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Medication · benzodiazepine

Supplements and Zolpidem tartrate.

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

Zolpidem tartrate, sold under the brand names Stilnoct, Stilnox, Ambien, Ambien CR, Edluar, is a benzodiazepine: it potentiates GABA at the GABA-A receptor.

Zolpidem tartrate 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 Zolpidem tartrate 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

Last reviewed 14 June 2026. Each interaction below lists the evidence its assessment drew on: some rest on studies of the exact pair, others on mechanism evidence, where a citation may support one part of the reasoning rather than the exact combination. The evidence line on each entry says which.

Additive CNS depression

Amber Does Lemon Balm interact with ?

Lemon balm and zolpidem both calm the nervous system through overlapping pathways. Both are taken for sleep, so combining them may mean deeper-than-intended sedation and a heavier morning grogginess. Take care around driving the next morning.

Evidence: Limited human data, based on case reports and a known mechanism.

PMID 39683592 · PMID 29908682 · BNF: Zolpidem

Amber Does Passionflower interact with ?

Passionflower and zolpidem both calm the nervous system through the same kind of pathway, so taking them together can mean stronger drowsiness and slower reactions. Take care around driving or anything that needs full alertness.

Evidence: Limited human data, based on case reports and a known mechanism.

Amber Does Valerian Root interact with ?

Valerian and zolpidem 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.

Evidence: Limited human data, based on case reports and a known mechanism.

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 or pharmacist, especially if you take any medication, are pregnant, breastfeeding, or have a serious health condition.
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How we grade severity, choose what's in scope, and what we exclude.

Every call on this page is reasoned. We publish the full rubric for severity tiers, the medication inclusion logic, the evidence grades we accept, and what we deliberately leave out. About three thousand words. Worth reading once if you use this tool more than occasionally.

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The full report

A full supplement review, built around you, not a generic stack.

The free checker answers one interaction question at a time. A Distil report reviews the bigger picture: your goals, diet, medications, current supplements and any blood results you provide, then shows what appears worth keeping, changing, adding or leaving out.

  • what your diet already covers, so you are not adding a capsule for something food is already handling
  • which evidence-graded compounds are worth considering for your goals, and which were considered but left out
  • what to keep, change or stop from what you already take, plus the order to introduce anything new
  • how your medications and complete supplement stack fit together, with daily timing and a clear point for reassessment

The interaction check is one section of the full report. You also get the reasoning behind each recommendation and the evidence references used.

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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.