read the full Valerian & Hops Glycerite Liquid Extract + Upadacitinib Hemihydrate interactionHops Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, hops extract might alter metabolism of CYP3A4 substrates; however, this effect may not be clinically significant.
Read the full Hops Glycerite Liquid Extract + Upadacitinib Hemihydrate interactionValdecoxibBextra
How Valdecoxib interacts with Valerian & Hops — through 2 ingredients. Tap an ingredient for the detail:
Hops Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, hops extract might alter metabolism of CYP3A4 substrates; however, this effect may not be clinically significant.
Read the full Hops Glycerite Liquid Extract + Valdecoxib interactionValerian & Hops Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Valerian does not seem to have a clinically relevant effect on levels of drugs metabolized by CYP3A4.
Read the full Valerian & Hops Glycerite Liquid Extract + Valdecoxib interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Valerian & Hops with known interactions, here are the types of medications it can affect. Open any type for the detail — or search your exact drug in the checker above.
Valerian & Hops Glycerite Liquid Extract
Alcohol (Ethanol)
Valerian can have additive sedative effects when used concomitantly with alcohol.
Valerian has sedative effects. Theoretically, valerian might have an additive sedative effect when combined with alcohol. Excessive sedation has been reported in an alcohol-abusing individual who took valerian and Gingko biloba. However, the potential interaction between valerian and alcohol has been disputed in other research. Limited evidence suggests that a combination of valerian 160 mg and lemon balm 80 mg (Euvegal) does not cause further deterioration in reaction ability and reaction rate when taken with alcohol as compared to the effects of alcohol alone.
Alprazolam (Xanax)
Valerian can have additive sedative effects when used with alprazolam. Also, valerian in high doses might modestly increase alprazolam levels, though this is not likely to be clinically significant.
Valerian has sedative effects. Theoretically, valerian might cause additive sedation when combined with alprazolam. Also, a small pharmacokinetic study shows that taking valerian extract 1000 mg daily (providing 11 mg valerenic acid) might increase alprazolam levels by about 19%. This might be due to valerian's mild inhibition of cytochrome P450 3A4 (CYP3A4). Despite being statistically significant, this increase is not likely to be clinically significant.
Cns Depressants
Valerian can have additive sedative effects when used concomitantly with CNS depressant drugs.
Theoretically, concomitant use of valerian and drugs with sedative and anesthetic properties may cause additive therapeutic and adverse effects.
Glucuronidated Drugs
Valerian might weakly inhibit glucuronidation and increase concentrations of drugs metabolized by UGT1A1 and UGT2B7.
In vitro research shows that methanolic valerian extract and valerenic acid might competitively inhibit UDP-glucuronosyltransferase (UGT) 1A1 (UGT1A1) and UGT2B7.
Cytochrome P450 2D6 (Cyp2D6) Substrates
Valerian does not seem to have a clinically relevant effect on levels of drugs metabolized by CYP2D6.
Although some in vitro evidence suggests that valerian affects CYP2D6, clinical pharmacokinetic (PK) studies show that valerian is unlikely to affect the CYP2D6 enzyme. In one PK study, taking valerian 1000 mg (providing about 11 mg valerenic acid) nightly for 14 days did not affect the metabolism of dextromethorphan, a CYP2D6 substrate. In another PK study, taking valerian 125 mg three times daily for 28 days did not affect metabolism of debrisoquine, an accepted CYP2D6 probe-substrate.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Valerian does not seem to have a clinically relevant effect on levels of drugs metabolized by CYP3A4.
Although some in vitro evidence suggests that valerian extract might inhibit or induce CYP3A4, clinical pharmacokinetic (PK) studies show that valerian does not have a clinically significant effect on the CYP3A4 enzyme. In one PK study, taking valerian 125 mg three times daily for 28 days did not affect metabolism of midazolam, an accepted CYP3A4 probe-substrate. In another PK study, taking valerian 1000 mg (providing about 11 mg valerenic acid) nightly for 14 days modestly increases levels of alprazolam, a CYP3A4 substrate, suggesting mild inhibition of CYP3A4. However, this mild inhibition is unlikely to be clinically relevant.
Brand information
Manufacturer and brand details for Valerian & Hops, from the product label.
