NSTK · 01.2026Independent supplement reference
NutriStack
Edition 1.0Updated August 1, 2026

Supplement × Prescription·Evidence index

5-HTP and Citalopram: what the published research says

PubMed indexes 6 records that name 5-HTP and Citalopram together, either in the title or in an interaction, co-administration, or pharmacokinetic context. Each one is listed below with its study design and, where the abstract states one, the authors’ own conclusion, quoted and linked. This page reports that literature. It does not tell you whether to combine them.

Read this first

An evidence index, not guidance.

Every statement below is attributed to a named, dated, linked source.

This page lists published research relevant to 5-HTP and Citalopram. It deliberately does not state whether the combination is safe, whether it interacts, in which direction, at what dose, or how far apart to take them.

The research

6 studies naming 5-HTP and Citalopram.

Strongest relevance first: papers naming both substances in the title, then human trials and systematic reviews.

R-citalopram inhibits functional and 5-HTP-evoked behavioural responses to the SSRI, escitalopram.

Pharmacology, biochemistry, and behavior · 2004 · PMID 14751469

Animal study

“In conclusion, R-citalopram inhibited the escitalopram-induced increase of 5-HT activity in functional, as well as behavioural, animal models. The mechanism involved in this interaction is currently unknown, but may be related to an improved clinical effect seen with escitalopram in comparison with citalopram.”

Sánchez et al. · From the abstract

Names both 5-HTP and Citalopram in its title.

The effect of increased serotonergic neurotransmission on aggression: a critical meta-analytical review of preclinical studies.

Psychopharmacology · 2009 · PMID 19404614

Comparative StudyMeta-AnalysisResearch Support, N.I.H., ExtramuralReview

“Although 5-HT has an overall inhibitory effect on aggression, the animal's genetic background, drug, treatment time, aggression inducing paradigm, and aggression type are critical variables that influence and modify this effect.”

Carrillo et al. · Authors' conclusion

Names 5-HTP and Citalopram together in an interaction, co-administration, or pharmacokinetic context.

Insensitivity of NMRI mice to selective serotonin reuptake inhibitors in the tail suspension test can be reversed by co-treatment with 5-hydroxytryptophan.

Psychopharmacology · 2008 · PMID 18496675

Comparative StudyAnimal study

“Low 5-HT function in NMRI mice may account for their insensitivity to SSRIs in the tail suspension test. As the tail suspension test is a predictor of clinical efficacy, the current data suggest that 5-HTP adjunct treatment may benefit SSRI treatment refractory patients.”

Jacobsen et al. · Authors' conclusion

Names 5-HTP and Citalopram together in an interaction, co-administration, or pharmacokinetic context.

R-citalopram functionally antagonises escitalopram in vivo and in vitro: evidence for kinetic interaction at the serotonin transporter.

British journal of pharmacology · 2004 · PMID 15037515

Comparative StudyAnimal study

“6. We propose that the kinetic interaction of R- and S-citalopram with SERT is a critical factor contributing to the antagonistic effects of R-citalopram on S-citalopram in vitro and in vivo.”

Stórustovu et al. · From the abstract

Names 5-HTP and Citalopram together in an interaction, co-administration, or pharmacokinetic context.

Limitations

What this evidence cannot tell you.

Search-based evidence indexes have real limits, and it is worth being explicit about them:

NutriStack

Track what you actually take.

NutriStack is a free iPhone app for organising a supplement routine: what you take, when, and what the published record says about it. Its exploratory interaction checker covers 5-HTP, Citalopram, and several hundred other substances.

The checker is a research and organisation tool, not a clinical decision aid, and its per-pair assessments are excluded from search until they pass claim-level review.

NutriStack is an informational and organizational tool, not a medical service, and not a substitute for professional advice. Always consult a qualified healthcare professional before starting, stopping, or changing any supplement or medication.