5HTP depression - Benefit of 5HTP and side effects - 5-HTP dosage for anxiety - 5-HTP supplement 50 mg Information and risk for 5 HTP 100 mg dosage

What is 5-HTP?
5 HTP, 5HTP. or 5-HTP, is a supplement that converts in the brain into serotonin. Serotonin is an important neurotransmitter involved in depression, behavior, appetite, impulse control, and sleep. Scientists have examined the role of 5HTP in anxiety, panic attacks, headache, and other conditions. 5HTP side effects are discussed below.

Q. What's the difference between 5HTP, 5 HTP and L 5 HTP supplements?
   A. All these terms, 5HTP, L 5HTP, 5 HTP and L 5 HTP are abbreviations of the same supplement, just different spellings. 5HTP stands for 5-Hydroxytryptophan. Tryptophan is an amino acid that converts into 5-hydroxytryptophan which then converts into serotonin.

High Quality products formulated by a medical doctor
Consider highly popular all natural products formulated by a world famous medical doctor, Ray Sahelian, M.D. These top quality products include Mind Power Rx with Acetyl-l-Carnitine for better mental focus, concentration, and mood; Diet Rx with 5HTP which helps you eat less. It really does curb appetite; Good Night Rx with 5-HTP and melatonin for better sleep; Eyesight Rx for better vision, often within days; MultiVit Rx a daily comprehensive multivitamin for more energy and vitality; Joint Power Rx for healthy joints; Prostate Power Rx for a healthy prostate gland; and Passion Rx for sexual enhancement, better libido, and improved performance and stamina in men and women.

5-HTP supplement 50 mg - Doses higher than 50 mg can cause 5 HTP side effects
Formulated by Dr. Ray Sahelian, M.D., author of 5-HTP, Nature's Serotonin Solution

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Benefits of Diet Rx with low dose 5 HTP supplement
All natural appetite suppressant, decreases appetite so you eat less
Helps you maintain healthy blood sugar levels
Helps you maintain healthy cholesterol and lipid levels
Provides a variety of antioxidant from two dozen herbs and nutrients
Provides healthy fiber
Improves natural energy so you get motivated to take walks and burn more calories
Balances mood so you don't have the urge to eat to satisfy a need for a mood lift
Improves mental concentration and focus
Improves will power and choice of food selection

5HTP converts into serotonin - 5HTP crosses the blood brain barrier
5HTP is a natural supplement that converts in the brain into serotonin. Serotonin is known as 5-HT, or 5-hydroxytryptamine. It is found in many places in the body particularly the brain, gastrointestinal system, and blood cells.

Q. I recently discovered your website and wondered if you can clarify the claims made in an article in "Oprah" magazine. An Australian study found that 5HTP is converted into serotonin in the stomach where it remains, causing stomach upsets and nausea. It further claims that the serotonin never makes it the brain, and is therefore, useless as a mood enhancer, antidepressant, etc. Does 5htp ever make it to the brain?
   A. Yes a 5htp supplement quickly goes into brain tissue and converts into serotonin. People often feel the effects of 5htp within an hour or sooner. We noticed the effects of 5 htp - drowsiness, sleepiness, relaxation - within 10 minutes the very first time we took a 50 mg capsule. Some researchers make the mistake of not taking a supplement themselves. A great deal can be learned by self experimentation, sometimes much more than doing in vitro studies or studies with rodents.

Other products with 5-HTP supplement to consider
Diet Rx has 25 herbs and nutrients, including 5-HTP, and is very helpful in appetite control. For better sleep, consider Good Night Rx which has a small amount of 5-HTP. Mind Power Rx is a formula that helps improve mood and provides mental clarity. St. John's wort and SAM-e are natural supplements used for depression.

Benefit of 5 HTP supplement use
5HTP supplements may be of benefit in anxiety, depression, headache, sleep problems, and weight loss. We discuss each of these conditions and a few more.

Benefit of 5HTP for ADHD
We have not seen any good 5HTP studies in regards to ADHD treatment in children or adults.

Benefit of 5HTP for anxiety
Most people who take a 5HTP supplement notice a reduction in anxiety symptoms. Others respond better to herbs such as passionflower, kava, or the amino acid theanine. 5HTP works well for anxiety symptoms.

Q. I would like to use 5 HTP for anxiety symptoms but I also do not want to depend on daily use of 5HTP supplements. Are there other herbs or supplements for anxiety that I could substitute on the days I am not taking a 5HTP supplement for anxiety?
   A. Herbs that can be helpful for anxiety include passion flower, kava, ashwagandha, and valerian. 5-HTP woks well for anxiety but it is a good idea to alternate different herbs and supplements so as not to be dependent one particular one or build a tolerance to any particular herb or nutrient.

Q. I've been on Lexapro escitalopram 10 mg for 5 months and then quit, because i felt better and worked for me. Now (3 months later) i have a lot of anxiety, fear of people and i feel depressed. I 've tried 5-htp 50 mg 2 times each day or 100mg single time and i didn't find any real improvement, the anxiety has raised and can't sleep at night. The 5-htp 100mg comes with magnesium and B6 vitamin. Now i am unsatisfied with 5-htp. May be 5-htp doesn't work for me ? Can i try other combination in order to avoid returning to Lexapro escitalopram (with some sexual undesirable side effects) ?
   A. We are not sure if the particular product of 6-HTP may be the problem or that your anxiety does not respond to 5HTP supplements. There are a number of supplements that are used for anxiety including passionflower, ashwagandha, kava (used only 3 days a week), valerian, and theanine. Sometimes it is difficult to predict which supplement a person will respond to until the person takes it for a few days.