TerraVita
See all TerraVita products- Name
- ZooScape LLC
- Phone Number
- 844-449-0444
- Web Address
- www.ZooScape.com
Valerian & Hops by TerraVita: Common Questions
Does Valerian & Hops by TerraVita interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Can I take this if I drink alcohol?
What are the most common side effects?
Can I stop taking this suddenly?
Is this safe during pregnancy or breastfeeding?
Does hops really help with sleep or anxiety?
Is this okay to take long-term?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Valerian & Hops is safe with your meds?
Our pharmacists answer your medication & supplement questions — free.
Label information is sourced from the NIH Dietary Supplement Label Database and reflects the product version on file; always read your actual product label. This page is for education only and is not a substitute for professional medical advice. Confirm with your pharmacist or doctor before combining supplements and medications.
The Full Monographs Behind Valerian & Hops’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Valerian
Interacts with 902 drugsValerian is an herb whose root is widely used as a natural sleep aid and for calming nerves. The evidence is mixed and often weak, so it may help some people sleep but does not work reliably...
Read the full Valerian monograph → Herb & supplement monographHops
Interacts with 863 drugsHops are most often used for sleep and mild anxiety, frequently combined with valerian, but the human evidence is limited and not very strong. They are generally well tolerated when used sho...
Read the full Hops monograph →Sources & How We Checked
Valerian & Hops's label data comes from the NIH Dietary Supplement Label Database; the ingredient interaction data is from the Natural Medicines database, reviewed by our pharmacists.
- NIH Dietary Supplement Label Database (DSLD) — The official product label on file for this supplement.
- Natural Medicines (Therapeutic Research Center) — Evidence-graded clinical reference behind the ingredient interaction data.
Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.
The 52 references behind this product’s interaction data
Every citation that drives the interaction findings for this product’s ingredients, from the evidence-graded Natural Medicines (TRC Healthcare) database. Open an ingredient to browse its citations — links open the study on PubMed or the publisher’s site.
Valerian 37 references
- Willey LB, Mady SP, Cobaugh DJ, Wax PM. Valerian overdose: a case report. Vet Hum Toxicol 1995;37:364-5.
- Kuhlmann J, Berger W, Podzuweit H, Schmidt U. The influence of valerian treatment on "reaction time, alertness and concentration" in volunteers. Pharmacopsychiatry 1999;32:235-41. PubMed
- Klepser TB, Klepser ME. Unsafe and potentially safe herbal therapies. Am J Health Syst Pharm 1999;56:125-38. PubMed
- Houghton PJ. The scientific basis for the reputed activity of Valerian. J Pharm Pharmacol 1999;51:505-12. PubMed
- Garges HP, Varia I, Doraiswamy PM. Cardiac complications and delirium associated with Valerian root withdrawal. [Letter to the Editor]. JAMA 1998;280:1566-7. PubMed
- Budzinski JW, Foster BC, Vandenhoek S, Arnason JT. An in vitro evaluation of human cytochrome P450 3A4 inhibition by selected commercial herbal extracts and tinctures. Phytomedicine 2000;7:273-82. PubMed
- MacGregor FB, Abernethy VE, Dahabra S, et al. Hepatotoxicity of herbal remedies. BMJ 1989;299:1156-7. PubMed
- Leathwood PD, Chauffard F. Aqueous extract of valerian reduces latency to fall asleep in man. Planta Med 1985;2:144-8. PubMed
- Hadley S, Petry JJ. Valerian. Am Fam Physician 2003;67:1755-8..
- Glass JR, Sproule BA, Herrmann N, et al. Acute pharmacological effects of temazepam, diphenhydramine, and valerian in healthy elderly subjects. J Clin Psychopharmacol 2003;23:260-8. PubMed
- Lefebvre T, Foster BC, Drouin CE, et al. In vitro activity of commercial valerian root extracts against human cytochrome P450 3A4. J Pharm Pharmaceut Sci 2004;7:265-73.
