Supplement × Prescription·contraindicated·Moderate evidence

L-Tryptophan + Vilazodone

Contraindicated Moderate evidence

L-Tryptophan supplements can increase serotonin synthesis and add to vilazodone's serotonergic effect.

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Substances
Pair type
Contraindicated
Evidence
Moderate
Source citations
1
Scope
Supplement × Prescription
Last verified
June 4, 2026
ContraindicatedModerate evidence

What is happening. L-Tryptophan supplements can increase serotonin synthesis and add to vilazodone's serotonergic effect.

Mechanism. Tryptophan is converted through 5-HTP to serotonin, raising serotonergic burden.

Recommendation. Avoid supplemental L-Tryptophan while taking vilazodone.

Stack Score

How it moves the number.

Effect on the composite score

If both L-Tryptophan and Vilazodone 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.

Sources

Sources, 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

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