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At Healthfully, we strive to deliver objective content that is accurate and up-to-date. Our team periodically reviews articles in order to ensure content quality. The sources cited below consist of evidence from peer-reviewed journals, prominent medical organizations, academic associations, and government data.
- National Center for Complementar and Alternative Medicine: A Review of St. John's Wort Extracts for Major Depression
- MedlinePlus: 5-HTP
The information contained on this site is for informational purposes only, and should not be used as a substitute for the advice of a professional health care provider. Please check with the appropriate physician regarding health questions and concerns. Although we strive to deliver accurate and up-to-date information, no guarantee to that effect is made.
Side Effects of Serotonin Supplements
Serotonin, a neurotransmitter that is involved in the regulation of hunger, sleep patterns and mood, is produced in the brain from the amino acid tryptophan. Serotonin itself is unable to pass through the blood brain barrier, thus the ingestion of serotonin supplements would not be effective in addressing serotonin levels in the brain. A number of other supplements do, however have serotonergic properties. Each of these supplements varies in its effectiveness and in its side effects. Consult your doctor if you are considering taking serotonergic supplements.
If you are experiencing serious medical symptoms, seek emergency treatment immediately.
5-HTP
5-hydroxytryptophan, or 5HTP, is a byproduct of tryptophan, the amino acid that the brain uses to create serotonin. It is not readily available from most food sources, but supplements derived from the African plant Grifonia simplicifolia have been developed that offer significant amounts of 5-HTP. MedlinePlus states that 5-HTP is used to treat depression, anxiety, sleep disorders and numerous other conditions 5. The Natural Medicines Comprehensive Database lists 5-HTP as being possibly effective in the treatment of both depression and fibromyalgia. MedlinePlus warns that 5-HTP may cause potential side effects such as heartburn, stomach pain, nausea and sexual problems 5. A more serious side effect, eosinophilia myalgia syndrome, may be due to contamination of some 5-HTP products.
- 5-hydroxytryptophan, or 5HTP, is a byproduct of tryptophan, the amino acid that the brain uses to create serotonin.
- It is not readily available from most food sources, but supplements derived from the African plant Grifonia simplicifolia have been developed that offer significant amounts of 5-HTP.
SAMe
Can I Take 5-HTP With Effexor?
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The University of Maryland Medical Center reports that SAMe has shown effectiveness in the treatment of depression, an effect that may be related to SAMe’s role in serotonin production 16. Side effects of SAMe may include dry mouth, headache, a feeling of elation, and gastrointestinal disturbances. SAMe may interfere with sleep patterns and should not be used at night.
St. John’s Wort
St. John’s wort, or Hypericum perforatum, is a serotonergic herb that has long been touted by alternative healthy practitioners as a treatment for depression. The National Center for Complementary and Alternative Medicine states that St. John’s wort has demonstrated superior effectiveness in treating depression when compared to a placebo, and similar effectiveness when compared to prescription antidepressants 4. The possible side effects of St. John’s wort, according to Drugs.com, include:
- constipation
- dizziness
- abdominal bloat
- photosensitivity 3
Allergic Reactions
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Allergic reactions are possible with any supplement or medication, depending on your individual sensitivities. Severe allergic reactions can have fatal consequences. If you experience rash, difficulty breathing, tightness in the chest, tremors, swelling of the face or mouth, or any other sign of severe allergic reaction you should immediately go to a hospital emergency room.
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References
- University of Maryland Medical Center: S-Adenosylmethioine
- Colorado State University: Benefiting Brain Chemistry with L-Tryptophan
- Drugs.com: St John's Wort Side Effects
- National Center for Complementar and Alternative Medicine: A Review of St. John's Wort Extracts for Major Depression
- MedlinePlus: 5-HTP
- University of Maryland Medical Center: 5-Hydroxytryptophan
- Apaydin EA, Maher AR, Shanman R, et al. A systematic review of St. John’s wort for major depressive disorder. Syst Rev 5, 148 (2016) doi:10.1186/s13643-016-0325-2
- Linde K, Berner MM, Kriston L. St John's wort for major depression. Cochrane Database Syst Rev. 2008 Oct 8 (4):CD000448. doi:10.1002/14651858.CD000448.pub3
- Linde K, Kriston L, Rücker G, et al. Efficacy and acceptability of pharmacological treatments for depressive disorders in primary care: Systematic review and network meta-analysis. Ann Fam Med. 2015 Jan-Feb;13(1):69-79. doi:10.1370/afm.1687
- St. John's Wort. Natural Medicines Database. Professional Monograph. 2/22/2019
- Wong A, Townley SA. Herbal medicines and anesthesia. Continuing Education in Anaesthesia Critical Care & Pain. 2011;11(1):14-17. doi:10.1093/bjaceaccp/mkq046
- Blumenthal M, Brinckmann J, Wollschlaeger B. St. John's Wort: Clinical Overview. In: The ABC Clinical Guide to Herbs. Austin, TX: American Botanical Council; 2003:303-316.
- National Center for Complementary and Integrative Health. Questions and Answers: A Trial of St. John's Wort (Hypericum perforatum) for the Treatment of Major Depression. NIH website. Updated October 25, 2018.
Writer Bio
For 15 years, Charis Grey's award-winning work has appeared in film, television, newspapers, magazines and on the Internet. She has worked as a story editor on the CBS drama "Flashpoint" and her work appears bimonthly in "The Driver Magazine." She has a Bachelor of Science in biology and a doctorate in chiropractic medicine from Palmer College.