Tryptophan Treatment Report

Category: Supplements

Most Popular Types: L-Tryptophan

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What is Tryptophan?

An example of Tryptophan

Tryptophan (l-tryptophan) is a found in most protein-based foods or dietary proteins. It is particularly plentiful in chocolate, oats, bananas, mangoes, dried dates, milk, yogurt, cottage cheese, red meat, eggs, fish, poultry, sesame, chickpeas, sunflower seeds, spirulina, and peanuts.

Reported Purpose & Perceived Effectiveness

Reasons and Perceived effectiveness
Perceived Effectiveness
Purpose # of patients # of patients with evaluations
Major
Moderate
Slight
None
Can’t tell
9 1 Efficacy_moderate
6 2 Efficacy_moderate
3 0
2 0
1 0
1 0

See all 26 patients currently taking Tryptophan

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Reported Side Effects

Side effects as an overall problem

Severe
0
Moderate
0
Mild
0
None
4

Reported Dosages

Frequently reported dosages based on patients currently taking Tryptophan. See all 17 dosages

  2 tablet(s) daily 3 g daily 200 mg daily 400 mg daily 500 mg daily 666 mg daily 1,000 mg daily 1,039 mg daily 1,500 mg daily 3,000 mg daily
  1 Number of Patients: 1 1 Number of Patients: 1 2 Number of Patients: 2 2 Number of Patients: 2 6 Number of Patients: 6 1 Number of Patients: 1 2 Number of Patients: 2 1 Number of Patients: 1 2 Number of Patients: 2 1 Number of Patients: 1  

Reported Stop Reasons

Why Patients Stopped Taking Tryptophan (multiple reasons could be selected)
Reason # Patients Percentage of patients
Doctor's advice 3   Doctor's advice: 38%
Other 3   Other: 38%
Did not seem to work 2   Did not seem to work: 25%
Side effects too severe 2   Side effects too severe: 25%
Personal research 1   Personal research: 13%

See all 8 patients who’ve stopped taking Tryptophan

Currently Taking Tryptophan

A bar graph

0-1 month 1-3 months 3-6 months 6 months-1year 1-2 years 2 years or more
0
0

Stopped Taking Tryptophan

A bar graph

0-1 month 1-3 months 3-6 months 6 months-1year 1-2 years 2 years or more
0
0

Reported Adherence, Burden & Cost See details from patient evaluations

Adherence

Taking treatment as prescribed

Adherence of Tryptophan

Always
2 50%
Usually
1 25%
Sometimes
1 25%
Never
0 0%

Burden

Difficulty being on treatment

Burden of Tryptophan

Very
0 0%
Somewhat
0 0%
A little
1 25%
Not at all
3 75%

Cost

Paid out of pocket

Cost of Tryptophan

$200+
0 0%
$100-199
0 0%
$50-99
0 0%
$25-49
2 67%
< $25
1 33%

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2 patient evaluations for Tryptophan

Purpose: Insomnia (Started Nov 11, 2009)
Date Dosage Perceived effectiveness Side Effects Adherence Burden
Dec 09, 2009 1500 mg Daily Led_efficacy_3Led_efficacy_3Led_efficacy_3Led_defaultModerate NoneNoneNoneNoneNone UsuallyUsuallyUsuallyUsuallyUsually A littleA littleA littleA littleA little
Date
Dec 09, 2009
Advice & Tips
This is an effective aid for sleep I think. It's a little tricky for me because I know it will not work unless I have had no protein during the past several hours before taking it. Best on an empty stomach which can be a rare occurance when I am in overeating mode as I am now. Best time for me to take it is when I have my usual wake-up after 2 or 3 hours of sleep. Seems to help as I sometimes get up to 4 hours after taking it.
Cost
$25-49 monthly
  • Icon_thumb_off 0 helpful marks
  • Sekhmet
    Sex: F
    Data Quality: 1 star
    Pain: Most
    Fatigue: Most
    Sleep: All
    Stiffness: All
    function: Little
    external_stress: Little
    Stickman: all
    Description:F39y
    CFS:6y Dx
    FM:6y Dx
  • 11178-thumb
  • See Sekhmet's full Tryptophan history
Purpose: Sleeplessness (Started May 30, 2008)
Date Dosage Perceived effectiveness Side Effects Adherence Burden
Apr 23, 2009 1 g Daily Led_efficacy_3Led_efficacy_3Led_efficacy_3Led_defaultModerate NoneNoneNoneNoneNone AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Date
Apr 23, 2009
Advice & Tips
Used along with nortriptyline and oxazepam to get to sleep at night.
Cost
< $25 monthly
  • Icon_thumb_off 0 helpful marks

2 additional evaluations for Tryptophan are not currently shared publicly.

