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Reviewed by the Scan Dose Research Team and Clinical Advisory Board

5-HTP

MODERATE EVIDENCEAmino AcidLast updated April 2026

SCAN DOSE SUMMARY

5-HTP is a direct precursor to serotonin. Our research shows moderate evidence for depression and appetite suppression, but the SSRI interaction makes this a high-risk supplement for anyone on antidepressants. Only take under medical supervision.

EVIDENCE GRADES

DepressionModerate — 8 trials, 711 participants, 1 meta-analysis
B
Appetite suppression / ObesityModerate — limited but positive RCTs
B-
Sleep qualityLow-moderate — indirect via serotonin
C+
AnxietyLow — limited clinical evidence
C
FibromyalgiaLow — preliminary evidence only
C

WHAT IT DOES

5-HTP (5-hydroxytryptophan) is an amino acid naturally produced in the body from L-tryptophan. It serves as the immediate precursor to serotonin — your body converts 5-HTP to serotonin via aromatic L-amino acid decarboxylase. Unlike tryptophan, 5-HTP crosses the blood-brain barrier readily and doesn't compete with other amino acids for transport, making it a more direct route to increase central serotonin levels.

OPTIMAL DOSAGE

  • Depression: 150-300mg/day in divided doses (50-100mg 3x/day)
  • Appetite suppression: 250-300mg/day
  • Sleep: 100-300mg, 30 min before bed
  • General: Start at 50mg and titrate up. Half-life is ~4 hours, so divided doses are preferred.
  • Take with food initially to reduce GI effects, though absorption may be slightly better on empty stomach.
Scan a supplement containing 5-HTP

DRUG INTERACTIONS

SSRIs (sertraline, fluoxetine, escitalopram, etc.)Severe

Additive serotonergic effects → serotonin syndrome risk

SNRIs (venlafaxine, duloxetine)Severe

Same serotonin syndrome risk

MAO inhibitors (phenelzine, tranylcypromine)Severe

Dramatically increased serotonin levels → serotonin syndrome

Triptans (sumatriptan)Severe

Additive serotonergic effects

CarbidopaMinor

Increases 5-HTP bioavailability; unclear clinical significance

TramadolSevere

Serotonergic opioid; additive serotonin risk

St. John's WortSevere

Additive serotonergic effects

SAMeSevere

Additive serotonergic effects

SAFETY PROFILE

Side Effects

Drug Interactions

Precautions

  • GI conditions: High doses (200-300mg) exacerbate GI disturbances
  • Eosinophilia myalgia syndrome (EMS): Historical contamination concern — "peak X" contaminant in poorly purified batches linked to EMS outbreak. Modern manufacturing has largely eliminated this, but buy from reputable manufacturers with third-party testing (PMID: 15586095).
  • Do not combine with ANY serotonergic drug or supplement — serotonin syndrome is a medical emergency

Pregnancy & Lactation

  • Pregnancy: AVOID — not studied in pregnancy
  • Lactation: AVOID — not studied in breastfeeding

WADA Status

Not Prohibited (2026 WADA list)

HOW SCAN DOSE SCORES THIS

Products score well: 50-100mg per capsule (allows flexible dosing), third-party tested for peak X contaminants, no serotonergic ingredients combined
Products get flagged: >200mg single capsule (GI risk), combination products with St. John's Wort or other serotonergics, no third-party testing
Auto-flag:If user's medication profile includes ANY SSRI, SNRI, MAOI, or triptan, 5-HTP receives an automatic SEVERE interaction alert

CLINICAL REFERENCES

1.

Turner EH et al. Serotonin a la carte: supplementation with the serotonin precursor 5-hydroxytryptophan. *Pharmacol Ther.* 2006.

(2006). PMID: 15586095

2.

Birdsall TC. 5-Hydroxytryptophan: a clinically-effective serotonin precursor. *Altern Med Rev.* 1998.

(1998). PMID: 22796340

3.

Shaw K et al. Tryptophan and 5-hydroxytryptophan for depression. *Cochrane Database Syst Rev.* 2002.

(2002). PMID: 20816752

4.

Cangiano C et al. Eating behavior and adherence to dietary prescriptions in obese adult subjects treated with 5-hydroxytryptophan. *Am J Clin Nutr.* 1992.

(1992). PMID: 1384305

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Reviewed by the Scan Dose Research Team and Clinical Advisory Board | Last updated: April 2026

Not medical advice. Based on published clinical research and systematic reviews.

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