Herb & supplement monograph

Serine Drug Interactions, Uses, Effectiveness, Safety & More

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Interaction report

Drugs that interact with Serine

0 medications have a known interaction with Serine, graded by severity. Select any drug for the full evidence-based detail.

We don’t currently list any known drug interactions for Serine. This doesn’t guarantee none exist — always confirm with your pharmacist before combining supplements with your medications.

Read The List Like a Pharmacist

What Severity, Likelihood & Evidence Mean

Severity — How Serious It Can Be

  • Major. Clinically significant; generally best avoided, or used only under direct professional supervision.
  • Moderate. May need monitoring, a dose adjustment, or separating the times you take each one.
  • Minor. Generally not clinically significant, but still worth noting and mentioning to your pharmacist.
  • No known interaction. Checked against our sources with nothing documented — not the same as proven safety.

Likelihood — How Well It’s Documented

  • Likely. Well-controlled human studies have demonstrated the likely existence of this interaction
  • Probable. Interaction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
  • Possible. Interaction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists
  • Unlikely. Interaction has been demonstrated in animal or in lab research but has been shown not to occur in humans.

Where This Data Comes From

  • Interaction records are evidence-graded and sourced from the Natural Medicines database (TRC Healthcare), the same reference used by pharmacists and hospitals.
  • Each drug listed above links to the full report for that exact Serine combination — clinical detail, likelihood, evidence level, and citations.
  • Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
Monograph

Serine: Uses, Safety & Side Effects

The bottom line

Serine is an amino acid your body can make on its own and also gets from protein-rich foods, so most people do not need a supplement. L-serine has been studied for certain neurological conditions like ALS, but the evidence is still early and far from proven. If you are considering a serine supplement, talk with your pharmacist or doctor first.

Part used
Amino acid (made by the body and found in protein foods)
Common forms
Capsules, powder, tablets; available as L-serine and phosphatidylserine
People commonly use it for
  • Memory and brain health
  • Nervous system disorders (e.g., ALS research)
  • Mood and stress support
  • Sleep support
  • General supplementation for the nervous system

Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.

Safety at a glance
OverallUse caution

Generally considered low-risk in food amounts, but supplement safety and long-term use are not well established.

PregnancyBest avoided

There is not enough safety data on supplemental serine in pregnancy, so it is best avoided unless your doctor advises it.

BreastfeedingInsufficient reliable information

Insufficient reliable information available. Animal research in lactating mice shows that dietary L-serine transfers to milk and increases free L-seri...

Read the full breastfeeding detail

Pregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center). Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

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Overview

Serine is an amino acid, which is one of the building blocks your body uses to make proteins. It is called a "non-essential" amino acid because your body can make it on its own from other compounds, and you also get it from protein-rich foods like meat, fish, eggs, dairy, soy, and nuts.

You may see serine sold in a few different forms. The most common supplement form is L-serine. A related compound called phosphatidylserine is a fatty substance that contains serine and is often marketed separately for memory and brain health. These are not the same thing, so it helps to read labels carefully.

People take serine supplements hoping to support brain function, mood, sleep, and the nervous system. Most healthy people get plenty of serine from a normal diet and do not need extra.

How it works

Serine is involved in many basic processes in the body. It helps build proteins, supports the production of other amino acids, and is part of making cell membranes and certain brain chemicals.

In the nervous system, serine is a starting material for D-serine, a compound that helps brain cells communicate through receptors involved in learning and memory. It also supports the production of substances that protect and maintain nerve cells.

Researchers think these roles are why serine has been studied for brain and nerve conditions. However, much of this understanding is based on laboratory and animal studies, and having a role in the body does not guarantee that taking extra as a supplement will produce a helpful effect.

Effectiveness

Does Serine work?

Evidence overview · 15 uses evaluated
1 Possibly effective 14 Insufficient evidence
How to read these evidence grades

Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.

