PlainPill

5-HTP vs SSRI for mood

Short answer: For mood, more users report improvement with 5-HTP — 84% of 214 reports, versus 50% of 34 for SSRI.

5-HTP has 15 meta-analyses and 73 randomized trials on PubMed; the other has not been graded.

Based on 767 reports about 5-HTP and 85 about SSRI. Not medical advice.

5-HTP
Supplement
SSRI
Medication
Users say it helped40%helped345 reports · high confidence14%helped54 reports · medium confidence
Verdict
Mixed
Mostly negative
ResearchAResearch: StrongNot graded
Meta-analyses / RCTs15 / 73—
Mainly used for
Mood
% reporting improvement
84% (214)50% (34)
Sleep
% reporting improvement
85% (102)—
Anxiety
% reporting improvement
72% (71)73% (11)
Libido
% reporting improvement
33% (12)0% (14)
Energy
% reporting improvement
76% (17)25% (4)
Common side effectsvivid dreams, heart valve, serotonin syndrome, drowsinessanhedonia, brain fog, erectile dysfunction, emotional blunting
Typical dose reported100 mg / with coffeeNot listed
5-HTP
Latest review conclusion

There are few, large, high-quality trials comparing combination pharmacotherapy with monotherapy for fibromyalgia, consequently limiting evidence to support or refute the use of combination pharmacotherapy for fibromyalgia.

Cochrane Database Syst Rev, 2018 ↗
What a user said
“I just one day randomly decided to take 5-HTP an hour after finishing my workout, and I felt WIRED 15 minutes after taking it, and that lasted for 5–6 hours.”
Full 5-HTP profile →
SSRI
What a user said
“then i came to SSRI , it helped a little bit then.”
Full SSRI profile →

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Percentages come from first-hand user reports and are not clinical outcomes. Talk to a doctor before starting, stopping or combining anything. How we rate