valerian

ROUTE	ONSET	PEAK	DURATION
PO	30–60 min	2 hr	unknown

Natural-Drug Products:

Additive CNS depression with alcohol, antihistamines, anesthetic agents, sedative hypnotics, and other CNS depressants.
Alcohol-containing preparations may interact with disulfiram and metronidazole.

Natural-Natural Products:

Additive sedative effects can occur when used with herbal supplements with sedative properties such as kava, l-tryptophan, melatonin, SAMe, and St. John's wort.

Route/Dosage ⬆ ⬇

PO (Adults ): Tea: 1 cup tea 1–5 times daily. Tea is made by steeping 2–3 g root in 150 mL boiling water for 5–10 min then straining. Tincture: 1–3 mL 1–5 times daily. Extract: 400–900 mg up to 2 hr before bedtime or 300–450 mg divided tid.

Availability ⬆ ⬇

Capsules: ^OTC
Extract: ^OTC
Tea: ^OTC
Tincture: ^OTC

Assessment ⬆ ⬇

Assess degree of anxiety and level of sedation prior to and periodically throughout therapy.
Assess sleep patterns.
Assess response in the elderly population where drowsiness and loss of balance may pose a significant risk for injury.

Implementation ⬆ ⬇

Take 1–2 hr before bedtime if used for nighttime hypnotic.
Administer orally three to five times daily to control anxiety.

Patient/Family Teaching ⬆ ⬇

Encourage patients to avoid stimulants such as caffeine and to provide an environment that promotes restful sleep.
May cause drowsiness. Caution patient to avoid driving or other activities requiring alertness until response to drug is known.
Caution patient to avoid use of alcohol and other medications or herbals that have a sedative effect; may increase drowsiness.
Advise patients to discontinue 2 wk prior to elective surgical procedures.
Inform patients that dependence with withdrawal symptoms may develop with prolonged use.
Rep: Advise females of reproductive potential to avoid valerian if pregnancy is planned or suspected or breast feeding.

Evaluation/Desired Outcomes ⬆ ⬇

Decreased anxiety level.
Improvement in sleep with a feeling of restfulness without drowsiness upon awakening.

US Brand Names ⬆ ⬇

Amantilla, All-Heal, Baldrian, Baldrianwurzel, Belgium Valerian, Common Valerian, Fragrant Valerian, Garden Heliotrope, Garden Valerian, Indian Valerian, Mexican Valerian, Pacific Valerian, Tagara, Valeriana, Valeriana officinalis, Valerianae radix, Valeriana rhizome, Valeriane

Code ⬆

NDC Code

0220- Boiron
- 0220-5207- VALERIANA OFFICINALIS
  - 0220-5207-41- 6 [hp_C] in 1 TUBE (0220-5207-41)

0220- Boiron
- 0220-5208- VALERIANA OFFICINALIS
  - 0220-5208-41- 9 [hp_C] in 1 TUBE (0220-5208-41)

0220- Boiron
- 0220-5209- VALERIANA OFFICINALIS
  - 0220-5209-41- 30 [hp_C] in 1 TUBE (0220-5209-41)

0220- Boiron
- 0220-5210- VALERIANA OFFICINALIS
  - 0220-5210-41- 30 [hp_X] in 1 TUBE (0220-5210-41)

0220- Boiron
- 0220-5217- Valeriana officinalis
  - 0220-5217-41- 80 PELLET in 1 TUBE (0220-5217-41)

13838- Phytodyne Inc.
- 13838-1448- Valeriana officinalis (N)
  - 13838-1448-1- 20 mL in 1 BOTTLE, GLASS (13838-1448-1)

62106- Seroyal USA
- 62106-9130- VALERIANA OFFICINALIS
  - 62106-9130-4- 10 TUBE in 1 CARTON (62106-9130-4) > 140 GRANULE in 1 TUBE

64117- Natural Health Supply
- 64117-194- Insomnia Nervousness
  - 64117-194-01- 1.875 mL in 1 BOTTLE, GLASS (64117-194-01)

64117- Natural Health Supply
- 64117-194- Insomnia Nervousness
  - 64117-194-02- 7.5 mL in 1 BOTTLE, GLASS (64117-194-02)

68428- Washington Homeopathic Products
- 68428-165- Valeriana Officinalis Kit Refill
  - 68428-165-01- 750 PELLET in 1 VIAL, GLASS (68428-165-01)

68428- Washington Homeopathic Products
- 68428-693- Valeriana Officinalis
  - 68428-693-03- 75 PELLET in 1 VIAL, GLASS (68428-693-03)

68428- Washington Homeopathic Products
- 68428-693- Valeriana Officinalis
  - 68428-693-05- 150 PELLET in 1 VIAL, GLASS (68428-693-05)

68428- Washington Homeopathic Products
- 68428-693- Valeriana Officinalis
  - 68428-693-06- 1200 PELLET in 1 BOTTLE, GLASS (68428-693-06)

68428- Washington Homeopathic Products
- 68428-693- Valeriana Officinalis
  - 68428-693-11- 300 PELLET in 1 BOTTLE, GLASS (68428-693-11)

68428- Washington Homeopathic Products
- 68428-693- Valeriana Officinalis
  - 68428-693-12- 600 PELLET in 1 BOTTLE, GLASS (68428-693-12)

71919- Washington Homeopathic Products
- 71919-702- VALERIANA OFFICINALIS
  - 71919-702-07- 15 mL in 1 VIAL, GLASS (71919-702-07)

71919- Washington Homeopathic Products
- 71919-702- VALERIANA OFFICINALIS
  - 71919-702-08- 30 mL in 1 VIAL, GLASS (71919-702-08)

71919- Washington Homeopathic Products
- 71919-702- VALERIANA OFFICINALIS
  - 71919-702-09- 50 mL in 1 BOTTLE, GLASS (71919-702-09)

71919- Washington Homeopathic Products
- 71919-702- VALERIANA OFFICINALIS
  - 71919-702-10- 100 mL in 1 BOTTLE, GLASS (71919-702-10)

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Pronunciation ⬇

Classifications ⬆ ⬇

Indications ⬆ ⬇

Action ⬆ ⬇

Pharmacokinetics ⬆ ⬇

Time/Action Profile ⬆ ⬇

Contraind./Precautions ⬆ ⬇

Adv. Reactions/Side Effects ⬆ ⬇

Interactions ⬆ ⬇