Interaction Guide · Research summary

Can I take Radix Et Rhizoma Valerianae with Cyclobenzaprine?

Review Radix Et Rhizoma Valerianae with Cyclobenzaprine: possible adverse effects, preparation details, evidence limits, and sources.

Prepared by Dr. Edward M.Kim, PharmD · Clinical Director, SupplementSafety editorial team

Research summary published · Prepared · Editorial update

The short answer

Confirm the valerian species before combining this root product with cyclobenzaprine. If it is Valeriana officinalis, added drowsiness is a reasonable concern, but the generic root name does not establish that identity.

What this answer covers

Generic root/rhizome identity; confirm Valeriana officinalis before applying species-specific guidance.

Supplement or preparation
Radix et Rhizoma Valerianae
Medication ingredient
cyclobenzaprine

The alertness effects may overlap

Cyclobenzaprine labeling cautions that other CNS depressants can intensify its effects. Supplement guidance advises against combining this herb with sedating substances, supporting a conditional precaution.

A sleep-benefit result is not a safety result

A kava and valerian trial did not establish sleep or anxiety benefit. It did not test cyclobenzaprine, and the lack of benefit cannot establish absence of impairment.

Identify both products

The generic root/rhizome name does not establish a valerian species. Cyclobenzaprine swallowed and sublingual formulations differ, and evidence does not define a safe supplement dose across them.

Have co-use reviewed

Ask the prescriber before adding the herb and avoid driving while impaired. A short timing gap has not been shown to prevent additive effects. Seek urgent help for severe confusion, breathing difficulty or inability to wake.

Evidence and practical considerations

Side effects & toxicity

The current generic root/rhizome identity does not establish Valeriana officinalis. Species-specific sedation evidence cannot validate the original unidentified-product claim; a narrower confirmed-species precaution is retained separately.

Exact scope
Generic root/rhizome identity; confirm Valeriana officinalis before applying species-specific guidance. with Cyclobenzaprine21949 IN; hydrochloride swallowed IR/ER and sublingual products with formulation-specific indications.
Medication form and route
oral medication; sublingual medication; oral supplement

What remains uncertain

  • No unmeasured pair incidence, blanket class transfer or arbitrary spacing interval.

Factors that may matter: Preparation; Dose; Other medicines; Organ function.

Research conclusion: insufficient evidence · Evidence assessment: very low

Read the supporting source summaries

Source 1: current product label

dailymed.nlm.nih.gov · Source check Sep 10, 2026

Population: People prescribed cyclobenzaprine

CNS-depressant and serotonin-syndrome warnings; concomitant MAOIs and14days after stopping contraindicated.

How this applies: Exact cyclobenzaprine RxCUI 21949 IN, with stated salt/formulation/route bridge.

Not extended-release or sublingual dosing; supplement-specific risk unmeasured.

Source 2: current product label

dailymed.nlm.nih.gov · Source check Sep 10, 2026

Population: People prescribed cyclobenzaprine

CNS-depressant and serotonergic precautions; MAOI contraindication.

How this applies: Exact cyclobenzaprine RxCUI 21949 IN, with stated salt/formulation/route bridge.

Different release/directions from immediate-release and sublingual products.

Source 3: current product label

dailymed.nlm.nih.gov · Source check Sep 10, 2026

Population: People prescribed cyclobenzaprine

CNS depression and serotonergic precautions; MAOI contraindication retained.

How this applies: Exact cyclobenzaprine RxCUI 21949 IN, with stated salt/formulation/route bridge.

Not swallowed-tablet dosing; sublingual product administration instructions are not a universal supplement-separation rule.

Source 4: federal supplement safety guidance

nccih.nih.gov · Source check Sep 10, 2026

Population: Users of the specified supplement.

Possible but unproven sleep-inducing effects; advises against combining valerian with alcohol or sedatives.

How this applies: Original source interpreted for cyclobenzaprine only within the stated preparation and endpoint limits.

Not a direct cyclobenzaprine combination trial; original preparation, dose and endpoint limits apply. No exact-pair adverse-event rate or protective spacing established.

Source 5: federal botanical identity and safety guidance

ods.od.nih.gov · Source check Sep 10, 2026

Population: Users of Valeriana officinalis.

The fact sheet covers only V. officinalis among more than 250 valerian species; possible additive sedation is theoretical.

How this applies: Original source interpreted for cyclobenzaprine only within the stated preparation and endpoint limits.

