5-HTP (5-hydroxytryptophan) is the compound the body makes from the amino acid tryptophan on the way to serotonin. Supplements are usually extracted from the seeds of the African plant Griffonia simplicifolia and are marketed for mood, sleep and appetite.
Also known as: 5-hydroxytryptophan, oxitriptan, Griffonia simplicifolia extract.
5-HTP has no intake value or upper limit, and there is no NIH fact sheet for it. The depression trials in the Cochrane review used different amounts, so there is no single studied amount. These are study protocols, not a recommendation.
It is sold in the US as a dietary supplement. Under the 1994 dietary supplement law (DSHEA), FDA does not approve dietary supplements before they are marketed, and the maker, not FDA, is responsible for safety and labeling. There is no FDA-approved 5-HTP drug.
A Cochrane review (Shaw 2002) found 108 trials of 5-HTP or tryptophan for depression, but only two, with 64 people in total, were good enough to include. They suggested a benefit over placebo, but the reviewers said the evidence was not good enough to be conclusive and that more studies are needed before widespread use.
Safety concerns: because 5-HTP raises serotonin, a 2006 review (Turner) discusses serotonin syndrome as a risk, so do not combine it with antidepressants or other serotonin-raising drugs without your prescriber. Tryptophan supplements were withdrawn in 1989 after an outbreak of eosinophilia-myalgia syndrome (EMS) traced to a contaminated product from one maker (Das 2004), and the Cochrane reviewers said a possible link between these substances and EMS had not been ruled out. A 1999 analysis (Klarskov) found a family of contaminants called "peak X" in all eight commercial 5-HTP samples tested; a 2004 review (Das) disputed how significant peak X is.
We could not find a single published half-life or time to peak for 5-HTP that applies to a supplement dose, so we do not list one. A 2006 review (Turner) notes that how much reaches the brain depends on how much is converted to serotonin elsewhere in the body, which drugs such as carbidopa can block.
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