valerian (valeriana officinalis) - oral
GENERIC NAME: VALERIAN (Valeriana officinalis) - ORAL
USES: Valerian root has been used for sleep problems (insomnia).Some herbal/dietary supplement products have been found to contain possibly harmful impurities/additives. Check with your pharmacist for more details about the brand you use.The FDA has not reviewed this product for safety or effectiveness. Consult your doctor or pharmacist for more details.
HOW TO USE: Take this product by mouth, usually 30 minutes to 2 hours before bedtime or as directed. Follow all directions on the product package. If you are uncertain about any of the information, consult your doctor or pharmacist.This herbal product should not be used for more than 4 weeks. To reduce the chance of possible side effects when stopping extended use of valerian, do not suddenly stop taking it. Your dose may need to be gradually decreased over 1 to 2 weeks before stopping completely. Consult your doctor or pharmacist for more details.If your condition persists or worsens, or if you think you may have a serious medical problem, seek immediate medical attention.
SIDE EFFECTS: Headache, restlessness, upset stomach, or drowsiness/tiredness after waking up may occur. If any of these effects persist or worsen, contact your doctor or pharmacist promptly.Tell your doctor immediately if any of these rare but very serious side effects occur: persistent nausea/vomiting, stomach/abdominal pain, yellowing eyes/skin, dark urine, extreme tiredness.A very serious allergic reaction to this product is rare. However, seek immediate medical attention if you notice any of the following symptoms of a serious allergic reaction: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.In the US -Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.
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PRECAUTIONS: Before taking valerian, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.If you have any of the following health problems, consult your doctor or pharmacist before using this product: liver problems.Liquid forms of this product may contain sugar and/or alcohol. Caution is advised if you have diabetes, alcohol dependence, or liver disease. Ask your doctor or pharmacist about using this product safely.This product may make you drowsy. Do not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely. Avoid alcoholic beverages.This product is not recommended for use during pregnancy. Consult your doctor before using this product.It is unknown if this product passes into breast milk. Consult your doctor before breast-feeding.
DRUG INTERACTIONS: Before using this product, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of: drugs removed from your body by certain liver enzymes (such as simvastatin, lovastatin, atorvastatin, drugs to treat erectile dysfunction-ED or pulmonary hypertension including sildenafil/tadalafil, azole antifungals including ketoconazole).Tell your doctor or pharmacist if you also take drugs/other products that cause drowsiness such as: certain antihistamines (e.g., diphenhydramine), anti-seizure drugs (e.g., carbamazepine), medicine for sleep or anxiety (e.g., alprazolam, diazepam, zolpidem), muscle relaxants, narcotic pain relievers (e.g., codeine), psychiatric medicines (e.g., chlorpromazine, risperidone, amitriptyline, trazodone), other herbal/dietary products (e.g., kava, melatonin).Check the labels on all your medicines (e.g., cough-and-cold products) because they may contain ingredients that cause drowsiness. Ask your pharmacist about using those products safely.Do not start, stop, or change the dosage of any medicine before checking with your doctor or pharmacist first.This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.
OVERDOSE: If overdose is suspected, contact a poison control center or emergency room immediately. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include: unusual tiredness, stomach cramping, chest tightness, shaking of hands/feet.
NOTES: Keep all regular medical and laboratory appointments. Liver function tests should be performed if this product is used for an extended time.
STORAGE: Refer to storage information printed on the package. If you have any questions about storage, ask your pharmacist. Keep all medications and herbal products away from children and pets.Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.
Information last revised March 2013. Copyright(c) 2013 First Databank, Inc.
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Anxiolytics for Anxiety Drug Class
Anxiolytics (anti-anxiety, anti-panic) is a group of drug classes (for example, antidepressants, antihistamines, and benzodiazepines) that are prescribed for the treatment of anxiety disorders. Anxiolytics work (mechanism of action) depending upon to which drug class it belongs. Anxiety disorder drugs cause similar side effects, for example:
- Stomach upset
- Weight gain
More serious side effects of anti-anxiety drugs include:
- Suicidal thoughts
- Dry mouth
- Elevated blood pressure
- Blurred vision
- Abnormal heartbeat
- Low blood pressure when standing (orthostatic hypotension)
Some natural herbal products and supplements like St. John's wort, ginkgo biloba, valerian, lemon balm, and chamomile may be helpful in reducing anxiety. Talk with your doctor about taking herbal or other supplement products.
Anxiolytics have several drug interactions. This type of drug is not recommended during pregnancy or while breastfeeding.
Hypnotics Drug Class Side Effects
Hypnotics are sleep medications used to treat different types of insomnia. There are a variety of hypnotic drugs, and they are grouped into five types. Benzodiazepines, nonbenzodiazepines, selective melatonin agonists (these three drug types are classified as sedatives), antidepressants, and an orexin receptor agonist. Some hypnotics can be addictive and may cause withdrawal symptoms if discontinued abruptly.
The side effects of hypnotics depend upon the drug used, but they may include:
- Dry mouth
- Rebound insomnia
Other side effects may include:
- Hair loss
- Dry skin
- Upset stomach
- Abnormal dreams
Hypnotics may have serious side effects and adverse effects, for example:
- Abnormal thinking
- Suicidal thinking
- Sleep paralysis
- Sleep driving and other complex behavior
- Exfoliate dermatitis
Hypnotic drugs available over-the-counter (OTC) include diphenhydramine (Benadryl) and doxylamine (Unisom). Natural herbal supplements used for insomnia are melatonin and Valerian.
Do not drink alcohol while taking hypnotic drugs. Stimulants like caffeine or amphetamines reduce the effect of insomnia medications.
Your doctor or other health care professional will recommend the type of hypnotic drug for you depending upon the type of sleep problem you have, your current lifestyle habits, other medications you are taking, and any other medical problems you may have.
FDA. "Sleep Disorder (Sedative-Hypnotic) Drug Information." Updated: Jun 13, 2017.
Chawala, J, MD. "Insomnia Medication." Medscape. Updated: Aug 01, 2016.
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