Not a direct cyclobenzaprine combination trial; original preparation, dose and endpoint limits apply. No exact-pair adverse-event rate or protective spacing established.

Source 6: original human study

pubmed.ncbi.nlm.nih.gov · Source check Sep 10, 2026

Population: 391 participants with anxiety and insomnia.

Neither botanical improved its primary anxiety/insomnia outcome over placebo.

How this applies: Original source interpreted for cyclobenzaprine only within the stated preparation and endpoint limits.

Not a direct cyclobenzaprine combination trial; original preparation, dose and endpoint limits apply. No exact-pair adverse-event rate or protective spacing established.

Research assessment: · Open full citations ↗

Side effects & toxicity

If the product is confirmed as Valeriana officinalis, additive drowsiness with cyclobenzaprine is a conditional concern based on medication labeling and species-specific guidance.

Exact scope
Confirmed Valeriana officinalis root preparation, not an unidentified generic valerian root. with Exact cyclobenzaprine ingredient and labeled formulations described in this article.
Medication form and route
oral medication; sublingual medication; oral supplement

What remains uncertain

  • No exact-pair event rate or protective interval established.

Factors that may matter: Confirmed botanical identity; Preparation; Dose; Other sedatives.

Research conclusion: supported with conditions · Evidence assessment: low

Read the supporting source summaries

Source 1: current product label

dailymed.nlm.nih.gov · Source check Sep 10, 2026

Population: People prescribed cyclobenzaprine

CNS-depressant and serotonin-syndrome warnings; concomitant MAOIs and14days after stopping contraindicated.

How this applies: Exact cyclobenzaprine RxCUI 21949 IN, with stated salt/formulation/route bridge.

Not extended-release or sublingual dosing; supplement-specific risk unmeasured.

Source 2: current product label

dailymed.nlm.nih.gov · Source check Sep 10, 2026

Population: People prescribed cyclobenzaprine

CNS-depressant and serotonergic precautions; MAOI contraindication.

How this applies: Exact cyclobenzaprine RxCUI 21949 IN, with stated salt/formulation/route bridge.

Different release/directions from immediate-release and sublingual products.

Source 3: current product label

dailymed.nlm.nih.gov · Source check Sep 10, 2026

Population: People prescribed cyclobenzaprine

CNS depression and serotonergic precautions; MAOI contraindication retained.

How this applies: Exact cyclobenzaprine RxCUI 21949 IN, with stated salt/formulation/route bridge.

Not swallowed-tablet dosing; sublingual product administration instructions are not a universal supplement-separation rule.

Source 4: federal supplement safety guidance

nccih.nih.gov · Source check Sep 10, 2026

Population: Users of the specified supplement.

Possible but unproven sleep-inducing effects; advises against combining valerian with alcohol or sedatives.

How this applies: Original source interpreted for cyclobenzaprine only within the stated preparation and endpoint limits.

Not a direct cyclobenzaprine combination trial; original preparation, dose and endpoint limits apply. No exact-pair adverse-event rate or protective spacing established.

Source 5: federal botanical identity and safety guidance

ods.od.nih.gov · Source check Sep 10, 2026

Population: Users of Valeriana officinalis.

The fact sheet covers only V. officinalis among more than 250 valerian species; possible additive sedation is theoretical.

How this applies: Original source interpreted for cyclobenzaprine only within the stated preparation and endpoint limits.

Not a direct cyclobenzaprine combination trial; original preparation, dose and endpoint limits apply. No exact-pair adverse-event rate or protective spacing established.

Source 6: original human study

pubmed.ncbi.nlm.nih.gov · Source check Sep 10, 2026

Population: 391 participants with anxiety and insomnia.

Neither botanical improved its primary anxiety/insomnia outcome over placebo.

How this applies: Original source interpreted for cyclobenzaprine only within the stated preparation and endpoint limits.

Not a direct cyclobenzaprine combination trial; original preparation, dose and endpoint limits apply. No exact-pair adverse-event rate or protective spacing established.

Research assessment: · Open full citations ↗

Review and change history

Publication status
Published research summary
Clinical review
Not yet recorded
DateUpdate
Article prepared
Prepared exact cyclobenzaprine article with formulation-specific evidence and uncertainty.
Research summary published

Article revision: 910101ecd72f6ddf

This guide brings together the evidence records used by our interaction checker. Each finding retains its own preparation limits, research date, and source summaries.

Full citations require verification. Reading this answer and the source summaries does not.

Taking other supplements or medications?

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Information, not medical advice. Do not change prescribed treatment based on this guide.