What is happening. 5-HTP increases serotonin synthesis and can precipitate serotonin syndrome with clomipramine.
Mechanism. Serotonin precursor loading adds to strong serotonin reuptake inhibition.
Recommendation. Avoid 5-HTP with clomipramine.
Supplement × Prescription·contraindicated·Moderate evidence
5-HTP increases serotonin synthesis and can precipitate serotonin syndrome with clomipramine.
Every entry follows the same shape: what is happening, the mechanism, and the recommendation.
What is happening. 5-HTP increases serotonin synthesis and can precipitate serotonin syndrome with clomipramine.
Mechanism. Serotonin precursor loading adds to strong serotonin reuptake inhibition.
Recommendation. Avoid 5-HTP with clomipramine.
Effect on the composite score
If both 5-HTP and Clomipramine are in the same stack, this pair applies −25 to your Stack Score (per scored contraindication row).
The full algorithm, the clamping rules, and four worked stacks are at /methodology/stack-score.
Every claim on this page is cited. PMIDs link straight to PubMed.
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