Valerian Nerve Ingredients & Drug Interactions
by Christopher's Original Formulas
What is this page for?
First and foremost: checking Valerian Nerve 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 Nerve is a dietary supplement by Christopher's Original Formulas with 2 active ingredients. Its ingredients are commonly taken for insomnia and trouble sleeping, anxiety and restlessness, pain relief.Based on those ingredients, 984 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are fresh Valerian, wild Lettuce. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Valerian Nerve by Christopher's Original Formulas
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AI summaries are generated from our interaction database for education only — always confirm with your pharmacist. How we use AI
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HelloPharmacist Scorecard of Valerian Nerve by Christopher's Original Formulas
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
Valerian Nerve contains 2 active ingredients: wild lettuce and fresh valerian root. Both have traditional uses related to relaxation and sleep support.
The product is formulated as a liquid, which allows for flexible dosing. The inactive ingredients include a water base and distilled water as a carrier.
Does it work?
Moderate evidence
Valerian is rated possibly effective for insomnia based on available evidence. However, for other conditions this product may target — restless legs syndrome, pre-procedural anxiety, stress, and dysmenorrhea (menstrual pain) — the evidence isn't established enough in our data to rate effectiveness.
Wild lettuce has no effectiveness ratings in our data. If you're considering this for a specific condition, talk with your doctor or pharmacist about whether the evidence supports its use for your needs.
How safe is it?
Well-documented data
Orally, properly harvested mature wild lettuce seems to be generally well tolerated. However, limited human safety data exist, and large amounts have been linked to side effects including dizziness, pressure in the head, drowsiness, and in rare cases, more serious effects.
Valerian is generally well tolerated short-term, but long-term safety isn't well studied. Common side effects include dizziness, drowsiness, mental slowness, headache, and vivid dreams.
When you stop valerian after long-term use, withdrawal symptoms like increased heart rate, anxiety, irritability, and insomnia may occur — taper doses slowly rather than stopping abruptly. During pregnancy, safety data advises against both wild lettuce and valerian.
For breastfeeding, there is no reliable safety data for either ingredient, so it's best avoided. If you're pregnant, planning to become pregnant, or breastfeeding, talk with your doctor or pharmacist before taking this product.
Meds to double-check
Moderate interaction found
Before taking Valerian Nerve, double-check with your doctor or pharmacist if you take CNS depressants (sedatives, sleeping pills, anti-anxiety medications, pain relievers), alprazolam (Xanax), glucuronidated drugs, or alcohol regularly. Moderate-severity interactions exist with all of these.
Minor interactions are possible with drugs metabolized by CYP2D6 or CYP3A4, though valerian is unlikely to cause clinically significant changes to their levels.
The bottom line
Scorecard at a glanceFormula with limited ingredient disclosure with some supporting evidence behind its ingredients' uses. Moderate medication interactions have been identified, and safety information is well characterized.
Valerian Nerve may appeal to people seeking herbal support for sleep or relaxation, but it's important to check it against any medications you take, especially sedatives, benzodiazepines, or drugs metabolized by your liver. This product isn't recommended during pregnancy or breastfeeding.
If you take it long-term, plan to taper your dose slowly when stopping. Discuss this product with your doctor or pharmacist before starting, particularly if you take other medications or have health conditions.
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 Apr 25, 2019.
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 Nerve, straight from the product label.
| Brand | Christopher's Original Formulas |
|---|---|
| Barcode (UPC) | 084783498254 |
| Net contents | 2 fl. Oz.; 59 mL |
| Market status | On market |
| Date entered into DSLD | Apr 25, 2019 |
| DSLD ID | 200571 |
| Product type | Botanical |
| Supplement form | Liquid |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years) |
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 Nerve by Christopher's Original Formulas, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Proprietary Blend | 0 NP | -- |
| wild Lettuce | 0 NP | -- |
| fresh Valerian | 0 NP | -- |
Other ingredients: A base of, distilled Water
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.