Q. I would like to take 5HTP for anxiety but don't know what time of day to take the supplement.
   A. It depends on several factors including whether you have a desk job or have a physically active job, what time of day your anxiety occurs, and whether you have other medical conditions or taking other supplements or medications. As a general rule, you can try half of a 5HTP 50 mg capsule twice a day morning and midday and then base further dosage increases or frequency depending on how you feel. 5HTP works well for anxiety in some people, but not everyone.

 

Q. Can 5HTP for anxiety be combined with Xanax or other benzodiazepines?
   A. It is difficult to predict the interactions of medications and supplements, much depends on the person who is taking them and the dosage of the medications and the dosage of the supplements and the time of day they are taken. No simple answers can be given.

5HTP for bipolar disease
5 HTP has not been studied thoroughly as a treatment for bipolar disease so we don't know if it will work. Since some SSRI drugs work as a treatment for bipolar disease, it may be worth to give a 5 HTP supplement a try.

Benefit of 5HTP for depression
Some people who take 5HTP notice better mood. Many people with mild or moderate depression have noticed improved symptoms while taking a 5-HTP supplement.  5HTP may be helpful in conditions that normally require prescription antidepressants. Mild depression could respond to 50 mg of 6 HTP taken daily. 5 HTP 100 mg dosage may be required for more moderate cases of depression although the risk for side effects increases with the 100 mg 5 HTP dosage.

5-HTP in combination with natural antidepressants
Some physicians are using a combination of two or more natural antidepressants such as 5HTP, St. John's wort, SAM-e, fish oils, and others. However the interactions are not fully known and caution is advised. Any such combination should be done under medical supervision and the dosages should be low.

5 HTP and St John's wort herb
We are often asked if 5-HTP can be taken together with St. John's wort. Many people can take them both if the St. John's wort dosage is kept at 300 mg of the 0.3 mg extract and the 5 HTP dosage is kept to 50 mg or less. One option is the take the St. John'w wort in the morning and the 5HTP in late afternoon or evening. We don't suggest taking a 100 mg 5 HTP supplement along with 3 capsules of St. John's wort a day.

5HTP versus tryptophan amino acid
Q. Which is better for depression treatment, 5HTP or tryptophan?
   A. In our experience, we have found 5 HTP to be more effective, but many people who prefer tryptophan swear by it. Therefore, you can try each supplement separately to see which one works for you better.

5HTP and tyrosine
Tyrosine is an amino acid that helps elevate mood. If you plan to use tyrosine and 5 HTP together, we suggest the maximum dose of tyrosine not to exceed 250 mg, and the maximum dose of 5HTP not to exceed 50 mg.

Benefit of 5-HTP for headache
5HTP may benefit some individuals with migraine headaches.

Q. What is the right 5 HTP dose for preventing migraine headaches?
   A. More research is needed with 5 HTP for us to know the right dose. For the time being, it seems reasonable that 50 mg of 5 HTP a day should be a good start.

5-HTP and fibromyalgia
5-HTP may help some patients with fibromyalgia symptoms.

5HTP and IBS - irritable bowel syndrome
We don't have enough experience with this supplement to know whether 5HTP is effective as an IBS treatment.

5-HTP and panic attacks
5HTP may reduce the severity of a panic attack which may indicate that panic attacks may partly be due to low serotonin levels.
   A panic attack involves the sudden appearance of several symptoms including shortness of breath, sweating or shaking, palpitations, and the fear of dying or losing control. Women are more likely than men to have this condition. Doctors often prescribe anti-anxiety medicines such as Xanax or Valium. However, 5HTP may play an important role.  Researchers at the Department of Neuropsychology at Maastricht University in The Netherlands were able to induce a panic attack in volunteers who suffer from panic disorder by having them breathe a high concentration of carbon dioxide. They repeated the study, this time giving half of the volunteers 200-mg of 5HTP while the others received a placebo. Those who took 5HTP had a significantly diminished panic response compared to those on placebo.
   5HTP is available in health food stores in a dosage of 50 mg. The results of this study are quite interesting and indicate that those with panic attacks may not have adequate levels of serotonin. If you suffer from frequent panic attacks, it would be worthwhile to discuss the findings of this 5HTP study with your physician.  

Benefit of 5-HTP for premature ejaculation
5-HTP is normally used to increase serotonin levels and often used to treat depression. 5-HTP is not normally known as a premature ejaculation pill, but it may help with premature ejaculation by increasing levels of serotonin. 5-HTP may not stop premature ejaculation, but at least it may slow the process.

Serotonin and impulse control, addictions, gambling
Serotonin is an important brain chemical involved in mood, behavior, appetite, and sleep. Serotonin is also involved in impulse control. For instance, low serotonin levels may lead to addictive behavior such as gambling or other habits with weak will power. 5-HTP supplementation may help certain individuals with impulse control and addictive behaviors.

