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 supplementation increases serotonin precursor availability during MAO-B inhibitor therapy.
Mechanism. Tryptophan conversion to serotonin can add to serotonergic toxicity risk if monoamine breakdown is impaired.
Recommendation. Avoid L-Tryptophan supplements with rasagiline.
Stack Score
How it moves the number.
Effect on the composite score
If both L-Tryptophan and Rasagiline 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