Suggested/Recommended/Usage/Directions
As a dietary supplement, take 2 droppers in a cup of water as an herbal tea, or as directed by your health care professional.
Storage
Store in a cool, dry place.
Brand IP Statement(s)
2010 Wholistic Botanicals L.L.C. All Rights Reserved
John R. Christopher
FDA Statement of Identity
Dietary Supplement
Formula
Made from fresh Valerian root
Formulation
No Added Fillers or Chemicals
FDA Disclaimer Statement
This statement has not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent disease
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Valerian Nerve by Christopher's Original Formulas 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 Nerve by Christopher's Original Formulas
These are the 2 active ingredients this product is made of. Select any to open its full monograph.
Serving size2 Dropper(s) Dosage formLiquid Servings per container29 Amounts shown are per serving.
Most supplement products combine several ingredients, and a medication can interact with the product through any one of them. Each ingredient below shows whether it has known drug interactions.
Proprietary Blend
Other (inactive) ingredients: A base of, Distilled Water. These complete the product’s ingredient list but are not active constituents.
Valerian Nerve by Christopher's Original Formulas Drug Interactions
HelloPharmacist Interaction Report
Valerian Nerve by Christopher's Original Formulas contains wild lettuce and fresh valerian, both of which interact with medications.
The most serious interaction involves valerian's additive sedative effects with CNS depressants (drugs that slow brain activity) — a Moderate severity concern that includes sedatives, sleeping pills, and pain relievers. Valerian can intensify drowsiness and raise the risk of excessive sedation.
Read the full breakdown — every affected drug type, severity by severity
Wild lettuce also interacts with CNS depressants at Moderate severity, with similar additive sedative effects. Additionally, wild lettuce may theoretically contain small amounts of an anticholinergic compound; case reports describe anticholinergic-type side effects (constipation, dry mouth, dizziness) in people taking large amounts, though the clinical relevance is unclear.
Valerian carries Moderate interactions with glucuronidated drugs (medications broken down by specific liver pathways) and alprazolam (Xanax), a benzodiazepine. It also has Moderate interactions with alcohol, which can amplify sedation.
Minor interactions exist with drugs metabolized by CYP2D6 and CYP3A4 enzymes, though valerian is unlikely to cause clinically meaningful changes to these drugs' levels.
Altogether, these interactions span 985 individual medications. Before starting this product, run your exact medications through the interaction checker on this page.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Valerian Nerve?
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 Nerve interact with 984 drugs. Click any drug to see the details.
2 of the 2 ingredients in Valerian Nerve interact with drugs. Each result below shows which ingredient is responsible. fresh Valerian wild Lettuce
DesogestrelCerazette
How Desogestrel interacts with Valerian Nerve — through 1 ingredient. Tap an ingredient for the detail:
Fresh ValerianCytochrome 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 Fresh Valerian + Desogestrel interactionDesogestrel, Ethinyl EstradiolDesogen, Marvelon, Marvelon 21, Marvelon 28, Mircette, Ortho-Cept +2 more
How Desogestrel, Ethinyl Estradiol interacts with Valerian Nerve — through 1 ingredient. Tap an ingredient for the detail:
Fresh ValerianCytochrome 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 Fresh Valerian + Desogestrel, Ethinyl Estradiol interactionDesvenlafaxineKhedezla, Pristiq
How Desvenlafaxine interacts with Valerian Nerve — through 1 ingredient. Tap an ingredient for the detail:
Fresh ValerianCytochrome 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 Fresh Valerian + Desvenlafaxine interactionDexamethasoneDecadron, Dexone, Dextenza, Dexycu, Hemady, Hexadrol +1 more