Benefit of 5-HTP for sleep
The influence of a 5-HTP supplement on sleep is not consistent. Some users notice better sleep, while others find that this supplement is not helpful for insomnia. You may wish to try different dosages at times of the day or evening to see which dosage and timing works best for sleep. Some individuals who find themselves more alert rather than in a relaxed, sleepy state of mind when supplementing with 5HTP.
   5HTP is not consistently effective when it comes to sleep, although using a lower dose of 10 to 30 mg may be tried one to three hours before bed.

Q. I took a supplement of 5-HTP for sleep but it did not help me with sleep, in fact it made it worse, I had nightmares. The 5-HTP dose was 100 mg.
   A. Sometimes high doses of 5 HTP work less effectively than a lower dose. You may with to buy 5 HTP 50 mg and take half of it two to four hours before sleep.

Benefit of 5-HTP and weight loss
A few studies with 5-HTP indicate that this supplement may be of benefit in appetite control and weight loss. 5HTP could be used temporarily for appetite suppression while other lifestyle and dietary changes are being incorporated regarding a life long plan for keeping weight off. Not everyone notices the appetite suppressing effect from 5HTP. A study in rodents indicates that 5HTP may be useful in controlling the excessive food intake sometimes generated by stress. 5-HTP is found in Diet Rx, a potent appetite suppressant. 5-HTP helps with weight loss in a good number of users, however, at the higher dosages required, 5-HTP side effects could occur such as decrease in libido or sex drive.

Q. Does 5HTP really work for weight loss?
   A. Many people find that 5HTP does work for weight loss. See weight loss 5HTP. However, a more effective product is Diet Rx which has additional weight loss herbs such as green tea and hoodia.

Q. I have noticed reduced appetite after a day or two of taking a 5HTP supplement. Is this common?
   A. Yes, at least half of users notice a decrease in appetite.

Q. What is the right 5 HTP dosage for weight loss?
   A. Each person is different, but a 5 HTP dosage of 50 mg to 100 mg a day works for most people. A more effective weight management product is Diet Rx which has 5 HTP along with other effective nutrients and herbs.

Q. Can 5 HTP for weight loss be combined with Alli?
   A. Probably, but we have not seen studies combining 5 HTP with Alli. Long term studies do not show Alli to have a major influence on weight loss.

5-HTP side effects -  5-HTP danger and 5HTP safety
5-HTP supplements were introduced to the over the counter market in 1994. Our understanding of the clinical uses of 5-HTP, safety issues, and side effects of this natural supplement is still fuzzy. We don't know as much as we should about the safety or full side effects of chronic 5-HTP use. Therefore, until we learn more, the idea is to take a 5-HTP supplement in the minimum effective dosage and to avoid its prolonged continuous use. Those who use 5-HTP for depression or other reasons should take frequent breaks to avoid potential 5-HTP side effects (the frequency and length of breaks varies since each person is unique). During these breaks, other forms of therapy could be substituted. As of 2008, and after more than a decade off 5-HTP being available to the public, we are not aware of any reports in the medical literature of anyone who has encountered life threatening or other serious 5-HTP side effects when used by itself. It's best to be cautious, limit use to 50 mg or at most 100 mg a day, and take breaks.
   Common side effects with 5-HTP include nausea, stomach upset, loose stools or constipation, and headache. Another 5-HTP side effect is vivid dreams which include nightmares. Another common side effect is a decrease in libido which can be reversed when the 5-HTP supplement is stopped. To increase libido quickly, Passion Rx can be quite helpful.

Q. Are there more 5-HTP side effects with a 100 mg dosage than 5-HTP 50 mg dosage?
   A. Yes, much more. Those who take 5-HTP 100 mg are likely to feel nausea and stomach upset, and have more vivid nightmares.

Q. Is 5htp a danger?
   A. High doses of some supplements could pose danger, including 5-htp. For people who limit their 5-htp dosage to 50 mg a few times a week, 5-htp poses little or no danger.

Q. I took 5 HTP for 2 weeks at 50 mg daily, My depression, bad thoughts and general anxiety lifted well. i took my 5-HTP dose at mid day, was eating better, sleeping better, energy in the daytime, i thought i was on my way to recovery then after 16 pills i began to have muscle tremors and faster heart beat at night and 1 or 2 twitches in the day, Is this just a normal response to serotonin being introduced? My doctor has no knowledge about 5 HTP.
   A. As a general rule we suggest people take breaks from most supplements since their effects can accumulate over time. Taking breaks minimizes side effects. A very important concept to keep in mind with certain nutrients and herbs is that they can accumulate in the body or their effects may be additive. For instance, if you take a certain supplement at 50 mg, some of it (or its effect on the body and brain) may still be around the next day. So, if you take another 50 mg the next day, you are now getting dosed a higher amount the second day, and even more on the third day. Sooner or later side effects are likely to occur. Just as with medications, supplement dosages need to be constantly adjusted. It is possible to take advantage of the benefits 5-HTP while minimizing side effects if you do it carefully.

Q. I took 5-HTP for anxiety for 2 months after a divorce and it helped me feel more balanced. But now I have low sexual interest. I stopped the 5HTP supplement. Is there a natural herb or pill I can take to reverse the sexual loss? It's not fun having no libido.
   A. Passion Rx is an excellent option, so are maca, muira puama, catuaba, tribulus terrestris, and horny goat weed. Other libido enhancers to consider include tongkat ali and mucuna pruriens.

