Interaction Guide · Research summary

Can I take Withania Somnifera with Flurazepam?

Review Withania Somnifera with Flurazepam: 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

Ashwagandha may add to flurazepam-related drowsiness and next-day impairment. Flurazepam’s long-lived active metabolite means a short timing gap cannot be assumed protective.

What this answer covers

Withania somnifera preparations; root-only and root/leaf products differ.

Supplement or preparation
Withania somnifera
Medication ingredient
flurazepam

Flurazepam can impair next-day activities

A human repeated-dose study found impaired driving after flurazepam. The label describes an active metabolite that accumulates and persists, so the effects are not limited to the moment a capsule is taken.

What the supplement evidence adds

Supplement-specific evidence describes drowsiness or cautions about sedative co-use. It does not establish this exact combination’s adverse-event rate.

Preparations and endpoints differ

A different extract, dose or release formulation may behave differently. A study that fails to show sleep benefit does not prove that a product cannot impair alertness or add to a hypnotic’s effects.

Review co-use rather than choosing a gap

Discuss the product with the prescriber and avoid driving while impaired. No exact protective interval is established. Do not adjust flurazepam yourself; slow breathing or inability to wake requires emergency help.

Evidence and practical considerations

Side effects & toxicity

Conditional additive-impairment/co-use review precaution based on exact flurazepam label and supplement effects, not a proven pair rate or protective short interval.

Exact scope
Withania somnifera preparations; root-only and root/leaf products differ. with Flurazepam4501 IN; oral hydrochloride capsules and active desalkyl metabolite.
Medication form and route
oral 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: 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 flurazepam

Additive CNS-depressant effects; active desalkyl metabolite accumulates and may persist for days.

How this applies: Exact flurazepam RxCUI 4501 IN, with stated salt/formulation/route bridge.

No named St John’s wort clinical interaction or universal botanical dose rule.

Source 2: original human study

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

Population: Participants in a repeated-dose driving study.

Residual driving impairment with flurazepam, including later next-day testing; stronger morning effect.

How this applies: Not a supplement-combination trial; dose and study population do not give exact-pair risk.

Not a supplement-combination trial; dose and study population do not give exact-pair risk.

Source 3: federal supplement guidance

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

Population: Ashwagandha users

Drowsiness possible; potential interactions with sedatives; preparation and long-term safety limitations.

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

Not a direct flurazepam 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
Research summary published
Article prepared
Prepared exact flurazepam article with formulation-specific evidence and uncertainty.

Article revision: d381ae7ce0889cb1

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?

Use the checker to explore your other combinations. Ask a pharmacist to review the exact products, amounts and medical conditions in your complete list.

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