Valerian

Valerian

Best for

Sleep longer each night

Proven strong benefit · 200–600 mg/day for 2–8 weeks · 2 studies , n=477

15 papers · 9 claims · 26 outcomes scored · 8 positive

Outcomes

What valerian actually does, by outcome

Each row is one outcome with effect size, evidence base, the dose that worked in trials, and time to first effect. Magnitude tiers come from native-unit MCID where available, Cohen's d otherwise.

Outcome Effect Evidence Dose Weeks Rank
Sleep longer each night Proven strong benefit
large
2 RCTs n=477 200–600 mg 2–8 wk #1/12
Lower day-to-day anxiety Large effect, needs confirmation
large
4 meta-analyses n=176 Meta-analyzed 100–1500 mg 8 wk #2/48
Ease anxiety in older adults Large effect, needs confirmation
large
4 meta-analyses n=176 Meta-analyzed 100–1500 mg 8 wk #2/45
Reduce pre-competition anxiety Large effect, needs confirmation
large
4 meta-analyses n=176 Meta-analyzed 100–1500 mg 8 wk #2/45
Reduce daily stress Large effect, needs confirmation
large
1 RCT n=37 530 mg 4 wk #5/41
Improve overall sleep quality Proven modest benefit
small
8 meta-analyses n=2.7k Meta-analyzed 6.4–1410 mg 2–8 wk #1/37
Stay asleep through the night Likely modest benefit
small
1 RCT n=405 600 mg 2 wk #3/15
Wake up clear-headed Barely detectable
trivial
2 RCTs n=72 200–450 mg 8 wk #10/14
Fall asleep faster Likely strong benefit
large
3 RCTs n=477 200–600 mg 2–8 wk #9/19

Risk profile

Adverse events and known drug interactions

Safety events

Severe complaints (treatment period) severe
Moderate complaints (treatment period) moderate
movement disorder moderate
Mild complaints (treatment period) mild
Alkaline phosphatase increase (CTCAE grade 1) mild
headache mild
gastrointestinal symptoms (nausea, abdominal cramps, diarrhea) mild
drowsiness / daytime somnolence mild

Drug interactions

Midazolam moderate increases effect
Lorazepam moderate additive
Alprazolam minor increases concentration

Sources

  1. 1. Standardized Extract of Valeriana officinalis Improves Overall Sleep Quality in Human Subjects with Sleep Complaints: A Randomized, Double-Blind, Placebo-Controlled, Clinical Study. (2024)
  2. 2. The use of Valeriana officinalis (Valerian) in improving sleep in patients who are undergoing treatment for cancer: a phase III randomized, placebo-controlled, double-blind study (NCCTG Trial, N01C5). (2011)
  3. 3. An internet-based randomized, placebo-controlled trial of kava and valerian for anxiety and insomnia. (2005)
  4. 4. Valerian for sleep: a systematic review and meta-analysis. (2006)
  5. 5. A Systematic Review and Meta-analysis on the Effect of Herbal Medicine to Manage Sleep Dysfunction in Peri- and Postmenopause. (2018)
  6. 6. Valerian Root in Treating Sleep Problems and Associated Disorders-A Systematic Review and Meta-Analysis. (2020)
  7. 7. The Effects of Valerian on Sleep Quality, Depression, and State Anxiety in Hemodialysis Patients: A Randomized, Double-blind, Crossover Clinical Trial. (2021)
  8. 8. Valeriana officinalis L. for conscious sedation of patients submitted to impacted lower third molar surgery: A randomized, double-blind, placebo-controlled split-mouth study. (2014)
  9. 9. The effect of valeric on anxiety severity in women undergoing hysterosalpingography. (2015)
  10. 10. Effect of valerian on cognitive disorders and electroencephalography in hemodialysis patients: a randomized, cross over, double-blind clinical trial. (2018)

Generated August 14, 2026

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