early 14c., "great, superior, supreme," from Old French soverain "highest, supreme, chief," from Vulgar Latin *superanus "chief, principal" (source also of Spanish soberano, Italian soprano), from Latin super "over" (from PIE root *uper "over"). Spelling influenced by folk-etymology association with reign. Milton spelled it sovran, as though from Italian sovrano. Of remedies or medicines, "potent in a high degree," from late 14c.