- Yuan CS, Mehendale S, Xiao Y, et al. The gamma-aminobutyric acidergic effects of valerian and valerenic acid on rat brainstem neuronal activity. Anesth Analg 2004;98:353-8. PubMed
- Donovan JL, DeVane CL, Chavin KD, et al. Multiple night-time doses of valerian (Valeriana officinalis) had minimal effects on CYP3A4 activity and no effect on CYP2D6 activity in healthy volunteers. Drug Metab Dispos 2004;32:1333-6. PubMed
- Gurley BJ, Gardner SF, Hubbard MA, et al. In vivo effects of goldenseal, kava kava, black cohosh, and valerian on human cytochrome P450 1A2, 2D6, 2E1, and 3A4/5 phenotypes. Clin Pharmacol Ther 2005;77:415-26. PubMed
- Gutierrez S, Ang-Lee MK, Walker DJ, Zacny JP. Assessing subjective and psychomotor effects of the herbal medication valerian in healthy volunteers. Pharmacol Biochem Behav 2004;78:57-64. PubMed
- Jacobs BP, Bent S, Tice JA, et al. An internet-based randomized, placebo-controlled trial of kava and valerian for anxiety and insomnia. Medicine (Baltimore) 2005;84:197-207. PubMed
- National Toxicology Program, US Department of Health and Human Services. Chemical Information Review Document for Valerian (Valeriana officinalis L.) [CAS No. 8057-49-6] and Oils [CAS No. 8008-88-6]. Supporting Nomination for Toxicological Evaluation by t
- Fernández-San-Martín MI, Masa-Font R, Palacios-Soler L, et al. Effectiveness of Valerian on insomnia: a meta-analysis of randomized placebo-controlled trials. Sleep Med. 2010 Jun;11:505-11. PubMed
- Coxeter PD, Schluter PJ, Eastwood HL, et al. Valerian does not appear to reduce symptoms for patients with chronic insomnia in general practice using a series of randomised n-of-1 trials. Complement Ther Med. 2003 Dec;11:215-22. PubMed
- Diaper A, Hindmarch I. A double-blind, placebo-controlled investigation of the effects of two doses of a valerian preparation on the sleep, cognitive and psychomotor function of sleep-disturbed older adults. Phytother Res. 2004 Oct;18:831-6. PubMed
- Cuellar NG, Ratcliffe SJ. Does valerian improve sleepiness and symptom severity in people with restless legs syndrome? Altern Ther Health Med 2009;15:22-8.
- Chen D, Klesmer J, Giovanniello A, et al. Mental status changes in an alcohol abuser taking valerian and gingko biloba. Am J Addict. 2002 Winter;11:75-7. PubMed
- Albrecht M, Berger W, Laux P, Schmidt U, et al. Psychopharmaka und Verkehrssicherheit. Der Einfluß von Euvegal® - Dragees forte auf die Fahrtüchtigkeit und Kombinationswirkungen mit Alkohol Z Allg Med 1995;71:1215-25.
- 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.
- Hellum BH, Nilsen OG. The in vitro inhibitory potential of trade herbal products on human CYP2D6-mediated metabolism and the influence of ethanol. Basic Clin Pharmacol Toxicol. 2007 Nov;101:350-8.
- Hellum BH, Hu Z, Nilsen OG. The induction of CYP1A2, CYP2D6 and CYP3A4 by six trade herbal products in cultured primary human hepatocytes. Basic Clin Pharmacol Toxicol. 2007 Jan;100:23-30. PubMed
- Alkharfy, K. M. and Frye, R. F. Effect of valerian, valerian/hops extracts, and valerenic acid on glucuronidation in vitro. Xenobiotica 2007;37(2):113-123.
- Vassiliadis, T., Anagnostis, P., Patsiaoura, K., Giouleme, O., Katsinelos, P., Mpoumponaris, A., and Eugenidis, N. Valeriana hepatotoxicity. Sleep Med 2009;10(8):935. PubMed
- Muller, Z., Sarkany, A., Altorjay, A., Szilagyi, A., Tura, T., and Ozsvar, Z. [Liver failure a la Eastern Europe]. Orv.Hetil. 3-22-2009;150(12):555-557. PubMed
- National Toxicology Program, US Department of Health and Human Services. Chemical Information Review Document for Valerian (Valeriana officinalis L.) [CAS No. 8057-49-6] and Oils [CAS No. 8008-88-6]. 2009;
- Wells SR. International intravenous administration of a crude valerian root extract. NACCT 1995;33:542.
- Aydinoglu U, Özcan H, Yücel A, Yücel N, Mutlu M. Valerian induced hypomania: a case report. Bull Clin Psychopharma 2012;22(Suppl. 1):S63.