Q. Is 5 HTP a safe supplement? Does it cause heart palpitations? Any danger?
   A. 5HTP is a safe supplement in terms of heart problems. Heart palpitations are very rare unless massive dosages are taken. We are not aware of any human fatalities with the use of 5 HTP. 5HTP may not be safe in high doses if combined with SSRI drugs due to excess serotonin.

Q. What happens with an overdose of 5-HTP supplement? Is a 5 HTP overdose common?
   A. The most common and immediate 5HTP overdose symptoms are nausea, diarrhea, stomach upset and perhaps vomiting. There can be a potential danger if the 5-HTP interacts with the SSRI drugs a person may be taking. An overdose of 5 HTP along with SSRI drugs such as Prozac may lead to serotonin syndrome. You can avoid an overdose of 5HTP by limiting dosage to less than 100 mg a day. 5 HTP overdose is rarely mentioned in the medical literature.

Q. I took 50 mg of 5-HTP for one month and noticed a decrease in sex drive. Does 5-HTP effect sex drive?
   A. Yes, 5-HTP, by increasing serotonin, dampens sex drive. This can be reversed with Passion Rx.

Q. I wanted to let you know of 5 HTP withdrawal side effects of brain zaps. I took 100 mg of 5-HTP, sometimes 200 mg a day for a few months and after I quit, I started getting "Brain Zaps"---strange and frightening zapping in my head. I looked up "brain zaps" on the internet and found it is often a side effect after stopping prescription SSRI anti-depressants. I think stopping 5-HTP caused these sensations in my head.

Q. Does 5htp cause Impotence?
   A. Yes, it is possible that regular use of 5HTP in high doses could cause impotence in some men. Erections are often returned to normal after a week or two of stopping the 5HTP. See erectile dysfunction.

5HTP and liver health
Q. Does 5HTP cause liver problems?
   A. We have not come across any 5HTP research that indicates damage to the liver when this supplement is used reasonably.

5HTP and nightmares side effect
Q. I have a question about 5htp supplement. It works wonderfully to stop my food binges and I even started singing in the shower again. But on the other hand I am dreaming a lot at night, and some of those dreams are nightmares every night! I took just one pill for 5 nights. So I gave it to my sister-in law - she had it even worse -whole night of nightmares. Can you answer me, if that is common and would it go away eventually or not? Does it mean I should use just half of that capsule?
   A. A common 5HTP side effect is nightmares and vivid dreams. In some people the nightmares are reduced over time, but not in others. Reducing the dosage of the 5HTP could help reduce the frequency or severity of the vivid dreams and nightmares. Alternatives include Good Night Rx which does not cause nightmares, or Diet Rx for appetite suppression which also does not cause nightmares.

5HTP Dosage
Some studies have used 5HTP dosages of 300 mg a day for depression, but we consider any 5HTP dose above 50 mg or 100 mg a high dose. Most 5HTP products on the market are sold in 50 and 100 mg capsules. Some people do well with 20 to 50 mg, while others may temporarily require 100 mg or more. We are not aware of 5HTP products on the market that are less than 50 mg. Those who do well with small dosages can open a capsule and take a portion mixed with water. 5HTP is best absorbed on an empty stomach. Medical supervision is recommended if high doses of 5HTP are required to treat a particular condition. We don't recommend the routine use of daily intake doses greater than 100 mg since there's the possibility of nausea or nightmares. Also, we still don't know if there are any long term side effects if people take high doses for many years.

Availability of 5HTP supplement
5 HTP is most commonly found in 50 mg dosage. The next most common dosage is 100 mg.

Q. Can I open a 50 mg capsule of 5HTP and take it sublingually? Does sublingual 5HTP work?
   A. We suggest using a lesser amount of 5HTP if taken in a sublingual form. Yes, 5 HTP does seem to be absorbed in the sublingual way and could work.

Q. I have problems taking pills capsules etc. I also am taste sensitive, can I put 5 HTP in my food or mix it in my oatmeal, does 5 HTP change chemically if it is heated is what I think I am asking?
   A. 5 HTP should be taken on an empty stomach. You could open a capsule and mix it with juice or water and drink it. Cooking 5 HTP could potentially change the structure.

Timing of 5HTP - what time of day to take 5 HTP - when to take 5HTP for the most benefit
It's difficult to recommend the best time to take 5HTP since it varies among individuals. It depends whether 5HTP is being used for sleep, in that case it is taken in the evening; for anxiety or low mood, 5HTP can be taken any time of day. In the case of appetite control or weight loss, 5 HTP can be taken on an empty stomach an hour or two before a meal.
   If you do take 5HTP during the day, it's best to take no more than 25 mg since it could cause sleepiness. 5HTP is absorbed much better taken on an empty stomach.
   There has not been enough research done with 5HTP to know the ideal dosages and timing. Also, there is significant individual variability to 5HTP. Hence, each person may need to find out for themselves the lowest dose that works well, and the ideal timing, whether early in the day, midday or evening.

Q. What's the right 5-htp dosage? Is it better to take 100 mg of 5-htp dosage at one time or to take 50 mg dosage 5-htp twice a day.
   A. Each person responds to a different 5-htp dosage, as a general rule we prefer taking a smaller amount since a high 5-htp dosage can cause nausea and other 5 htp side effects.


5-HTP and vitamin B6 or B vitamins
We often get a questions such as this, " Is it okay to take a B vitamin supplement or vitamin B6 and 5htp? I've read conflicting reports about the safety of doing so."
   We suggest taking 5-HTP by itself. Most of the time 5-HTP is taken in the late afternoon or evening while B vitamins are taken in the morning. We don't see the need to take a 5-THP capsule that already has B vitamins in it. 5-HTP works quite well by itself without vitamin B6 or the other B vitamins.

