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Valerian (''Valeriana officinalis'',
Caprifoliaceae The Caprifoliaceae or honeysuckle family is a clade of dicotyledonous flowering plants consisting of about 860 species, in 33, to 42 genera, with a nearly cosmopolitan distribution. Centres of diversity are found in eastern North America and ...
) is a
perennial A perennial plant or simply perennial is a plant that lives more than two years. The term ('' per-'' + '' -ennial'', "through the years") is often used to differentiate a plant from shorter-lived annuals and biennials. The term is also widel ...
flowering plant native to Europe and Asia. In the summer when the mature plant may have a height of , it bears sweetly scented pink or white flowers that attract many fly species, especially hoverflies of the genus ''
Eristalis ''Eristalis'' is a large genus of hoverflies, family Syrphidae, in the order Diptera. Several species are known as drone flies (or droneflies) because they bear a resemblance to honeybee drones. Drone flies and their relatives are fairly commo ...
''. It is consumed as food by the
larva A larva (; plural larvae ) is a distinct juvenile form many animals undergo before metamorphosis into adults. Animals with indirect development such as insects, amphibians, or cnidarians typically have a larval phase of their life cycle. ...
e of some
Lepidoptera Lepidoptera ( ) is an order of insects that includes butterflies and moths (both are called lepidopterans). About 180,000 species of the Lepidoptera are described, in 126 families and 46 superfamilies, 10 percent of the total described speci ...
(butterfly and moth) species, including the grey pug. Crude extract of valerian root may have
sedative A sedative or tranquilliser is a substance that induces sedation by reducing irritability or excitement. They are CNS depressants and interact with brain activity causing its deceleration. Various kinds of sedatives can be distinguished, but ...
and
anxiolytic An anxiolytic (; also antipanic or antianxiety agent) is a medication or other intervention that reduces anxiety. This effect is in contrast to anxiogenic agents which increase anxiety. Anxiolytic medications are used for the treatment of anxiet ...
effects, and is commonly sold in
dietary supplement A dietary supplement is a manufactured product intended to supplement one's diet by taking a pill, capsule, tablet, powder, or liquid. A supplement can provide nutrients either extracted from food sources or that are synthetic in order ...
capsules to promote sleep, but there is insufficient clinical evidence that it is effective for this purpose. Its roots and leaves cause a catnip-like response in cats.


History

Valerian has been used as a herb in
traditional medicine Traditional medicine (also known as indigenous medicine or folk medicine) comprises medical aspects of traditional knowledge that developed over generations within the folk beliefs of various societies, including indigenous peoples, before the ...
since at least the time of ancient Greece and Rome.
Hippocrates Hippocrates of Kos (; grc-gre, Ἱπποκράτης ὁ Κῷος, Hippokrátēs ho Kôios; ), also known as Hippocrates II, was a Greek physician of the classical period who is considered one of the most outstanding figures in the history o ...
described its properties, and
Galen Aelius Galenus or Claudius Galenus ( el, Κλαύδιος Γαληνός; September 129 – c. AD 216), often Anglicized as Galen () or Galen of Pergamon, was a Greek physician, surgeon and philosopher in the Roman Empire. Considered to be o ...
later prescribed it as a remedy for insomnia. In medieval Sweden, it was sometimes placed in the wedding clothes of the groom to ward off the "envy" of the elves. In the 16th century, Pilgram Marpeck prescribed valerian tea for a sick woman. John Gerard's ''
Herball, or Generall Historie of Plantes John Gerard (also John Gerarde, c. 1545–1612) was an English herbalist with a large garden in Holborn, now part of London. His 1,484-page illustrated ''Herball, or Generall Historie of Plantes'', first published in 1597, became a popular gard ...
'', first published in 1597, states that his contemporaries found valerian "excellent for those burdened and for such as be troubled with croup and other like convulsions, and also for those that are bruised with falls." He says that the dried root was valued as a medicine by the poor in the north of England and the south of Scotland, such that "no brothes, pottages or phisicalle meates are woorth orthanything if Setwall alerianwere not at one end." The
17th century The 17th century lasted from January 1, 1601 ( MDCI), to December 31, 1700 ( MDCC). It falls into the early modern period of Europe and in that continent (whose impact on the world was increasing) was characterized by the Baroque cultural movemen ...
astrological botanist
Nicholas Culpeper Nicholas Culpeper (18 October 1616 – 10 January 1654) was an English botanist, herbalist, physician and astrologer.Patrick Curry: "Culpeper, Nicholas (1616–1654)", ''Oxford Dictionary of National Biography'' (Oxford, UK: OUP, 2004) His book ...
thought the plant was "under the influence of Mercury, and therefore hath a warming faculty." He recommended both herb and root, and said that "the root boiled with liquorice, raisons and aniseed is good for those troubled with cough. Also, it is of special value against the plague, the decoction thereof being drunk and the root smelled. The green herb being bruised and applied to the head taketh away pain and pricking thereof."


