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Medication · benzodiazepine

Supplements and Zaleplon.

Every documented pair, every citation. Below: 3 documented pairs grouped by mechanism.

Zaleplon, sold under the brand name Sonata, is a benzodiazepine: it potentiates GABA at the GABA-A receptor.

Zaleplon is a benzodiazepine. The class potentiates GABA at the GABA-A receptor, producing sedation, anxiolysis, muscle relaxation, and anticonvulsant effects. UK general practice now prescribes mostly short courses for acute anxiety or sleep. Longer prescriptions are managed via specialist psychiatry, given the tolerance and dependence profile that emerges within four to six weeks of regular use. The supplement interactions that matter are additive sedation. Kava (where available, MHRA suspended 2003), valerian, magnesium glycinate at high doses (the glycine half rather than the magnesium drives the sedation), and CBD all stack on benzodiazepine effect. Alcohol is the combination most flagged in BNF and MHRA materials, given the additive respiratory depression. Lorazepam and temazepam are metabolised by glucuronidation rather than CYP, so most CYP-active supplements do not change their plasma levels. Diazepam runs through CYP3A4, so the standard 3A4 supplement interactions apply.

Below are the 3 documented pairs we have explicitly assessed against Zaleplon in the Distil database: 3 amber. The pairs cluster around 1 mechanism: Additive CNS depression. Every call is cited to either a clinical reference (PMID) or the British National Formulary. Anything not on this list is either still to be assessed or beyond our database scope. The checker beneath surfaces assessments by supplement, and the missing-item form at the bottom of the page routes any uncatalogued supplement into our next curation pass.

Documented interactions

Additive CNS depression

Amber Lemon Balm

Lemon balm has a mild calming, sleep-promoting effect, so taking it with zaleplon can add to the sedation and leave you groggier than intended. Use with care, particularly around driving the next morning.

PMID 39683592 · PMID 29908682 · BNF: Zaleplon

Passionflower and zaleplon both have a calming, sleep-promoting effect, so taking them together can add up to deeper-than-intended sedation and a heavier next-morning grogginess. Use with care, particularly around driving the next morning.

Valerian and zaleplon both promote sleep through overlapping pathways. Both are taken for sleep, so combining them can mean deeper-than-intended sedation, slower reactions, and a heavier morning hangover than either gives on its own. Use with care, particularly around driving the next morning.

What this list does not say. Pairs not flagged here are not implicitly safe. They are either not yet in our database, or fall outside our inclusion scope (food-supplement interactions only; for drug-drug interactions, the BNF is authoritative). Use the checker below to surface any supplement, and submit a missing item if you take something we have not catalogued.

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For adults over 18. This tool gives evidence-graded information, not medical advice. Always discuss changes with your GP, especially if you take any medication, are pregnant, breastfeeding, or have a serious health condition.
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Distil's interactions database is reviewed and updated every quarter. We grade evidence transparently and publish our methodology, including every database change, at /about/methodology. This tool is information, not a substitute for clinical judgement. If you take medication and supplements together, your GP or pharmacist can review your full regimen against your medical history. If you want a full personalised stack reasoned against this same database, the Distil report is the next step up.