L Tryptophan × Ssri

Severity: CRITICAL Evidence: well-established

Mechanism

L-tryptophan is a serotonin precursor. SSRIs block serotonin reuptake. Combined use dramatically increases synaptic serotonin.

Effect

Serotonin syndrome (potentially fatal)

Management

Avoid combination. Serotonin syndrome is a medical emergency.

Source

FDA MedWatch; Sternbach H. Am J Psychiatry 1991

⚠️ CRITICAL INTERACTION: This combination should be AVOIDED.

Disclaimer

This interaction record is for informational purposes only and does not constitute medical advice. Always consult a healthcare provider before starting or stopping any supplement or medication.