Etymology and common names

The name of the herb is derived from the personal name '' Valeria'' and the Latin verb ''valere'' (to be strong, healthy). Other names used for this plant include garden valerian (to distinguish it from other ''Valeriana'' species), garden heliotrope (although not related to '' Heliotropium''), setwall and all-heal (which is also used for plants in the genus '' Stachys''). Red valerian, often grown in gardens, is also sometimes referred to as "valerian", but is a different species (''Centranthus ruber''), from the same family but not very closely related. It is also called cat's love for its catnip-like effects.


Valerian extract


Phytochemicals

Known compounds detected in valerian include: *
Alkaloid Alkaloids are a class of basic, naturally occurring organic compounds that contain at least one nitrogen atom. This group also includes some related compounds with neutral and even weakly acidic properties. Some synthetic compounds of simila ...
s: actinidine,Fereidoon Shahidi and Marian Naczk, ''Phenolics in food and nutraceuticals'' (Boca Raton, Florida, USA: CRC Press, 2004)
pp. 313–314
.
chatinine, shyanthine, valerianine, and valerine * Isovaleramide may be created in the extraction process. * Gamma-aminobutyric acid (GABA) * Isovaleric acid *
Iridoid Iridoids are a type of monoterpenoids in the general form of cyclopentanopyran, found in a wide variety of plants and some animals. They are biosynthetically derived from 8-oxogeranial. Iridoids are typically found in plants as glycosides, mo ...
s, including valepotriates: isovaltrate and valtrate *
Sesquiterpene Sesquiterpenes are a class of terpenes that consist of three isoprene units and often have the molecular formula C15H24. Like monoterpenes, sesquiterpenes may be cyclic or contain rings, including many unique combinations. Biochemical modific ...
s (contained in the volatile oil): valerenic acid, hydroxyvalerenic acid and acetoxyvalerenic acid *
Flavanone The flavanones, a type of flavonoids, are various aromatic, colorless ketones derived from flavone that often occur in plants as glycosides. List of flavanones * Blumeatin * Butin * Eriodictyol * Hesperetin * Hesperidin * Homoeriodictyol * ...
s:
hesperidin Hesperidin is a flavanone glycoside found in citrus fruits. Its aglycone form is called hesperetin. Its name is derived from the word " hesperidium", for fruit produced by citrus trees. Hesperidin was first isolated in 1828 by French chemist ...
, 6-methyl apigenin, and linarin


