L-Tryptophan: benefits, dosage, contraindications

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

Scientific name(s)

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

Family or group: 

Amino acids


Indications

Scoring methodology

EFSA approval.

Several randomized, double-blind, controlled clinical trials (> 2), including a significant number of patients (>100), with consistently positive conclusions for the indication.
Several randomized, double-blind, controlled clinical trials (> 2), including a significant number of patients (>100), with positive conclusions for the indication.
One or more randomized studies, or several cohorts or epidemiological studies, with positive conclusions for the indication.
Clinical studies exist but are uncontrolled, with conclusions that may be positive or conflicting.
No clinical studies to date that can demonstrate the indication.


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

Posologie

posologieOral

posologie50 mg/kg

duration2 - weeks


Premenstrual syndrome
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According to one study, taking L-tryptophan would reduce 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 characterized primarily by psychiatric symptoms) improves irritability, tension and mood lability. A dose of 6 grams per day was used for 17 days of the cycle, from ovulation until the third day of menstruation, during three consecutive cycles.

Posologie

posologieOral

posologie6 g


Depression
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Studies suggest that L-tryptophan may improve the effectiveness of conventional antidepressants.

Posologie

posologieOral

posologie300 mg

duration28 - days


Gastric ulcer
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Clinical research shows that taking 250 mg of L-tryptophan twice daily in combination with 20 mg of omeprazole twice daily for 21 days improves the healing rates of ulcers compared with omeprazole alone in people with Helicobacter pylori gastroduodenal ulcers.

Posologie

posologieOrally

posologie500 mg

duration21 - days


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

Posologie

posologieOral administration

posologie300 mg

duration4 days


Properties


Essential

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L-tryptophan is an essential proteinogenic amino acid. In addition to its proteinogenic role, tryptophan is used in two important metabolic pathways: • The tryptophan pyrrolase pathway leads to the synthesis of niacin (vitamin B3). In practice, it is estimated that two-thirds of the net need for niacin is covered by tryptophan metabolism via this pathway and that the remaining one-third must be provided in the diet as 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 that induces contraction of smooth muscle. Serotonin can be catabolized by monoamine oxidase or converted into melatonin by acetylation followed by methylation. Melatonin is a neurohormone involved notably in the regulation of biological rhythms. Tryptophan is therefore the indispensable precursor of several compounds that are particularly important in the body. The Committee on Toxicity (COT) attached to the Food Standards Agency has set a consumption limit of 220 mg/day for dietary supplements. However, AFSSA estimates the requirements for this amino acid at 4 mg/kg/day.


Sedative

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L-tryptophan can cross the blood-brain barrier and be converted into serotonin in the brain, which may explain its sedative effect.

Usages associés

Smoking cessation, Depression

Neurological

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Endogenous tryptophan depletion may cause relapse of treated depression or precipitate depressive symptoms in patients with personal or family histories of depression, as well as in healthy subjects. In addition, dietary depletion of L-tryptophan has been associated with relapse of bulimia and with worsening of symptoms of schizophrenia.


Safe dosage

Adults aged 18 and over: 220 mg

The Committee on Toxicity (COT) attached to the Food Standards Agency set the dose of 220 mg/day as the limit for L-tryptophan consumption in food supplements.nnHowever, AFSSA estimates the requirements for this amino acid at nn4 mg/kg/day, i.e. about 200 mg/day.nn


Interactions

Médicaments

Antidepressant: moderate interaction

The combination of a serotonergic antidepressant and nnL-tryptophan could increase the risk of serotonergic side effects, notably cerebral vasoconstrictive disorders.

Benzodiazepines: moderate interaction

The combination of L-tryptophan and benzodiazepines can cause reversible dyskinesias and reversible Parkinsonian-type rigidity.

Central nervous system depressants: strong interaction

Theoretically, the concomitant use of medications that cause sedation can have additive effects when taken with sedative medications. L-tryptophan can cause fatigue and drowsiness. Theoretically, combining L-tryptophan with a sedative medication such as clonazepam, lorazepam, phenobarbital, zolpidem, and others may increase sedation and lead to fatigue and drowsiness.


Contraindications

Pregnant women: contraindicated

Oral intake of L-tryptophan by pregnant women may cause respiratory depression in utero.nn

Breastfeeding: contraindicated

The use of L-tryptophan in breastfeeding women should be avoided due to a lack of reliable information.nn