5-HTP & Lexapro
Serotonin is a brain chemical that helps regulate functions like mood and sleep cycles. Low serotonin has been linked to anxiety, depression and a number of other mental health conditions. Substances that increase serotonin levels, such as 5-HTP and Lexapro, are a common treatment for these conditions. Learning about your treatment options allows you to choose the safest and most effective therapy. To avoid life-threatening complications, never combine 5-HTP and Lexapro.
If you are experiencing serious medical symptoms, seek emergency treatment immediately.
Pharmacology
Serotonin plays an important role in nerve transmission in the brain. Both 5-HTP and Lexapro increase levels of serotonin, albeit in different ways. 5-HTP provides tryptophan -- the raw material needed to produce serotonin -- while Lexapro prevents the reuptake of the neurotransmitter into synaptic neurons. Both substances are used for similar conditions, such as depression or anxiety. 5-HTP is derived from the Griffonia simplicifolia plant and is sometimes marketed as an appetite suppressant or natural mood booster, though it has not been approved by the FDA for these uses.
- Serotonin plays an important role in nerve transmission in the brain.
- Both 5-HTP and Lexapro increase levels of serotonin, albeit in different ways.
Side Effects and Interactions
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Lexapro can cause:
- unwanted side effects in some users including extreme fatigue
- dry mouth
- diarrhea
- decreased sex drive
- insomnia
- according to eMedTV [1](http://depression.emedtv.com/lexapro/lexapro-side-effects.html 'inline-reference::eMedTV; Lexapro Side Effects; Oct
22
* 2009'). Combining Lexapro with other serotonergic drugs like 5-HTP can cause a potentially fatal condition known as serotonin syndrome.
Application
To prevent serious complications, never combine Lexapro and 5-HTP. Don’t stop taking Lexapro abruptly without a doctor’s supervision, and ask your doctor before taking 5-HTP if you have recently quit Lexapro. Follow dosing instructions closely and seek immediate medical attention if you experience symptoms of serotonin syndrome such as increased body temperature, vomiting, rapid heartbeat or hallucinations. Rarely, this condition may occur in people taking Lexapro or other antidepressant medications.
- To prevent serious complications, never combine Lexapro and 5-HTP.
- Don’t stop taking Lexapro abruptly without a doctor’s supervision, and ask your doctor before taking 5-HTP if you have recently quit Lexapro.
Considerations
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Like other dietary supplements, 5-HTP is not regulated closely by the FDA and may contain unknown contaminants. While no further cases of EMS have been identified, Peak X has been found in 5-HTP supplements in the United States. To help reduce the risk of contamination, only buy 5-HTP from reliable sources.
Related Articles
References
- eMedTV; Lexapro Side Effects; Oct. 22, 2009
- University of Maryland Medical Center; 5-HTP; Steven D. Ehrlich, NMD; March 14, 2009
- Steyn SF, Harvey BH, Brink CB. Immediate and long-term antidepressive-like effects of pre-pubertal escitalopram and omega-3 supplementation combination in young adult stress-sensitive rats. Behav Brain Res. 2018;351:49-62. doi:10.1016/j.bbr.2018.05.021
- Landy K, Estevez R. Escitalopram. StatPearls Updated May 6, 2020.
- Guzman F. Citalopram and escitalopram. Psychopharmacology Institute.
- Freeman EW, Guthrie KA, Caan B, et al. Efficacy of escitalopram for hot flashes in healthy menopausal women: a randomized controlled trial. JAMA. 2011;305(3):267-274. doi:10.1001/jama.2010.2016
- Aga VM. When and how to treat agitation in Alzheimer's disease dementia with citalopram and escitalopram. Am J Geriatr Psychiatry. 2019;27(10):1099-1107. doi:10.1016/j.jagp.2019.04.016
- Li C, Chen L, Huo N, et al. Generic escitalopram initiation and substitution among Medicare beneficiaries: A new user cohort study. PLoS One. 2020;15(4):e0232226. Published 2020 Apr 30. doi:10.1371/journal.pone.0232226
- Food and Drug Administration. Lexapro label. Updated January 2017.
- Florio V, Porcelli S, Saria A, Serretti A, Conca A. Escitalopram plasma levels and antidepressant response. Eur Neuropsychopharmacol. 2017;27(9):940-944. doi:10.1016/j.euroneuro.2017.06.009
Writer Bio
Based in Las Vegas, Tracii Hanes is a freelance writer specializing in health and psychology with over seven years of professional experience. She got her start as a news reporter and has since focused exclusively on freelance writing, contributing to websites like Wellsphere, Education Portal and more. She holds a Bachelor of Arts in communication arts from Southwestern Oklahoma State University.