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. Supplemental L-Tryptophan can increase serotonin synthesis and raise serotonin-toxicity risk with vortioxetine.
Mechanism. Tryptophan is converted to 5-HTP and then serotonin, adding to vortioxetine-related serotonergic tone.
Recommendation. Avoid concentrated L-Tryptophan supplements during vortioxetine therapy; normal dietary protein is not the concern.
Stack Score
How it moves the number.
Effect on the composite score
If both L-Tryptophan and Vortioxetine 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- 1Takeda Pharmaceuticals America Inc. TRINTELLIX US Prescribing Information. 2026.Needs sourceNo link