5-HTP and melatonin
Q. Can 5HTP be taken at night with melatonin? Will there be side effects?
   A. Depending on the dosage, the combination of 5HTP and melatonin could produce very vivid dreams, including nightmares.


5HTP source and manufacture
5HTP is made in the body from the amino acid tryptophan. Most of the 5HTP produced in the body comes from its manufacture in the intestines from tryptophan. Tryptophan is an essential amino acid; that is, the body does not have the capacity to synthesize it. All the supply of tryptophan must be gotten through foods that contain protein.
   5HTP sold over the counter is extracted from the Griffonia seed. The seeds come from an African tree grown mostly in Ghana and the Ivory Coast. 5HTP can also be made synthetically in the laboratory. The final product is the same as the one made by the body. Only a small (3 to 7) percent of the griffonia seed is made of 5HTP; therefore, consuming griffonia seeds is not an efficient way of getting 5HTP. 5HTP is not made from fermentation of bacteria.

5HTP drug interactions - 5HTP with SSRI drugs - 5HTP drug interactions - high dose 5THP contraindicated with SSRI drugs
The use of 5HTP in combination with SSRI drugs such as Prozac, Paxil, Zoloft, and others has not been formally evaluated. Nor has the interactions of 5-HTP with most pharmaceutical drugs. Anecdotal reports indicate that many people tolerate small amount of 5HTP, 50 mg or less, with small amounts of SSRIs and other medications when used under the guidance of a medical professional. The effects of taking 5HTP along with a pharmaceutical antidepressant are sometimes difficult to predict. Since the SSRIs, like Prozac, block serotonin reuptake, and 5HTP converts into serotonin, it is possible that dangerously high levels of serotonin could occur, a condition called serotonin syndrome. Therefore, 5HTP contraindications include combination with high dose SSRI drugs.

5-HTP and Celexa drug interaction
Q. Can I take 5htp for depression if I am on Celexa (citalopram), a SSRI drug? I would like to know more about 5 HTP drug interactions.
   A. Celexa was approved in 1998. Celexa is being marketed as a less expensive and very selective SSRI (one which only targets serotonin, not other neurotransmitters). Since 5-htp increases serotonin levels, one has to be cautious taking it with Celexa since hypothetically serotonin syndrome could occur.

Q. Is 5HTP better than the drug Celexa for depression? What do 5HTP studies say on this topic?
   A. Some people respond to a natural supplement, others prefer prescription medications. It is difficult to predict whether a person would benefit more from 5 HTP or a drug. We don't have good 5HTP studies comparing the natural supplements to the depression drugs.

5-HTP and citalopram drug interactions
Q. I have spent last 2 years on citalopram (an SSRI drug) for depression, anxiety and OCD. I have felt most of the time that I can hear myself think and that has caused me great deal of anxiety in social settings where I would start getting all sorts of unpleasant thoughts. I started taking 5 HTP and two days later feel like new, able to steady my mind and my mind is much less noisy. I did ask my MD whether I should take serotonin supplement whilst on SSRI and she suggested not to combine but I took my own risk, researching about possible downfalls such as serotonin syndrome and decided to take a larger dose of 5HTP (150 mg spread over the day in 3 doses) and my SSRI in the evening until I feel free of my symptoms and then to use small dose as and when required to compliment the use of SSRI drugs until full recovery. I am vegetarian and have neglected my diet, eating mostly junk food as I can see now, and not valid substitutes for healthy foods such as fish etc. I believe this was the reason why I wasn't producing enough serotonin to start with and it seems that with 5HTP I can compensate as a first aid. it does really help although I do feel a bit nauseous after taking it on an empty stomach but in every other aspect it works. Having said that I don't know what its impact is on my liver or bladder.

5HTP and Lexapro escitalopram combination - 5HTP drug interactions
Q. i am suffering from anxious depression and i need medication to treat it what do u think about this: Escitalopram - 5mg (normal dose is 10mg or more) plus 5-HTP - 50 mg. I plan to take only 5 mg of s-citalopram in order to minimize the side effects and potentiate with 5-HTP. It is safe to mix both in that doses? Do you expect the combination of 5HTP and escitalopram Lexapro to be effective?
   A. One serious side effect of high dosage selective serotonin reuptake inhibitor use is serotonin syndrome. Excessive stimulation of serotonin receptors is usually a result of administration of a high dose serotonin agonist to a patient who is already receiving a drug capable of enhancing the serotonin pathways. This could occur as a result of decreased serotonin re-uptake (from tricyclic antidepressants), decreased serotonin metabolism (from monoamine oxidase inhibitors), or excessive administration of serotonin precursors or agonists (trazodone, L-tryptophan, 5-HTP). The risk for serotonin syndrome increases as the dosage of the SSRI drugs and 5 HTP increases. There may be little risk when low dosages of Lexapro and 5-HTP are combined, but each person is different on how they tolerate this combination. It is not our role to say that the combination of Lexapro and 5-HTP will be safe or not safe in your particular case.