- Mirabi P, Mojab F. The effects of valerian root on hot flashes in menopausal women. Iran J Pharm Res 2013;12(1):217-22.
- Thomas K, Canedo J, Perry PJ, et al. Effects of valerian on subjective sedation, field sobriety testing and driving simulator performance. Accid Anal Prev. 2016 Jul;92:240-4. PubMed
- Kia YH, Alexander S, Dowling D, Standish R. A case of steroid-responsive valerian-associated hepatitis. Intern Med J. 2016 Jan;46(1):118-9. PubMed
- Burke H, Jiang S, Chatham P, Stern TA. Delirium After Withdrawal From Valerian Root: A Case Report. Psychosomatics. 2020;61(6):787-790. PubMed
- Hajizadeh I, Jamshidi M, Kazemi M, Kargar H, Sadeghi T. Comparison the effect of valerian and gabapentin on RLS and sleep quality in hemodialysis patients: A randomized clinical trial. Ther Apher Dial 2023.
Hops 15 references
- Newall CA, Anderson LA, Philpson JD. Herbal Medicine: A Guide for Healthcare Professionals. London, UK: The Pharmaceutical Press, 1996.
- McGuffin M, Hobbs C, Upton R, Goldberg A, eds. American Herbal Products Association's Botanical Safety Handbook. Boca Raton, FL: CRC Press, LLC 1997.
- Zava DT, Dollbaum CM, Blen M. Estrogen and progestin bioactivity of foods, herbs, and spices. Proc Soc Exp Biol Med 1998;217:369-78. PubMed
- Milligan SR, Kalita JC, Heyerick A, et al. Identification of a potent phytoestrogen in hops (Humulus lupulus L.) and beer. J Clin Endocrinol Metab 1999;84:2249-52.. PubMed
- Milligan SR, Kalita JC, Pocock V, et al. The endocrine activities of 8-prenylnaringenin and related hop (Humulus lupulus L.) flavonoids. J Clin Endocrinol Metab 2000;85:4912-5.. DOI
- Henderson MC, Miranda CL, Stevens JF, et al. In vitro inhibition of human P450 enzymes by prenylated flavonoids from hops, Humulus lupulus. Xenobiotica 2000;30:235-51.. PubMed
- Mannering, G. J., Shoeman, J. A., and Deloria, L. B. Identification of the antibiotic hops component, colupulone, as an inducer of hepatic cytochrome P-4503A in the mouse. Drug Metab Dispos 1992;20(2):142-147. DOI
- Skorska, C., Mackiewicz, B., Gora, A., Golec, M., and Dutkiewicz, J. Health effects of inhalation exposure to organic dust in hops farmers. Ann.Univ Mariae.Curie Sklodowska [Med] 2003;58(1):459-465.
- Schiller, H., Forster, A., Vonhoff, C., Hegger, M., Biller, A., and Winterhoff, H. Sedating effects of Humulus lupulus L. extracts. Phytomedicine. 2006;13(8):535-541. PubMed
- van Hunsel, F. P. and Kampschoer, P. [Postmenopausal bleeding and dietary supplements: a possible causal relationship with hop- and soy-containing preparations]. Ned.Tijdschr.Geneeskd. 2012;156(41):A5095.
- Fenselau, C. and Talalay, P. Is oestrogenic activity present in hops? Food Cosmet.Toxicol. 1973;11(4):597-602. PubMed
- Godnic-Cvar, J., Zuskin, E., Mustajbegovic, J., Schachter, E. N., Kanceljak, B., Macan, J., Ilic, Z., and Ebling, Z. Respiratory and immunological findings in brewery workers. Am J Ind Med 1999;35(1):68-75. DOI
- Lee KM, Jung JS, Song DK, and et al. Effects of Humulus lupulus extract on the central nervous system in mice. Planta Med 1993;59(Suppl):A691.
- Assessment report on Humulus lupulus L., flos. European Medicines Agency, 2014. Available at: https://www.ema.europa.eu/en/documents/herbal-report/final-assessment-report-humulus-lupulus-l-flos_en.pdf. Accessed September 29, 2021.
- van Breemen RB, Chen L, Tonsing-Carter A, et al. Pharmacokinetic Interactions of a Hop Dietary Supplement with Drug Metabolism in Perimenopausal and Postmenopausal Women. J Agric Food Chem. 2020;68(18):5212-5220. PubMed
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