L-Tryptophan and SSRIs/SNRIs/MAOIs, contraindicated.
L-Tryptophan is a serotonin precursor and can combine dangerously with serotonergic antidepressants or MAO inhibitors, increasing serotonin syndrome risk.
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At a glance
- Substances
- L-Tryptophan and SSRIs/SNRIs/MAOIs
- Pair type
- Contraindicated
- Evidence (highest tier)
- Strong
- Source citations
- 1 source
- Stack Score effect
- −25 to your Stack Score (per scored contraindication row).
- Scope
- Supplement × Supplement
- Last verified
- May 30, 2026
Contraindicated · Strong evidence
Contraindicated
What is happening. L-Tryptophan is a serotonin precursor and can combine dangerously with serotonergic antidepressants or MAO inhibitors, increasing serotonin syndrome risk.
Mechanism. L-Tryptophan is converted to 5-HTP and then serotonin. SSRIs/SNRIs reduce serotonin reuptake and MAOIs reduce monoamine breakdown, creating additive serotonergic excess.
Recommendation. Do NOT combine L-tryptophan with SSRIs, SNRIs, MAOIs, or other serotonergic medications unless specifically directed by the prescriber managing the medication.
Sources (1)
Stack Score
How this pair moves the number.
Effect on the composite score
If both L-Tryptophan and SSRIs/SNRIs/MAOIs 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 documented at /methodology/stack-score.
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