Potential mechanism

Because of valerian's historical use in traditional medicine for diverse purposes, such as for sedation or pain relief, laboratory research has been directed at the GABAA receptor, a class of receptors on which
benzodiazepine Benzodiazepines (BZD, BDZ, BZs), sometimes called "benzos", are a class of depressant drugs whose core chemical structure is the fusion of a benzene ring and a diazepine ring. They are prescribed to treat conditions such as anxiety disorders, ...
s act. Valeric acid, which is responsible for the typical odor of mostly older valerian roots, does not have any sedative properties. Valproic acid, a widely prescribed
anticonvulsant Anticonvulsants (also known as antiepileptic drugs or recently as antiseizure drugs) are a diverse group of pharmacological agents used in the treatment of epileptic seizures. Anticonvulsants are also increasingly being used in the treatment of ...
, is a derivative of valeric acid. Valerian also contains isovaltrate, which has been shown to be an
inverse agonist In pharmacology, an inverse agonist is a drug that binds to the same receptor as an agonist but induces a pharmacological response opposite to that of the agonist. A neutral antagonist has no activity in the absence of an agonist or inverse ago ...
for adenosine A1 receptor sites.
Hydrophilic A hydrophile is a molecule or other molecular entity that is attracted to water molecules and tends to be dissolved by water.Liddell, H.G. & Scott, R. (1940). ''A Greek-English Lexicon'' Oxford: Clarendon Press. In contrast, hydrophobes are n ...
extractions of the herb commonly sold over the counter, however, probably do not contain significant amounts of isovaltrate. Valerenic acid in valerian stimulates GABA(A) and
serotonin Serotonin () or 5-hydroxytryptamine (5-HT) is a monoamine neurotransmitter. Its biological function is complex and multifaceted, modulating mood, cognition, reward, learning, memory, and numerous physiological processes such as vomiting and va ...
receptors as a positive allosteric modulator and
partial agonist In pharmacology, partial agonists are drugs that bind to and activate a given receptor, but have only partial efficacy at the receptor relative to a full agonist. They may also be considered ligands which display both agonistic and antagonis ...
, respectively. This includes the 5-HT5A which is implicated in the sleep-wake cycle.


Preparation

The chief constituent of valerian is a yellowish-green to brownish-yellow oil present in the dried root, varying in content from 0.5 to 2.0%. This variation in quantity may be determined by location; a dry, stony soil yields a root richer in oil than moist, fertile soil.


Traditional medicine

Although valerian is a common
traditional medicine Traditional medicine (also known as indigenous medicine or folk medicine) comprises medical aspects of traditional knowledge that developed over generations within the folk beliefs of various societies, including indigenous peoples, before the ...
used for treating
insomnia Insomnia, also known as sleeplessness, is a sleep disorder in which people have trouble sleeping. They may have difficulty falling asleep, or staying asleep as long as desired. Insomnia is typically followed by daytime sleepiness, low energy, ...
, there is no good evidence it is effective for this purpose. Valerian has not been shown to be helpful in treating restless leg syndrome or anxiety. The
European Medicines Agency The European Medicines Agency (EMA) is an agency of the European Union (EU) in charge of the evaluation and supervision of medicinal products. Prior to 2004, it was known as the European Agency for the Evaluation of Medicinal Products or Eur ...
(EMA) approved the
health claim A health claim on a food label and in food marketing is a claim by a manufacturer of food products that their food will reduce the risk of developing a disease or condition. For example, it is claimed by the manufacturers of oat cereals that oa ...
that valerian can be used as a traditional herb to relieve mild nervous tension and to aid sleep; the EMA stated that although there is insufficient evidence from clinical studies, its effectiveness as a dried
extract An extract is a substance made by extracting a part of a raw material, often by using a solvent such as ethanol, oil or water. Extracts may be sold as tinctures, absolutes or in powder form. The aromatic principles of many spices, nuts ...
is considered plausible. The
American Academy of Sleep Medicine The American Academy of Sleep Medicine (AASM) is a United States professional society for the medical subspecialty of sleep medicine which includes disorders of circadian rhythms. It was established in 1975. The organization's functions include ...
's 2017 clinical practice guidelines recommended against the use of valerian in the treatment of insomnia due to poor effectiveness and low quality of evidence.


Oral forms

Oral forms are available in both standardized and unstandardized forms. Standardized products may be preferable considering the wide variation of the chemicals in the dried root, as noted above. When standardized, it is done so as a percentage of valerenic acid or valeric acid. In commonly used doses, valerian is recognized as GRAS in the United States.