5-HTP and Paxil drug interactions
Q. I recently started taking 50 mg of 5htp and I find that if I take it before bedtime I wake up in a flash at about 4am. When I was taking Paxil, I had a similar effect at first. What do you suppose is the biology of this? All I can think of is that some of the serotonin is used for processing the day's experiences and that if there is more serotonin, less processing time is needed, and the body naturally wakes. It is somehow not a restful awakening though, something else doesn't get to finish because I feel totally groggy the rest of the day. My solution is simply to take 5htp in the morning.
   A. Yes this can occur, perhaps the 5htp converts quickly into serotonin and melatonin but wears off quickly, hence causing the awakening, or 5htp may stimulate the production of other brain chemicals or receptors that lead to alertness. We are not sure, but we have had other people mention early morning awakening with 5htp. Taking 5htp earlier in the day, or taking a smaller amount in the evening could be tried.

5HTP or Prozac for depression?
The choice of whether to take natural supplements for depression or pharmaceutical medicines is a personal one along with consultation with a health care professional. There are quite a number of factors, too many to list, that have to be considered. Those with mild depression may wish to try natural antidepressants first whereas those with moderate to severe depression would likely need a strong pharmaceutical medicine, at least initially. Some other natural antidepressants to consider include SAM-e and St. John's wort.
   Prozac and other SSRIs have been tested more thoroughly than natural antidepressants. 5HTP is trickier to use, tolerance may develop, long-term safety not known as well, but works well for many people in improving mood, reducing appetite, and improving sleep. It's very difficult, if not nearly impossible, to predict how each person will react or respond to a medicine or nutrient. Sometimes the best method is trial and error.


Q. Can 5-HTP and Prozac be taken together?
   A. 5-HTP or 5-hydroxy-tryptophan is a nutrient that, not long after taken as a supplement, goes to the brain and gets converted into serotonin. The biochemical sequence is as follows: The amino acid tryptophan converts into 5-HTP, which in turn converts into serotonin. At night, serotonin converts into melatonin.

   To put it simply, Prozac, along with its cousins Zoloft, Paxil, and the other SSRIs (selective serotonin reuptake inhibitors) help lessen depression by making more serotonin available in the brain. Even though the mechanism of action of the SSRIs is different than 5-HTP, the end result is that there is more serotonin available in brain tissue, resulting in better mood balance. There is a condition known as serotonin syndrome which results from too much serotonin. Some of the symptoms include confusion, sweating, elevated blood pressure, and rapid heart beat. Serotonin syndrome sometimes occurs when the dosage of the SSRIs are too high, or when they are combined with other medicines that increase serotonin or brain chemical levels. Hence, tryptophan and 5-HTP, if taken in very high doses along with SSRIs, could potentially lead to serotonin syndrome. Having said this, it is possible that the combination of 5-HTP and Prozac could be helpful in some people if the dosage of the Prozac is reduced (let's say by half) and the initial amount of 5 HTP is started very conservatively at half of a 50 mg capsule and symptoms are monitored closely. The dosage of 5 HTP can be gradually increased if needed. Here is an example where the approach of combining a drug and nutrient could be quite useful, as long as one proceeds cautiously, with medical supervision, and temporarily stops the medicines at the first sign of serotonin excess.

5-HTP and Zoloft drug interactions
Q. Could you please explain to me the essential differences between Zoloft and 5 HTP? After reading a book called 5HTP: Nature's Serotonin Solution, it would seem that 5 HTP alone is not as effective as Zoloft and other SSRIs for major depression. Can you explain the reason for this? If depression is caused by low levels of serotonin in the brain, why can't increasing doses of 5 HTP alone raise this level and "erase" the depression?
   A. Perhaps in some people with severe depression 5-HTP may work as well as Zoloft. Zoloft and the SSRI drugs don't work exactly the same way. Zoloft prevents the reuptake of serotonin between nerve cells in the brain and allows more serotonin to stimulate receptors on nerve cells, which are called neurons. In contrast, when a 5-HTP supplement is taken, it converts into serotonin in the brain hence increasing serotonin in this manner. Zoloft and the other SSRI medications may not be 100 percent selective for serotonin. They may also, perhaps in a minor way, influence other brain chemicals. We have not seen research comparing 5-HTP versus SSRI medicines in the treatment of depression, hence we don't know whether the drugs or the natural supplement is more effective.

5-HTP interaction with other medicines
It is difficult to predict the drug interaction of 5HTP with lithium, MAO inhibitors, anti-anxiety agents, beta blockers, birth control pills, and other pharmaceutical medicines.

Q. i know it is not recommended to take 5-htp with SSRI drugs because of serotonin problems and drug interactions. What about 5-htp with Wellbutrin XL which does not affect serotonin?
   A. We are not familiar with any studies in this area, so it is difficult to say how a person would handle the combination of Wellbutrin and 5HTP. The dosage and timing could make a significant difference, as well as each person's unique biochemistry. Dosages should be kept low when a pharmaceutical medicine for depression is combined with 5-HTP.

Q. My son takes 3 anti seizure meds: Keppra, Carbatrol and Lamictal. is there any problem taking 5HTP or tryptophan supplements with these medications?
   A. We have not seen any studies regarding the combination of 5 HTP with Keppra, Carbatrol or Lamictal. Drug / supplement interactions are complicated and when three medications are used together it is very difficult to predict the interactions when combined with 5-HTP or tryptophan, which influence serotonin levels.

