Supplement × Prescription·a caution·Emerging evidence

5-HTP + Isoniazid

Caution Emerging evidence

Isoniazid has weak monoamine oxidase inhibiting activity; 5-HTP could theoretically increase serotonergic adverse-effect risk, although the evidence is much weaker than for linezolid or antidepressant MAOIs.

From the database

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Substances
Pair type
Caution
Evidence
Emerging
Source citations
1
Scope
Supplement × Prescription
Last verified
June 4, 2026
CautionEmerging evidence

What is happening. Isoniazid has weak monoamine oxidase inhibiting activity; 5-HTP could theoretically increase serotonergic adverse-effect risk, although the evidence is much weaker than for linezolid or antidepressant MAOIs.

Mechanism. 5-HTP increases serotonin precursor availability, while isoniazid has weak MAO-inhibiting activity and documented tyramine or histamine food interactions.

Recommendation. Avoid nonessential 5-HTP during isoniazid therapy, especially with antidepressants or other serotonergic drugs; counsel on serotonin-toxicity symptoms if use is clinician-approved.

Stack Score

How it moves the number.

Effect on the composite score

If both 5-HTP and Isoniazid are in the same stack, this pair applies −5 to your Stack Score (per scored caution row).

The full algorithm, the clamping rules, and four worked stacks are at /methodology/stack-score.

Sources

Sources, by evidence tier.

Every claim on this page is cited. PMIDs link straight to PubMed.

Reference material

1
  • 1DailyMed. Isoniazid US prescribing information. 2026.Needs sourceNo link

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