5-HTP

5-HTP

Best for

Lower day-to-day anxiety

Not enough research · 100 mg/day for 4–12 weeks · 2 studies , n=30

7 papers · 7 claims · 33 outcomes scored · 3 positive

Outcomes

What 5-htp actually does, by outcome

Each row is one outcome with effect size, evidence base, the dose that worked in trials, and time to first effect. Magnitude tiers come from native-unit MCID where available, Cohen's d otherwise.

Outcome Effect Evidence Dose Weeks Rank
Lower day-to-day anxiety Not enough research
trivial
2 RCTs n=30 100 mg 4–12 wk
Ease anxiety in older adults Not enough research
trivial
2 RCTs n=30 100 mg 4–12 wk
Reduce pre-competition anxiety Not enough research
trivial
2 RCTs n=30 100 mg 4–12 wk
Ease depression symptoms Not enough research
2 RCTs n=30 8–100 mg 5–12 wk
Ease winter depression symptoms Not enough research
2 RCTs n=30 8–100 mg 5–12 wk
Ease depression tied to chronic pain Not enough research
2 RCTs n=30 8–100 mg 5–12 wk
Improve overall sleep quality Not enough research
1 RCT n=— 100 mg 4 wk

Risk profile

Adverse events and known drug interactions

Safety events

seizures severe
hypoglycaemia severe
hyperthermia severe
vomiting moderate
Diarrhea (6 6-8 loose stools daily) with fecal incontinence moderate
Markedly increased urinary 5-hydroxyindole acetic acid (5-HIAA) excretion (393 µmol/24 h) moderate
elevated 24-h urine 5-hydroxyindoleacetic acid (5-HIAA) excretion moderate
hypomania moderate

Drug interactions

Antidepressants major increases effect
Nialamide major increases toxicity
Moclobemide major increases toxicity
Clomipramine major increases effect
Carbidopa moderate increases concentration
Antidepressants moderate unknown
Amitriptyline moderate increases effect

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