Carbidopa and 5HTP
There's a pharmaceutical medicine called carbidopa which blocks the metabolism of 5HTP in the blood stream allowing for more to be present in the body. The question as to whether it is preferable to take carbidopa along with 5HTP is not clear at this time but could be considered under medical supervision. Taking carbidopa would most likely reduce the dosage required for 5HTP since less 5HTP would be broken down in the bloodstream and more would be available to enter the brain.

Imitrex and 5 HTP pills
Q. I am very interested in taking 5-HTP for anxiety, stress and headaches. In my readings I came across a warning that 5-HTP pills should not be taken with Imitrex, which I occasionally take for migraines (25 mg, a couple of times a month). Would this preclude me from taking 5-HTP supplement product?
   A. If the 5HTP is taken on days when the Imitrex is not being used, we don't see how there would be any interactions of any concern. If your doctor approves, you can take the 5HTP supplement on the days when you are not taking Imitrex. It is best not to take more than 50 mg of 5HTP a day.

5-HTP and pregnancy
Q.  I'm wondering if it's safe to take 5htp while pregnant? I'm having a really hard time finding out the answer to that question of 5htp and pregnancy.
   A. The reason you are having problems finding information in this area is because the role of 5htp supplements in pregnancy has not been studied, so we really don't know the safety of 5htp in women who are pregnant or breastfeeding. We think it would be best not to use 5htp during pregnancy unless your doctor approves and thinks other alternatives are less safe.


5HTP as antioxidant
5-hydroxytryptophan is a more potent in vitro hydroxyl radical scavenger than melatonin or vitamin C.
J Pineal Research. 2005 Jan;38(1):62-6.
Hydroxyl radicals are involved in direct damage of important biomolecules. Potent radical scavengers such as vitamin C and indoles of the tryptophan family can avert the potential damage. Melatonin and its precursor 5-hydroxytryptophan ( 5HTP ) were compared with water-soluble vitamin C. 5HTP showed highest hydroxyl radical scavenging effects.

5 HTP books
5-HTP: Nature's Serotonin Solution
5-HTP: The Natural Way to Overcome Depression, Obesity, and Insomnia.

5HTP and alcohol
Q. Can I take 5 htp and alcohol?
   A. Alcohol is a drug that has unpredictable effects when combined with certain herbs, nutrients, and medicines. A small amount of alcohol, such as an ounce or two of wine should not be a danger, but we caution against drinking too much.

5-HTP review
The bottom line is that a 5-HTP supplement has many health benefits for a number of conditions. Medical science is slowly discovering these 5HTP benefits and it is quite likely that the popularity of 5HTP will increase over time for the treatment of depression, anxiety, insomnia, and other conditions. We will update this 5-HTP review page as more research is published.

5 HTP 100 mg capsule
We don't recommend the routine use of 5HTP 100 mg since many people will get side effects from taking 100 mg. The most common side effect will be nausea.

5 HTP review
Q. Is there an independent site for 5 HTP review of the different products out there?
   A. We are not aware of an independent site that reviews 5HTP supplements. Most websites that discuss or review 5HTP are either promoting a product or a medical site where the reviewers evaluate the medical research with 5HTP but have little clue on the clinical uses.

5-THP and children
Q. Do you think that 5-HTP is safe for a seven year old girl to take to treat low levels of serotonin?
   A. The use of 5-HTP supplements in children should be kept to a low dosage and only for a brief period of time under medical supervision. Most supplements have not been studied well in children.

Q. How much 5HTP can be given to an eight year old child for occasional insomnia?
   A. A 5 HTP dose of 20 to 30 mg can be give to a child this old a couple of hours before bed once or twice a week. How much to give on other nights depends on the initial night's response. 

5-HTP questions
Q. Do you think 5HTP will help with anxiety and depression. I take Luvox 50 mg but don’t want to gain weight. Went off Zoloft that worked great but had weight gain.
   A. 5HTP has helped many people with anxiety and depression but it is difficult to predict in any one individual whether 5-HTP would be effective or not for the treatment of anxiety or depression. Diet Rx has mood balancing properties and decreases appetite. The only way to tell if supplements will help is through trial and error. There is no blood test or other test that can be done to predict which supplement, combination of supplements, or combination of supplements and medications will help. It is a good idea, when starting a new supplement or drug, to begin with low dosages.

Q. Is 5 HTP a vitamin?
   A. 5 HTP is not a vitamin, rather it is the hydroxy form of the amino acid tryptophan.

Q. I am taking a 5 HTP supplement and wanted to know when I buy 5 HTP again, what is the best 5HTP pharmaceutical grade brand and where to buy 5HTP for the best price?
   A. You will find most or all of the top manufacturers to have high quality 5HTP supplements, therefore we can't say what is the best 5-HTP supplement. They are generally equivalent in effectiveness so taking any 5HTP supplement should provide you with benefits. As to where to buy 5-HTP, the internet is a good option, so are health food stores. You can find a pharmaceutical grade 5-HTP product at the top of this page.

Q. What do you think of taking GABA and 5HTP together?
   A. We have not found GABA to be as effective as 5-HTP. We don't have any experience combining the two supplements.

Q. What is the half life of 5HTP?
   A. We have not seen specific studies in regards to 5 HTP half life, but based on our experience it is only a few hours.

Q. Does liquid 5HTP offer advantages over regular 5 HTP capsule?
   A. A 5 HTP capsule works very well, we don't see any obvious advantages of liquid 5 HTP.

