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. L-Tryptophan can increase serotonergic tone and is unsafe with Linezolid's monoamine oxidase inhibitory activity.
Mechanism. Serotonin precursor loading or serotonergic herbal activity can add to impaired monoamine breakdown and increase serotonin syndrome risk.
Recommendation. Avoid L-Tryptophan while taking Linezolid.
Stack Score
How it moves the number.
Effect on the composite score
If both L-Tryptophan and Linezolid 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- 1Boyer EW, Shannon M. The serotonin syndrome. N Engl J Med. 2005.Needs sourceNo link