Supplement × Prescription·contraindicated·Moderate evidence

5-HTP + Levomilnacipran

Contraindicated Moderate evidence

5-HTP can raise serotonin synthesis and add to levomilnacipran's serotonergic activity.

From the database

What the row says.

Every entry follows the same shape: what is happening, the mechanism, and the recommendation.

Substances
Pair type
Contraindicated
Evidence
Moderate
Source citations
1
Scope
Supplement × Prescription
Last verified
June 4, 2026
ContraindicatedModerate evidence

What is happening. 5-HTP can raise serotonin synthesis and add to levomilnacipran's serotonergic activity.

Mechanism. 5-HTP bypasses the rate-limiting step in serotonin synthesis while levomilnacipran inhibits serotonin reuptake.

Recommendation. Avoid 5-HTP while taking levomilnacipran.

Stack Score

How it moves the number.

Effect on the composite score

If both 5-HTP and Levomilnacipran 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.

Sources

Sources, by evidence tier.

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

Reference material

1
  • 1Allergan USA Inc. FETZIMA US Prescribing Information. 2024.Needs sourceNo link

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