Phenylalanine: benefits, dosage, contraindications

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Phenylalanine is an essential amino acid that the human body cannot synthesize and therefore must be obtained from the diet. It occurs naturally in many protein-rich foods, such as meats, eggs, dairy products, legumes, and certain seaweeds. Phenylalanine is the precursor to several biologically active molecules, notably tyrosine, which is the origin of neurotransmitters such as dopamine, norepinephrine, and epinephrine. This amino acid exists in two main forms: L-phenylalanine, found in foods, and D-phenylalanine, synthetically produced and used for therapeutic purposes. A version called DL-phenylalanine (DLPA) combines both forms and is often offered as a dietary supplement. Phenylalanine plays a key role in protein synthesis and la mood regulation. Indeed, L-phenylalanine is metabolized into tyrosine, which contributes to the production of neurotransmitters linked to alertness and well-being. D-phenylalanine appears to act by modulating the body's natural opioid systems, which may have an effect on pain management. However, for people with phenylketonuria (PKU), a genetic disorder that prevents the metabolization of phenylalanine, accumulation of this amino acid can lead to toxic effects, including neurological damage. In such cases, a strictly controlled, low-phenylalanine diet is essential. When used as a supplement, phenylalanine is sometimes studied for its effects on the vitiligo, depression and pain management.

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.


Skin health
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In the treatment of vitiligo, oral administration of L-phenylalanine at doses ranging from 50 to 100 mg/kg per day, combined with UVA exposure, has shown promising results for restoring skin pigmentation. Treatment durations vary from 3 to 6 months. A topical cream containing 10% L-phenylalanine in combination with phototherapy also improves symptoms in children and adults. Additionally, a cream containing 2% undecylenoyl-phenylalanine, applied twice daily for 12 weeks, effectively reduces age spot pigmentation, confirming the role of phenylalanine in skin health.

Posologie

posologieTopical

formulationcream


Depression
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Preliminary clinical studies indicate that L-phenylalanine may be beneficial in the treatment of depression. This mechanism is based on its role as a precursor of neurotransmitters such as dopamine and noradrenaline, which are essential for mood regulation. nnOne study showed that a supplementation of 250 mg per day of L-phenylalanine, in combination with standard treatment, significantly improved depressive symptoms in 80 to 90% of patients. However, the majority of studies are old and further research is needed to confirm these results and optimize dosages.nn

Posologie

posologieOral route

posologie250 mg


Properties


Antidepressant

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Phenylalanine, and more specifically L-phenylalanine, acts as a precursor to neurotransmitters such as dopamine and norepinephrine, increases in levels of which are known to improve mood. It also promotes the production of 2-phenylethylamine, a neuromodulator associated with stimulating effects on attention and well-being. These mechanisms explain its potential role in treating depressive symptoms, although clinical data remain limited.

Usages associés

Depression

Analgesic

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D-phenylalanine acts by inhibiting carboxypeptidase, an enzyme that normally degrades enkephalins, natural opioids involved in pain control. This action would prolong the analgesic effect of enkephalins, thereby increasing the pain tolerance threshold. However, the effects observed in humans are variable and require further study.


Safe dosage

Adult :

L-phenylalanine: Doses ranging from 250 mg to 100 mg/kg per day, used for a maximum duration of 3 months.nnD-phenylalanine: Doses of 50 mg to 1 g per day, administered over a period of 2 to 4 weeks.nnDL-phenylalanine: Doses of 50 to 200 mg per day, over a duration of 2 to 4 weeks.nnTopical route : Cream containing 10% L-phenylalanine or 2% undecylenoyl-phenylalanine, applied to the skin.nnnn


Interactions

Médicaments

Levodopa: strong interaction

Phenylalanine competes with levodopa for transport into the brain.


Precautions

Pregnant women : avoid

Pregnant women with high blood concentrations of phenylalanine should avoid L-phenylalanine, as high levels increase the risk of congenital malformations.nn

Breastfeeding women : avoid

Avoid medicinal doses of L- or D-phenylalanine in the absence of reliable information on their safety during breastfeeding.


Contraindications

Phenylketonuria: prohibited

People with inherited metabolic disorders should avoid phenylalanine supplements because of the toxic accumulation of this amino acid, which can lead to developmental delay, high blood pressure, and an increased risk of stroke.

Schizophrenia: prohibited

L-phenylalanine may worsen tardive dyskinesia in people with schizophrenia. Special caution is needed in this case.