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Drug interactions

Esketamine + Valerian

Severity: Minor

Esketamine and Valerian: minor interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Valerian has mild sedative effects and may add to the sedation caused by esketamine. Clinical data are scarce, so the risk is largely theoretical.

What this interaction means in plain words

Esketamine and Valerian have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Evidence level: Low

Why it happens

Possible additive sedation through GABAergic effects of valerian constituents.

What to do

Ask patients about herbal sedative use and monitor for excess drowsiness after esketamine dosing. Advise avoiding valerian on treatment days if sedation is troublesome.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Esketamine with Valerian?

MediHelp rates the interaction as minor. Esketamine and Valerian have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Valerian has mild sedative effects and may add to the sedation caused by esketamine. Clinical data are scarce, so the risk is largely theoretical.

How serious is the interaction between Esketamine and Valerian?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Ask patients about herbal sedative use and monitor for excess drowsiness after esketamine dosing. Advise avoiding valerian on treatment days if sedation is troublesome.

What other medicines interact with Esketamine?

MediHelp also lists interactions of Esketamine with, for example, Alfentanil, Amobarbital, Belladonna and opium. The full list is on the Esketamine page.

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