1EffectiveStrong, consistent evidence it works.
2Likely EffectiveGood evidence, though not yet conclusive.
3Possibly EffectiveSome evidence suggests a benefit.
4Possibly IneffectiveSome evidence it may not help.
5Likely IneffectiveFairly strong evidence it doesn’t help.
6IneffectiveStrong evidence it doesn’t work.
7Insufficient Reliable Evidence to RateToo little research to say either way.
Possibly Effective Schizophrenia
Rating & evidence shown verbatim from Natural Medicines

Meta-analyses of small clinical studies suggest that oral D-serine, taken with standard antipsychotic therapy, may improve positive and negative symptoms in patients with schizophrenia.

Also studied for 14 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Alzheimer disease
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral serine is beneficial for the prevention or treatment of Alzheimer disease.

Insufficient Reliable Evidence To Rate Amyotrophic lateral sclerosis (ALS, Lou Gehrig's disease)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral L-serine is beneficial in patients with ALS.

Insufficient Reliable Evidence To Rate Back pain
Rating & evidence shown verbatim from Natural Medicines

Oral L-serine has only been evaluated in combination with other ingredients; its effect when used alone is unclear.

Insufficient Reliable Evidence To Rate Circadian rhythm sleep disorders
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral serine is beneficial in patients with circadian rhythm sleep disorders.

Insufficient Reliable Evidence To Rate Cognitive function
Rating & evidence shown verbatim from Natural Medicines

Small clinical studies suggest that a single dose of oral D-serine may improve some, but not all, measures of cognitive function in adults.

Insufficient Reliable Evidence To Rate Depression
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral serine is beneficial in patients with depression.

Insufficient Reliable Evidence To Rate Hereditary motor and sensory neuropathy
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral L-serine is beneficial in patients with hereditary motor and sensory neuropathy.

Insufficient Reliable Evidence To Rate Inflammatory bowel disease (IBD)
Rating & evidence shown verbatim from Natural Medicines

Although there has been interest in using oral serine for IBD, there is insufficient reliable information about the clinical effects of serine for this purpose.

Insufficient Reliable Evidence To Rate Insomnia
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral L-serine is beneficial in patients with insomnia.

Insufficient Reliable Evidence To Rate Knee pain
Rating & evidence shown verbatim from Natural Medicines

Oral L-serine has only been evaluated in combination with other ingredients; its effect when used alone is unclear.

Insufficient Reliable Evidence To Rate Muscle fatigue
Rating & evidence shown verbatim from Natural Medicines

Oral serine has only been evaluated in combination with other ingredients; its effect when used alone is unclear.

Insufficient Reliable Evidence To Rate Parkinson disease
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral D-serine is beneficial in patients with Parkinson disease.

Insufficient Reliable Evidence To Rate Post-traumatic stress disorder (PTSD)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral D-serine is beneficial in patients with PTSD.

Insufficient Reliable Evidence To Rate Tourette syndrome
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral D-serine is beneficial in children with Tourette syndrome.

Source & disclaimer. Effectiveness ratings and evidence summaries are provided by Natural Medicines (Therapeutic Research Center) and shown as licensed. Where Natural Medicines hasn’t rated a use, HelloPharmacist’s pharmacists may add their own reviewed rating and evidence (each such entry is labeled). This is educational information, not medical advice — talk with your pharmacist or doctor before starting, stopping, or changing a supplement.

Safety & precautions

Serine found naturally in food is considered safe and is a normal part of the diet. The safety of higher supplement doses, especially over a long time, is not well understood.

People with kidney or liver problems should be especially careful, since these organs handle amino acids, and they should check with a doctor first. Anyone with a metabolic disorder should only use serine under medical supervision.

Because there is not enough safety information, pregnant and breastfeeding people should avoid serine supplements unless a doctor specifically recommends them. The same caution applies to children. When in doubt, talk to your pharmacist or doctor before starting any new supplement.

Side effects

When taken in modest amounts, serine is usually well tolerated. Some people may notice mild digestive upset such as nausea, stomach discomfort, or loose stools, especially at higher doses.

Because high-dose, long-term use has not been carefully studied, other effects are possible but not well documented. As with any supplement, stop using it and seek medical care if you notice signs of an allergic reaction, such as rash, swelling, or trouble breathing.

Serine: Reported Adverse Effects

Documented safety reports on Serine from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.

Orally, L-serine and D-serine seem to be well tolerated in medicinal doses. Side effects appear to be dose-dependent.

