From the databaseWhat the row says.
Every entry follows the same shape: what is happening, the mechanism, and the recommendation.
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.
SourcesSources, 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