Adverse effects

Because the compounds in valerian produce central nervous system depression, they should not be used with other depressants, such as
ethanol Ethanol (abbr. EtOH; also called ethyl alcohol, grain alcohol, drinking alcohol, or simply alcohol) is an organic compound. It is an alcohol with the chemical formula . Its formula can be also written as or (an ethyl group linked to a ...
(drinking alcohol),
benzodiazepine Benzodiazepines (BZD, BDZ, BZs), sometimes called "benzos", are a class of depressant drugs whose core chemical structure is the fusion of a benzene ring and a diazepine ring. They are prescribed to treat conditions such as anxiety disorders, ...
s,
barbiturate Barbiturates are a class of depressant drugs that are chemically derived from barbituric acid. They are effective when used medically as anxiolytics, hypnotics, and anticonvulsants, but have physical and psychological addiction potential a ...
s,
opiate An opiate, in classical pharmacology, is a substance derived from opium. In more modern usage, the term '' opioid'' is used to designate all substances, both natural and synthetic, that bind to opioid receptors in the brain (including antagoni ...
s,
kava Kava or kava kava ('' Piper methysticum'': Latin 'pepper' and Latinized Greek 'intoxicating') is a crop of the Pacific Islands. The name ''kava'' is from Tongan and Marquesan, meaning 'bitter'; other names for kava include ''ʻawa'' ( Hawai� ...
, or antihistamine drugs. As an unregulated product, the concentration, contents, and potential contaminants in valerian preparations cannot be easily determined. Because of this uncertainty and the potential for toxicity in the
fetus A fetus or foetus (; plural fetuses, feti, foetuses, or foeti) is the unborn offspring that develops from an animal embryo. Following embryonic development the fetal stage of development takes place. In human prenatal development, fetal dev ...
and hepatotoxicity in the mother, valerian use is discouraged during pregnancy. Headache and
diarrhea Diarrhea, also spelled diarrhoea, is the condition of having at least three loose, liquid, or watery bowel movements each day. It often lasts for a few days and can result in dehydration due to fluid loss. Signs of dehydration often begin w ...
have occurred among subjects using valerian in clinical studies.


Effect on cats

Valerian root is a cat attractant in a way similar to catnip. Its roots and leaves are one of three alternatives for the one-third of domesticated or medium-sized cats who do not feel the effects of catnip.


Floral asymmetry

Valerian is unusual in having flowers with "handedness", that is, having neither radial nor bilateral symmetry.


Weed

Valerian is considered an invasive species in many jurisdictions outside its natural range, including the US state of
Connecticut Connecticut () is the southernmost state in the New England region of the Northeastern United States. It is bordered by Rhode Island to the east, Massachusetts to the north, New York (state), New York to the west, and Long Island Sound to the ...
where it is officially banned, and in
New Brunswick, Canada New Brunswick (french: Nouveau-Brunswick, , locally ) is one of the thirteen provinces and territories of Canada. It is one of the three Maritime provinces and one of the four Atlantic provinces. It is the only province with both English and ...
, where it is listed as a plant of concern.


Image gallery

File:Valeriana officinalis0.jpg, ''V. officinalis'' leaves File:Valeriana officinalis1.jpg, ''V. officinalis'' flowers File:Valeriana officinalis - Köhler–s Medizinal-Pflanzen-143.jpg, 19th-century illustration of ''Valeriana officinalis'' File:156 Valeriana officinalis L.jpg, Illustration of ''V. officinalis'' from ''Atlas des plantes de France'', 1891. File:Valeriana officinalis 001.JPG, ''V. officinalis'' File:Valeriana officinalis.jpg, ''V. officinalis'' foliage


See also

* Orvietan * Spikenard * Corvalol


Notes


References


External links


Valerian
National Center for Complementary and Integrative Health, US National Institutes of Health, October 2020 {{Taxonbar, from=Q157819 Valeriana Cat attractants CYP3A4 inhibitors Medicinal plants Anxiolytics Flora of Asia Flora of Europe Flora of Azerbaijan Flora of Armenia Flora of China Flora of Denmark Flora of Estonia Flora of Finland Flora of Georgia (country) Flora of Germany Flora of Great Britain Flora of Greece Flora of Ireland Flora of Italy Flora of Japan Flora of Latvia Flora of Lithuania Flora of Norway Flora of Portugal Flora of Romania Flora of Russia Flora of Spain Flora of Iran Flora of Turkey Plants described in 1753 Taxa named by Carl Linnaeus GABAA receptor positive allosteric modulators