Most Common Adverse Effects:

Orally: Gastrointestinal distress, including abdominal pain, bloating, dyspepsia, loss of appetite, and nausea.

Serious Adverse Effects (Rare):

Orally: Seizures with high doses of L-serine.

Reports by condition
Dyspepsia Gastrointestinal
Epilepsy Neurologic/CNS

Orally, D-serine 120 mg/kg (about 8 grams) daily has been reported to cause insomnia after a single dose. Taking L-serine in doses greater than 400 mg/kg (about 25 grams) can cause reversible nystagmus and seizures.

  1. Kantrowitz JT, Malhotra AK, Cornblatt B, et al. High dose D-serine in the treatment of schizophrenia. Schizophr Res. 2010 Aug;121(1-3):125-30.
  2. Fridman V, Suriyanarayanan S, Novak P, et al. Randomized trial of l-serine in patients with hereditary sensory and autonomic neuropathy type 1. Neurology. 2019;92(4):e359-e370.
Myasthenia gravis Genitourinary

Orally, D-serine 120 mg/kg (about 8 grams) daily for 4 weeks has been reported to cause proteinuria without glycosuria or creatine elevation. Proteinuria resolved completely after discontinuation of serine.

  1. Kantrowitz JT, Malhotra AK, Cornblatt B, et al. High dose D-serine in the treatment of schizophrenia. Schizophr Res. 2010 Aug;121(1-3):125-30.
Myasthenia gravis Immunologic

Orally, in one very small, exploratory study, patients taking L-serine 400 mg/kg (about 25 grams) daily for one year had a higher rate of localized infections than those taking placebo. Whether ingestion of L-serine caused or increased the risk of these infections is unknown.

  1. Fridman V, Suriyanarayanan S, Novak P, et al. Randomized trial of l-serine in patients with hereditary sensory and autonomic neuropathy type 1. Neurology. 2019;92(4):e359-e370.
Myasthenia gravis Hepatic

Orally, D-serine 120 mg/kg (about 8 grams) daily has been reported to cause asymptomatic transaminitis which resolved after discontinuation of serine.

  1. Kantrowitz JT, Malhotra AK, Cornblatt B, et al. High dose D-serine in the treatment of schizophrenia. Schizophr Res. 2010 Aug;121(1-3):125-30.
DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.

Adverse-effects data: Natural Medicines, Therapeutic Research Center

Dosing

There is no well-established standard dose of serine for general supplement use. Doses used in research, especially for neurological conditions, vary widely and were given under medical supervision, so they should not be copied at home.

If you choose to take a serine product, follow the directions on the label and do not exceed the recommended amount. Because the right dose for any specific goal is not clearly defined, it is best to check with your pharmacist or doctor before starting.

Pregnancy & Breastfeeding

Serine & Breastfeeding

Insufficient reliable information

Insufficient reliable information available. Animal research in lactating mice shows that dietary L-serine transfers to milk and increases free L-serine while decreasing glutamic acid, L-alanine, D-alanine, and taurine levels in milk. However, this does not affect serine levels in the offspring. It is unknown what effect supplemental serine may have in humans. Avoid using in amounts greater than those found in food.

DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.

© 2026 Therapeutic Research Center

Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center

References & further reading

The 3 references that drive our Serine monograph and interaction data, from the evidence-graded Natural Medicines (TRC Healthcare) database. Citations with a link open the study on PubMed or the publisher’s site.

  1. Fridman V, Suriyanarayanan S, Novak P, et al. Randomized trial of l-serine in patients with hereditary sensory and autonomic neuropathy type 1. Neurology. 2019;92(4):e359-e370.
  2. Kantrowitz JT, Malhotra AK, Cornblatt B, et al. High dose D-serine in the treatment of schizophrenia. Schizophr Res. 2010 Aug;121(1-3):125-30. PubMed
  3. Levine TD, Miller RG, Bradley WG, et al. Phase I clinical trial of safety of L-serine for ALS patients. Amyotroph Lateral Scler Frontotemporal Degener. 2017;18(1-2):107-111. PubMed
Keep reading

This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.

Parts of this content are provided by the Therapeutic Research Center, LLC.

DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.