How Dexamethasone interacts with Valerian Nerve — through 1 ingredient. Tap an ingredient for the detail:
Fresh ValerianCytochrome 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 Fresh Valerian + Dexamethasone interactionDexfenfluramineRedux
How Dexfenfluramine interacts with Valerian Nerve — through 1 ingredient. Tap an ingredient for the detail:
Fresh ValerianCytochrome 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 Fresh Valerian + Dexfenfluramine interactionDexlansoprazoleDexilant Solutab
How Dexlansoprazole interacts with Valerian Nerve — through 1 ingredient. Tap an ingredient for the detail:
Fresh ValerianCytochrome 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 Fresh Valerian + Dexlansoprazole interactionDextroamphetamineDexedrine
How Dextroamphetamine interacts with Valerian Nerve — through 1 ingredient. Tap an ingredient for the detail:
Fresh ValerianCytochrome 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 Fresh Valerian + Dextroamphetamine interactionDextroamphetamine (patch)Xelstrym
How Dextroamphetamine (patch) interacts with Valerian Nerve — through 1 ingredient. Tap an ingredient for the detail:
Fresh ValerianCytochrome 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 Fresh Valerian + Dextroamphetamine (patch) interactionDextroamphetamine SulphateDexedrine Spansule
How Dextroamphetamine Sulphate interacts with Valerian Nerve — through 1 ingredient. Tap an ingredient for the detail:
Fresh ValerianCytochrome 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 Fresh Valerian + Dextroamphetamine Sulphate interactionDextromethorphanBenylin Adult, Benylin Pediatric, Hold, Neo Citran Thin Strips Cough, Theraflu Thin Strips Long Acting Cough
How Dextromethorphan interacts with Valerian Nerve — through 1 ingredient. Tap an ingredient for the detail:
Fresh ValerianCytochrome 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 Fresh Valerian + Dextromethorphan interactionDextromethorphan HbrVicks Formula 44 Cough Relief
How Dextromethorphan Hbr interacts with Valerian Nerve — through 1 ingredient. Tap an ingredient for the detail:
Fresh ValerianCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates Minor
Interaction Summary
Valerian does not seem to have a clinically relevant effect on levels of drugs metabolized by CYP3A4.
Read the full Fresh Valerian + Dextromethorphan Hbr interactionDextromethorphan Hbr, GuaifenesinPediatric Vicks Formula 44e Cough & Chest Congesti, Vicks Formula 44E Cough & Chest Congestion Relief
How Dextromethorphan Hbr, Guaifenesin interacts with Valerian Nerve — through 1 ingredient. Tap an ingredient for the detail:
Fresh ValerianCytochrome 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 Fresh Valerian + Dextromethorphan Hbr, Guaifenesin interactionDextromethorphan Hbr, Phenylephrine HclVicks Formula 44D Cough & Head Congestion Relief
How Dextromethorphan Hbr, Phenylephrine Hcl interacts with Valerian Nerve — through 1 ingredient. Tap an ingredient for the detail:
Fresh ValerianCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates Minor
Interaction Summary
Valerian does not seem to have a clinically relevant effect on levels of drugs metabolized by CYP3A4.
Read the full Fresh Valerian + Dextromethorphan Hbr, Phenylephrine Hcl interactionDextromethorphan, GuaifenesinAmibid DM, Aquatab DM, Benylin Expectorant, Bidex DM, Fenesin DM, GFN 500 DTMH 30 +17 more
How Dextromethorphan, Guaifenesin interacts with Valerian Nerve — through 1 ingredient. Tap an ingredient for the detail:
Fresh ValerianCytochrome 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 Fresh Valerian + Dextromethorphan, Guaifenesin interactionDextromethorphan, Guaifenesin, PhenylephrineAlbatussin Sr, Giltuss
How Dextromethorphan, Guaifenesin, Phenylephrine interacts with Valerian Nerve — through 1 ingredient. Tap an ingredient for the detail:
Fresh ValerianCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates Minor
Interaction Summary
Valerian does not seem to have a clinically relevant effect on levels of drugs metabolized by CYP3A4.