What is tryptophan?

L-tryptophan is an amino acid that is made from plant or animal sources.

L-tryptophan has been used in alternative medicine as an aid to treat sleep problems (insomnia), anxiety, depression, premenstrual syndrome, attention deficit disorder, and for smoking cessation and other conditions.

Not all uses for l-tryptophan have been approved by the FDA. L-tryptophan should not be substituted for medications prescribed for you by your doctor.

L-tryptophan is often sold as an herbal supplement. There are no regulated manufacturing standards in place for many herbal compounds and some marketed supplements have been found to be contaminated with toxic metals or other drugs. Herbal/health supplements should be purchased from a reliable source to minimize the risk of contamination.

It is dangerous to try and purchase l-tryptophan on the Internet or from vendors outside of the United States. The sale and distribution of l-tryptophan outside of the U.S. does not comply with the regulations of the Food and Drug Administration (FDA) for the safe use of this medication.

L-tryptophan may also be used for other purposes not listed in this product guide.


Precautions

Do not use this product if you are allergic to l-tryptophan or if you have:

Before using l-tryptophan, talk to your doctor, pharmacist, herbalist, or other healthcare provider. You may not be able to use l-tryptophan if you have certain medical conditions.

If you have certain conditions, you may need a dose adjustment or special tests to safely use this product. Before using l-tryptophan, talk to your doctor, pharmacist, herbalist, or other healthcare provider if you have:

  • liver disease;
  • kidney disease;
  • eosinophilia (high levels of a certain type of white blood cells); or
  • a muscle disorder (such as fibromyalgia).

It is not known whether l-tryptophan is harmful to an unborn baby. Do not use this product without talking to a healthcare provider if you are pregnant or plan to become pregnant during treatment.

L-tryptophan may pass into breast milk and may harm a nursing baby. Ask your healthcare provider before using l-tryptophan if you are breast-feeding a baby.

Do not give any herbal/health supplement to a child without the advice of a doctor.

L-tryptophan can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.

Avoid using other dietary or herbal supplements to treat the same condition for which you are using L-tryptophan.

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Instructions

Seek emergency medical attention if you think you have used too much of this product.

Consult your doctor, pharmacist, herbalist, or other healthcare provider for instructions if you miss a dose.

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Side Effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

In 1989, a life-threatening condition called eosinophilia-myalgia syndrome (EMS) occurred in many people using L-tryptophan and some died from the condition. All of these people had taken L-tryptophan distributed by a company in Japan. This L-tryptophan was found to contain trace levels of impure ingredients. Since that time, the FDA has limited the availability of L-tryptophan in the U.S. However, the increased use of the Internet has made many dietary supplements available from non-U.S. sources.

There have been no published cases of EMS within the last several years, but you should be aware of the symptoms. Call your doctor at once if you have any of the following:

  • severe muscle pain (most often in the shoulders, back, or legs);
  • weakness, numbness, tingling, or burning pain (especially at night);
  • tremors or twitching muscle movements;
  • swelling in any part of your body;
  • skin changes (dryness, yellowing, hardening);
  • breathing difficulty; or
  • uneven heartbeat.

Less serious side effects may include:

  • dry mouth, heartburn, burping, gas;
  • nausea, vomiting, diarrhea;
  • feeling drowsy or light-headed;
  • blurred vision;
  • weakness, lack of coordination;
  • headache; or
  • lost appetite.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

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Interactions

L-tryptophan may interact with other medicines. Before taking L-tryptophan, tell your doctor or care practitioner if you are also using:

  • medicine for depression such as St. John's wort, citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac), paroxetine (Paxil), sertraline (Zoloft), amitriptyline (Elavil), imipramine (Tofranil), venlafaxine (Effexor), and others;
  • a monoamine oxidase inhibitor (MAOI) such as tranylcypromine (Nardil), phenelzine (Parnate), selegiline (Eldepryl), or isocarboxazid (Marplan);
  • a sedative or tranquilizer such as diazepam (Valium), lorazepam (Ativan), clonazepam (Klonipin) and others;
  • a phenothiazine drug such as chlorpromazine, (Thorazine), prochlorperazine (Compazine) and others; or
  • drugs that make you sleepy (such as alcohol, cold medicine, pain medication, muscle relaxants, and medicine for depression or anxiety).

This list is not complete and there may be other drugs that can interact with L-tryptophan. Tell your doctor or care practitioner about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor or care practitioner.

Other Names

Tryptan, l-tryptophan, and tryptophan

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Disclaimer

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2004 Cerner Multum, Inc. Version 2.05. Revision date 8/23/04

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