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
CautionEmerging evidence
What is happening. L-Tryptophan, a serotonin precursor, has sedative and sleep-promoting effects that can add to the somnolence caused by clonidine. The combination may produce greater than expected drowsiness and impaired alertness.
Mechanism. Additive CNS depression. L-Tryptophan increases central serotonin synthesis, promoting sedation that compounds clonidine's centrally mediated sedative effect.
Recommendation. Use cautiously together. Monitor for excessive sedation and impaired psychomotor performance; advise against driving until effects are known. Prefer bedtime dosing of L-tryptophan and avoid combining with other sedating agents.
Stack Score
How it moves the number.
Effect on the composite score
If both Clonidine and L-Tryptophan 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.
SourcesSources, by evidence tier.
Every claim on this page is cited. PMIDs link straight to PubMed.
Reference material
2- 1Hartmann E. Effects of L-tryptophan on sleepiness and on sleep. J Psychiatr Res. 1982.Needs sourceNo link
- 2Silber BY, Schmitt JA. Effects of tryptophan loading on human cognition, mood, and sleep. Neurosci Biobehav Rev. 2010.Needs sourceNo link