L-Tryptophan: benefits, dosage, contraindications

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L-Tryptophan is a proteinogenic amino acid, characterized by an indole group on its side chain. It is one of the 9 amino acids identified as essential in healthy individuals and at varying stages of life. L-Tryptophan is a precursor of serotonin and thus helps regulate sleep. It is absorbed and then converted into 5-hydroxytryptophan (5-HTP), then into serotonin (5 hydroxytryptamine). Dietary sources of tryptophan include brown rice, meats and poultry, dairy products, eggs, soy proteins, peanuts.

Other name(s) 

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Scientific name(s)

L-2-amino-3- (indole-3-yl) propionic acid

Family or group: 

Amino acids


Indications

Rating methodology

EFSA approval.

Several clinical trials (> 2) randomized controlled with double blind, including a significant number of patients (>100) with consistently positive outcomes for the indication.
Several clinical trials (> 2) randomized controlled with double blind, and including a significant number of patients (>100) with positive outcomes for the indication.
One or more randomized studies or multiple cohorts or epidemiological studies with positive outcomes for the indication.
Clinical studies exist but are uncontrolled, with conclusions that may be positive or contradictory.
Lack of clinical studies to date that can demonstrate the indication.


Smoking cessation
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Daily supplementation with tryptophan (50 mg/kg) for 2 weeks helps facilitate smoking cessation.

Posologie

posologieOrally

posologie50 mg/kg

duration2 - weeks


Premenstrual syndrome
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According to a study, taking L-tryptophan reduces mood swings, irritability, and tension in severe cases of premenstrual syndrome. A study showed that taking L-tryptophan in premenstrual dysphoric disorder (a severe form of premenstrual syndrome with primarily psychiatric symptoms) improves irritability, tension, and mood lability. A dose of 6 grams per day was used during 17 days of the cycle, from ovulation until the third day of menstruation, for three consecutive cycles.

Posologie

posologieOrally

posologie6 g


Depression
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Studies suggest that L-tryptophan may enhance the efficacy of conventional antidepressants.

Posologie

posologieOrally

posologie300 mg

duration28 - days


Gastric ulcer
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Clinical research shows that taking 250 mg of L-tryptophan twice a day along with 20 mg of omeprazole twice a day for 21 days improves healing rates of ulcers compared to omeprazole alone in individuals with Helicobacter pylori-associated gastroduodenal ulcers.

Posologie

posologieOrally

posologie500 mg

duration21 - days


Sports performance
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Some clinical research suggests that taking 300 mg of L-tryptophan orally with a sweet and electrolyte-rich drink twice a day for 3 days before exercise and on the day of exercise improves power output during the last 20 minutes of exercise, compared to taking the drink alone.

Posologie

posologieOrally

posologie300 mg

duration4 - days


Properties


Essential

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L-Tryptophan is an essential proteinogenic amino acid. Apart from its proteinogenic role, tryptophan is involved in two important metabolic pathways: • The tryptophan pyrrolase pathway leads to the synthesis of niacin (vitamin B3). Practically, it is estimated that 2/3 of the net niacin requirement is covered by tryptophan metabolism in this pathway, with the remaining 1/3 needing to be supplied as dietary nicotinamide or nicotinate. • The other major pathway involves an initial hydroxylation reaction catalyzed by tryptophan hydroxylase, leading to the formation of 5-hydroxytryptophan (5-HTP). 5-HTP is then decarboxylated to form 5 hydroxytryptamine or serotonin, which is a neurotransmitter and a compound inducing smooth muscle contraction. Serotonin can be catabolized by monoamine oxidase or converted to melatonin via acetylation then methylation. Melatonin is a neurohormone involved particularly in the regulation of biological rhythms. Tryptophan is therefore the indispensable precursor of several particularly important compounds in the body. The Committee on Toxicity (COT) affiliated with the Food Standards Agency has set the consumption limit at 220 mg.day-1 for dietary supplements. However, the Afssa estimates the needs for this amino acid at 4 mg/kg/day.


Sedative

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L-Tryptophan can cross the blood-brain barrier and convert to serotonin in the brain, which may explain its sedative effect.

Usages associés

Smoking cessation, Depression

Neurological

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Reduction in endogenous tryptophan may provoke the relapse of treated depression or precipitate depressive symptoms in patients with personal or familial history of depression, as well as in healthy individuals. Moreover, dietary depletion of L-tryptophan has been associated with a relapse of bulimia and worsening of schizophrenia symptoms.


Safety dosage

Adult from 18 years: 220 mg

The Committee on Toxicity (COT) affiliated with the Food Standards Agency has set the dose of 220 mg/day as the consumption limit of L-tryptophan in dietary supplements. However, the Afssa estimates the needs for this amino acid at 4 mg/kg/day, approximately 200 mg/day.


Interactions

Médicaments

Antidepressant: moderate interaction

Combining a serotonergic antidepressant with L-tryptophan may increase the risk of serotonergic side effects, particularly cerebrovascular vasoconstrictor disorders.

Benzodiazepines: moderate interaction

The combination of L-tryptophan and benzodiazepines can cause reversible dyskinesias and reversible Parkinson-like rigidity.

Central Nervous System depressants: strong interaction

Theoretically, the concomitant use of sedative-producing medicines can have additive effects when taken with sedative-producing drugs. L-tryptophan can cause fatigue and drowsiness. Theoretically, the combination of L-tryptophan and a sedative-effect drug such as clonazepam, lorazepam, phenobarbital, zolpidem, and others, can increase sedation leading to fatigue and drowsiness.


Contraindications

Pregnant woman: prohibited

Taking L-tryptophan orally during pregnancy can cause in utero respiratory depression.

Breastfeeding woman: prohibited

It is advisable to avoid L-tryptophan intake in breastfeeding women due to lack of reliable information.