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.
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5-HTP
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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.