Valerianae radix - herbal medicinal product

Valerian Root
Herbal productHumanHerbal

Overview

This is a summary of the scientific conclusions reached by the Committee on Herbal Medicinal Products (HMPC) on the medicinal uses of Valerian root. It summarises the Committee’s recommendations on the use of Valerian root.

The HMPC conclusions are taken into account by EU Member States when evaluating applications for the licensing of herbal medicines containing Valerian root. When a Member State authorises a medicine containing Valerian root, detailed instructions on how to take it will be available in the package leaflet that comes with medicine.

The information in this summary report concerns Herbal medicinal products containing Valerian root which are only authorised when they comply with the strict pharmaceutical quality and other requirements for herbal medicinal products. They are approved by the competent authorities to be placed on the market as medicinal products. Other products, like food, food supplements, cosmetic products or medical devices do not follow the same criteria and regulatory requirements as medicinal products and are excluded from this summary.

Valerian root is the common name for the underground part of the plant Valeriana officinalis L.

Medicinal products with Valerian contain the comminuted (reducing into tiny pieces) or powdered dried root, the juice of the fresh root, and the dry or liquid extracts of the root. Extracts are obtained by putting the plant material in a solvent (such as ethanol or methanol) to dissolve compounds and form a liquid extract. The solvent is then completely evaporated to obtain a dry extract.

Herbal medicines containing comminuted Valerian root are usually available as herbal tea to be drunk, as solid or liquid form to be taken by mouth, or as bath additive.

A Valerian root ethanolic dry extract is used for the treatment of the relief of mild nervous tension and sleep disorders. This is based on clinical studies which showed efficacy when used this way.

Valerian root preparations have traditional medicinal use for the relief of mild symptoms of mental stress and to aid to sleep. Traditional medicinal use means that the use in the specified indication is exclusively based upon long-standing medicinal use and not based on results from clinical studies.

You can find detailed instructions on how to take Valerian root medicines and who can use them in the package leaflet that comes with the medicine.

Do not use Valerian root medicines:

  • for children under 12 years of age.
  • when you are pregnant or if you breast feed your child.

Do not bathe with Valerian root medicines if you have open wounds, skin problems, high fever, severe infections and severe heart and circulation problems.

Do not drive or operate machinery when using Valerian root medicine as it may have an influence on your ability to drive and use machinery.

Consult a doctor or a pharmacist if your mild nervous tension and sleep disorders persist or worsen after 2 weeks during the continuous use of the medicinal product.

No interactions with other medicines have been described in the literature at the time of assessment when using valerian root with other medicines.

You may experience some side effects with Valerian root medicines: You may get nausea and abdominal cramps.

The frequency of these undesirable effects is not known.

The efficacy of a specific preparation of Valerian root in treating mild nervous tension and sleep disorders is based on its ‘well-established use’.

This means that there is documented evidence of their medicinal use covering at least 10 years in the EU with published clinical studies to support the efficacy and safety when used for the relief of mild nervous tension and to improve the quality of sleep and the time to fall asleep.

Several publications with clinical studies with dry ethanolic extracts support its use for the treatment of mild nervous tension and sleep disorders. Results showed notably improvements in the time it takes to fall asleep and the quality of the sleep when using the recommended dosage.

In its assessment, the HMPC considered clinical studies where Valerian root ethanolic dry extract has been compared with other treatments. The results showed that valerian root was as effective as other medicines in treating the relief of mild anxiety.

Some studies have shown that Valerian root is clearly better tolerated than other treatments. The efficacy has been shown to be better after at 2 weeks of treatment, but no comparative long term treatment studies are available.

The HMPC conclusions on the use of valerian root preparations medicines as juice, water extracts, methanolic extracts and tinctures are also based on their ‘traditional use’ for relief of mild symptoms of mental stress and to aid sleep. This means that, although there is insufficient evidence from clinical trials, the effectiveness of these herbal medicines is plausible and there is evidence that they have been used safely in this way for at least 30 years (including at least 15 years within the EU).

Any applications for the licensing of medicines containing Valerian root have to be submitted to the national authorities responsible for medicinal products. Before approval, the national authorities assess the quality, safety and efficacy of the herbal medicine. The HMPC conclusions are taken into account when evaluating applications for the licensing of herbal medicines.

Information on approved valerian root medicines in EU Member States may be obtained from the relevant national authorities.

BG (bulgarski): Валериана, корен
CS (čeština): kozlíkový kořen
DA (dansk): Baldrianrod
DE (Deutsch): Baldrianwurzel
EL (elliniká): βαλεριανής ρίζα
EN (English): Valerian root
ES (español): valeriana, raíz de 
EE (eesti keel): palderjanijuur
FI (suomi): rohtovirmajuuri, juuri 
FR (français): valériane (racine de) 
HR (hrvatski): odoljenov korijen 
HU (magyar): macskagyökér
IT (italiano): Valeriana radice
LT (lietuvių kalba): Valerijonų šaknys 
LV (latviešu valoda): Baldriāna sakne 
MT (Malti): għerq tal-valerjana
NL (Nederlands): Valeriaanwortel
PL (polski): Korzeń kozłka
PT (português): valeriana, raiz
RO (română): rădăcină de valeriană 
SK (slovenčina): koreň valeriány
SL (slovenščina): korenina zdravilne špajke
SV (svenska): vänderot, rot
NO (norsk): valerianarot

Key facts

Latin name
Valerianae radix
English common name
Valerian Root
Botanical name

Valeriana officinalis L.

Therapeutic area
  • Sleep disorders and temporary insomnia
  • Mental stress and mood disorders
Status
C: ongoing call for scientific data
Date added to the inventory
Date added to priority list
Outcome of European assessment
  • European Union herbal monograph
  • European Union list entry
Additional information

Documents

Revision 2

Revision 1

First version

Consultation

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