Read the full Fresh Valerian + Dextromethorphan, Guaifenesin, Phenylephrine interactionDextromethorphan, Guaifenesin, PhenylpropanolamineProfen LA
How Dextromethorphan, Guaifenesin, Phenylpropanolamine interacts with Valerian Nerve — through 1 ingredient. Tap an ingredient for the detail:
Fresh ValerianCytochrome 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 Fresh Valerian + Dextromethorphan, Guaifenesin, Phenylpropanolamine interactionDextromethorphan, Guaifenesin, PseudoephedrineMaxifed DM, Med Rx DM, Medent DM, Panmist DM, Profen Forte DM, Profen II DM +4 more
How Dextromethorphan, Guaifenesin, Pseudoephedrine interacts with Valerian Nerve — through 1 ingredient. Tap an ingredient for the detail:
Fresh ValerianCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates Minor
Interaction Summary
Valerian does not seem to have a clinically relevant effect on levels of drugs metabolized by CYP3A4.
Read the full Fresh Valerian + Dextromethorphan, Guaifenesin, Pseudoephedrine interactionDextromethorphan, Guaifenesin, PseudophedrineAnatuss DM, Organidin NR
How Dextromethorphan, Guaifenesin, Pseudophedrine interacts with Valerian Nerve — through 1 ingredient. Tap an ingredient for the detail:
Fresh ValerianCytochrome 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 Fresh Valerian + Dextromethorphan, Guaifenesin, Pseudophedrine interactionDextromethorphan, Guaifenesin, PsuedoephedrineAquatab C
How Dextromethorphan, Guaifenesin, Psuedoephedrine interacts with Valerian Nerve — through 1 ingredient. Tap an ingredient for the detail:
Fresh ValerianCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates Minor
Interaction Summary
Valerian does not seem to have a clinically relevant effect on levels of drugs metabolized by CYP3A4.
Read the full Fresh Valerian + Dextromethorphan, Guaifenesin, Psuedoephedrine interactionDextromethorphan, PseudoephedrineSudafed Cold/Flu
How Dextromethorphan, Pseudoephedrine interacts with Valerian Nerve — through 1 ingredient. Tap an ingredient for the detail:
Fresh ValerianCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates Minor
Interaction Summary
Valerian does not seem to have a clinically relevant effect on levels of drugs metabolized by CYP3A4.
Read the full Fresh Valerian + Dextromethorphan, Pseudoephedrine interactionDextromethorphan, Pseudoephedrine, TriprolidineActifed DM
How Dextromethorphan, Pseudoephedrine, Triprolidine interacts with Valerian Nerve — through 1 ingredient. Tap an ingredient for the detail:
Fresh ValerianCytochrome 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 Fresh Valerian + Dextromethorphan, Pseudoephedrine, Triprolidine interactionDienogestVisanne
How Dienogest interacts with Valerian Nerve — through 1 ingredient. Tap an ingredient for the detail:
Fresh ValerianCytochrome 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 Fresh Valerian + Dienogest interactionDihydroergotamineDHE-45, Migranal
How Dihydroergotamine interacts with Valerian Nerve — through 1 ingredient. Tap an ingredient for the detail:
Fresh ValerianCytochrome 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 Fresh Valerian + Dihydroergotamine interactionDihydroergotamine MesylateTrudhesa
How Dihydroergotamine Mesylate interacts with Valerian Nerve — through 1 ingredient. Tap an ingredient for the detail:
Fresh ValerianCytochrome 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 Fresh Valerian + Dihydroergotamine Mesylate interactionDiltiazemAdizem-SR, Adizem-XL, Angitil SR, Angitil XL, Calcicard CR, Cardizem +23 more
How Diltiazem interacts with Valerian Nerve — through 1 ingredient. Tap an ingredient for the detail:
Fresh ValerianCytochrome 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 Fresh Valerian + Diltiazem interactionDiltiazem, EnalaprilTeczem
How Diltiazem, Enalapril interacts with Valerian Nerve — through 1 ingredient. Tap an ingredient for the detail:
Fresh ValerianCytochrome 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 Fresh Valerian + Diltiazem, Enalapril interactionDocetaxelTaxotere
How Docetaxel interacts with Valerian Nerve — through 1 ingredient. Tap an ingredient for the detail:
Fresh ValerianCytochrome 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 Fresh Valerian + Docetaxel interactionDofetilideTikosyn
How Dofetilide interacts with Valerian Nerve — through 1 ingredient. Tap an ingredient for the detail:
Fresh ValerianCytochrome 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 Fresh Valerian + Dofetilide interactionDolasetronAnzemet
How Dolasetron interacts with Valerian Nerve — through 1 ingredient. Tap an ingredient for the detail:
Fresh ValerianCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates Minor
Interaction Summary
Valerian does not seem to have a clinically relevant effect on levels of drugs metabolized by CYP3A4.
