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

Supplement × Prescription·Evidence index

Clomipramine and L-Tryptophan: what the published research says

PubMed indexes 8 records that name Clomipramine and L-Tryptophan 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 Clomipramine and L-Tryptophan. 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

8 studies naming Clomipramine and L-Tryptophan.

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

Clomipramine, tryptophan and lithium in combination for resistant endogenous depression: seven case studies.

The British journal of psychiatry : the journal of mental science · 1987 · PMID 3690111

Case ReportsHuman subjects

“Seven patients suffering from severe endogenous depression who had proven resistant to lengthy trials of treatment with tricyclic and other antidepressants are described. Their successful treatment with a combination of clomipramine, L-tryptophan and lithium is discussed in the context of other strategies for the treatment of resistant depression.”

Hale et al. · From the abstract

Names both Clomipramine and L-Tryptophan in its title.

Lithium and tryptophan augmentation in clomipramine-resistant obsessive-compulsive disorder.

The American journal of psychiatry · 1984 · PMID 6435460

Case ReportsClinical Trial

“Obsessive-compulsive patients with symptoms resistant to clomipramine were treated by lithium or L-tryptophan augmentation. The improvement noted supports the hypothesis that increasing serotonergic neurotransmission ameliorates obsessive symptoms.”

Rasmussen · From the abstract

Names both Clomipramine and L-Tryptophan in its title.

Does tryptophan potentiate clomipramine in the treatment of agoraphobic and social phobic patients?

The British journal of psychiatry : the journal of mental science · 1982 · PMID 7049293

Clinical Trial

“Tryptophan did not potentiate the beneficial effect of clomipramine on phobic avoidance, phobic fears or the incidence of panic attacks. Neither was the presence of depression a factor of outcome.”

Pecknold et al. · From the abstract

Names both Clomipramine and L-Tryptophan in its title.

Relevance of tryptophan and tyrosine availability in endogenous and 'non-endogenous' depressives treated with imipramine or clomipramine.

Journal of affective disorders · 1981 · PMID 6456290

Comparative StudyHuman subjects

“The results suggest that determination of the pre-treatment tryptophan and tyrosine availability may be superior to diagnostic classification in predicting response to imipramine. The possible mode of action of tricyclic antidepressants is briefly discussed.”

Møller et al. · From the abstract

Names both Clomipramine and L-Tryptophan in its title.

Comparison of the effects of maprotiline (ludiomil) and clomipramine (anafranil) on serotonin uptake and tryptophan-binding in plasma.

Biological psychiatry · 1976 · PMID 1260079

Comparative StudyHuman subjects

“Clomipramine also had no influence on plasma tryptophan-binding but strongly inhibited serotonin uptake into platelets. These results confirm the earlier observation that maprotiline has no influence on serotonin uptake and can be clearly distinguished from clomipramine.”

Greengrass et al. · From the abstract

Names both Clomipramine and L-Tryptophan in its title.

Potentiation of the antidepressant action of clomipramine by tryptophan.

Archives of general psychiatry · 1976 · PMID 985049

Clinical TrialRandomized Controlled Trial24 participants

“The levels of 5-hydroxyindoleacetic acid in the cerebrospinal fluid appeared to be reduced by clomipramine administration. This effect was prevented by the additional treatment with tryptophan.”

Walinder et al. · From the abstract

Names both Clomipramine and L-Tryptophan in its title.

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 Clomipramine, L-Tryptophan, 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.