Q. l have ordered 5-htp and would like to know if it is beneficial or safe to take Passion Rx or other sex enhancing aphrodisiac formulas at the same time.
   A. We suggest not to use 5-HTP and Passion Rx or other sexual herbs together. 5-HTP increases serotonin which blunts the sexual response and it would make it more difficult for the Passion Rx to be effective. You can use Passion Rx for a few days (but not more than 2 days in a row) and take a break and use 5-HTP for a few days.

Q. I have been taking 5 htp for about 3 months, after having come off Zoloft and Xanax. I take 50mg each night. I am very unsure as to prescribing information. Can i take a 5 HTP supplement for 6 months or a year straight? Second, I have read that I should take breaks from the 5-htp. Why is this, and when should I take these breaks and for how long? Thank you so much for your help. It is so wonderful to have a site that I can turn to that helps me deal with my panic attacks and depression naturally (as opposed my old Doc who had me on Xanax for 10 years!).
   A. The use of a 5 HTP supplement for prolonged periods has not been tested in humans and thus we prefer the cautious approach of taking breaks from use rather than finding out years from now that the continuous use of this supplement caused unforeseen side effects. There are no definitive guidelines on how often or how long these breaks should be. A general guideline is to use a 5 HTP supplement at as low a dose that works and for as brief a period as needed.

Q. I found your site searching for SSRI alternatives. My reading on the internet shows that 5-HTP is not recommended as an SSRI alternative. L-Tryptophan is the recommended supplement. 5-HTP can cause serotonin syndrome. The brain does not have a system for regulating 5-HTP. L-Tryptophan, on the other hand, is regulated by the body so that it only converts to the needed amount to 5-HTP, it does not cause an excess of 5-HTP. Unless the person has a defective Tryptophan regulating mechanism and needs to supplement with 5-HTP directly, the L-Tryptophan is the proper choice. The same is true of St John's Wort. L-Tryptophan is a more stable way of supplementing a serotonin deficiency. I can not cite the research because I did not save the information.
A. There are a number of opinions on the internet regarding the benefits of 5-HTP versus tryptophan for the treatment of depression or other conditions. Some people prefer using 5-HTP, others prefer using tryptophan, and still others find more benefit from St. John's wort. It's a matter of personal preference.

Additional links of interest
AHCC name information on ahcc supplement
Acetyl l Carnitine brain enhancing supplement information and proper dosage
Acetylcysteine antioxidant supplement used to protect the liver from toxic compounds such as acetaminophen
Advance Physician Formulas is a vitamin company that sells high quality supplements formulated by a medical doctor.
Insomnia cures with 5HTP and other natural supplements
Ray Sahelian, M.D. web site for more information on natural healing, 5HTP supplement, and natural ways to increase serotonin.
7-Keto-DHEA is sometimes used as an alternative to DHEA. However it has side effects.
Tongkat ali web site has information on sexual enhancing herbs and aphrodisiacs
Tribulus terrestris extract website has information on tribulus herb for libido enhancement
Yohimbe bark comes from a tree in Africa used for impotence or erectile dysfunction

Q. I noticed that some products with 5HTP just list 5-Hydroxytryptophan as the ingredient and then I've seen it listed as 5-hydroxytryptophan from Griffonia simplicifolia) seeds. Is there a difference and if so what is it and is one form better than the other?
   A.
All these terms, 5HTP, L 5HTP, 5 HTP, L 5 HTP, are abbreviations of the same supplement, just different spellings. 5HTP stands for 5-Hydroxytryptophan. 5-Hydroxytryptophan (from griffonia simplicifolia seeds) is the same as 5-hydroxytryptophan even when not listed as from griffonia seeds.

Additional links, substances found in plants that may have medicinal value
Abelmoschus moschatus contains myricetin, a flavonoid
Agnuside is found in vitex agnus, also known as chaste berry
Anthocyanidin found in berries are related chemically to anthocyanins
Arabinose sugar molecule
Bacoside from bacopa monnieri plant used for mental enhancement
Boswellic acid from boswellia plant.

Q. I have been taking 5HTP 300 mg a day with 900 mg. St. John's wort for over 8 months now. I read an article by Dr. Ray Sahelian that St. John's wort triggers mania in bi-polar patients; therefore, I discontinued it and I lowered my dosage of 5HTP to 100 mg a day. I have just ordered Lithium orotate and rish oil from LifeLink in the hopes that it will help me with bi-polar depression. Is it ok to take 5HTP with the Lithium orotate? I currently do not see a doctor since I have always had bad reactions to psychiatric medicines. 5HTP seems to do well with the depression, but it does not take away some of the mania I experience.
   A. We have not seen any studies regarding the combination of 5 HPT and lithium orotate. It is best to first learn how each supplement works by itself before combining, and when supplements are combined a safer approach is to use less of a dosage of each initially to determine how the combination is influencing your body and mind.

More links
Emodin is a naturally occurring anthraquinone present in the roots and bark of numerous plants of the genus Rhamnus.
Ergosterol is found in the cell wall membranes of fungi
Furfural from bran, oats, corncobs
Gingerol from ginger plant has many health benefits
Guggulsterones found in guggul herb.
Gymnemic acid in gymnema sylvestre plant is found in Diet Rx weight control and appetite control product.


This 5hpt 5-htp 5 htp side effect and benefit page was last updated 2008.