Read the full Fresh Valerian + Dolasetron interactionDonepezilAricept
How Donepezil interacts with Valerian Nerve — through 1 ingredient. Tap an ingredient for the detail:
Fresh ValerianCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates Minor
Interaction Summary
Valerian does not seem to have a clinically relevant effect on levels of drugs metabolized by CYP3A4.
Read the full Fresh Valerian + Donepezil interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Valerian Nerve with known interactions, here are the types of medications they can affect. Open any type for the detail — or search your exact drug in the checker above.
fresh Valerian
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.
wild Lettuce
Anticholinergic Drugs
Studies report varying evidence on whether or not wild lettuce contains hyoscyamine, an anticholinergic drug. If it does, it appears to be in very low amounts. Nevertheless, there have been case reports of individuals consuming large amounts of wild lettuce experiencing anticholinergic-related side effects, such as constipation, dry mouth, dizziness, and sweating. Therefore, if you are already taking a drug with anticholinergic effects, you should be cautious about combining it with wild lettuce as the risk of side effects may be increased.
Cns Depressants
Theoretically, concomitant use with drugs with sedative effects might cause additive therapeutic effects and adverse effects.
Brand information
Manufacturer and brand details for Valerian Nerve, from the product label.
Christopher's Original Formulas
See all Christopher's Original Formulas products- Name
- Wholistic Botanicals L.L.C.
- City
- Spanish Fork
- State
- UT
- ZipCode
- 84660
- Phone Number
- 1-800-453-1406
- Web Address
- www.drchristopher.com
Valerian Nerve by Christopher's Original Formulas: Common Questions
Does Valerian Nerve by Christopher's Original Formulas interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
What does this product actually do?
What are the most common side effects?
Can I take this while pregnant or breastfeeding?
What happens if I stop taking it suddenly after using it for a while?
Is this safe to mix with alcohol?
Does wild lettuce really contain anticholinergic compounds?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Valerian Nerve is safe with your meds?
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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 Nerve’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Wild Lettuce
Interacts with 393 drugsWild lettuce is a traditional herb used mainly for sleep, anxiety, and pain, but solid human research supporting these uses is very limited. Because its safety is not well studied, it should...
Read the full Wild Lettuce monograph → Herb & supplement monographValerian
Interacts with 904 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 →Sources & How We Checked
Valerian Nerve'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 43 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.
Wild Lettuce 5 references
- Newall CA, Anderson LA, Philpson JD. Herbal Medicine: A Guide for Healthcare Professionals. London, UK: The Pharmaceutical Press, 1996.
- Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
- Brinker F. Herb Contraindications and Drug Interactions. 2nd ed. Sandy, OR: Eclectic Medical Publications, 1998.
- Besharat S, Besharat M, Jabbari A. Wild lettuce (Lactuca virosa) toxicity. BMJ Case Rep. 2009;2009. pii: bcr06.2008.0134.
- Mullins ME, Horowitz BZ. The case of the salad shooters: intravenous injection of wild lettuce extract. Vet Hum Toxicol. 1998;40(5):290-1.
Valerian 38 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.
- Kucuk U, Pham M, Raza Raja MH, Saad Shaukat MH, Clark R. Transient complete atrioventricular block associated with herbal supplement use. S D Med 2023;76(7):311-313.
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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.
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