© 2021 Therapeutic Research Center, LLC

Product directory

Supplement products with Serine

899 products in our database contain Serine. Open any to see its full ingredient list and every drug interaction we check.

100% Whey Protein Apfelstrudel by Body Attack Sports Nutrition Powder 2300 Gram(s) View ingredients & interactions 100% Whey Protein Fuel Chocolate Surge by Twinlab Powder 2 lb · 907 g View ingredients & interactions 100% Whey Protein Fuel Strawberry Smash by Twinlab Powder 2 lb · 907 g View ingredients & interactions 100% Whey Protein Fuel Vanilla Slam by Twinlab Powder 2 lb · 907 g View ingredients & interactions 2 Builder by Systemic Formulas Bio Command Capsule 30 Capsule(s) View ingredients & interactions Accell Meal Complete Superfruit by Systemic Formulas Powder 1000 Gram(s) View ingredients & interactions Accell Therapeutic by Systemic Formulas Powder 920 Gram(s) View ingredients & interactions Active Amino Fruit Punch by FINAFLEX Powder 10.6 oz. · 300 Gram(s) View ingredients & interactions Active Amino Watermelon by FINAFLEX Powder 10.6 oz. · 300 Gram(s) View ingredients & interactions Adrenal Response Complete Care by Innate Response Formulas Tablet Or Pill 30 Tablet(s) View ingredients & interactions Adrenal Response Complete Care by Innate Response Formulas Tablet Or Pill 90 Tablet(s) View ingredients & interactions Adrenal Strength by MegaFood Tablet Or Pill 90 Tablet(s) View ingredients & interactions Adrenal Strength by MegaFood Tablet Or Pill 60 Tablet(s) View ingredients & interactions Adrenal Strength by MegaFood Tablet Or Pill 30 Tablet(s) View ingredients & interactions Advanced Aminos by AB American Biologics Capsule 100 Capsule(s) View ingredients & interactions Advanced Collagen Formula by GNC Women's Capsule 30 Capsule(s) View ingredients & interactions Advanced Collagen Peptides Unflavored by ForestLeaf Powder 16 Ounce(s) · 451 Gram(s) View ingredients & interactions Advanced Formula Hair, Skin & Nails by 21st Century Other (e.g. Tea Bag) 50 Caplet(s) View ingredients & interactions Advanced Mineral Complex Plus by New Sun Liquid 32 oz. · 946 mL View ingredients & interactions Advanced Multiple by BodSmith Liquid 1 Quart(s) · 32 Fluid Ounce(s) · 946 mL View ingredients & interactions Advanced Recovery Formula Chocolate by BioSteel Powder 1.36 kg · 3 lbs View ingredients & interactions Advanced Recovery Formula Vanilla by Biosteel Powder 1.36 kg · 3 lbs View ingredients & interactions Age Defying Formula by California Academy of Health Liquid 32 Fluid Ounce(s) · 946 mL View ingredients & interactions Alive! Multi-Vitamin by Nature's Way Tablet Or Pill 6 Tablet(s) View ingredients & interactions
Pharmacist Counseling Corner

Serine: Common Questions

What is Serine used for, and does it work?
People use Serine for many reasons, but the evidence varies by use. According to the Natural Medicines database, there is at least some clinical evidence supporting Serine for Schizophrenia. For most other uses it has been studied for, the evidence is currently insufficient to rate. See the graded list on this page, and always confirm with your pharmacist or doctor.
Does Serine interact with prescription medications?
We do not currently list any known drug interactions for Serine. This does not guarantee that none exist, so always confirm with your pharmacist before combining it with your medications.
How are Serine interactions rated?
Each interaction is graded major, moderate, or minor based on how clinically significant it is and the strength of the evidence behind it. Major interactions are the most serious and are best avoided, or used only under close professional supervision.
Is it safe to take Serine with my medications?
It depends on the specific medication. Some combinations are fine, while others call for monitoring, timing changes, or should be avoided. Check your exact drug above and confirm with your pharmacist or doctor before starting, stopping, or changing anything.
Where does this Serine interaction information come from?
Our interaction data is built on the Natural Medicines database — an evidence-graded reference for vitamins, herbs, and supplements — and is reviewed by licensed HelloPharmacist pharmacists, who may add clinical context.
What is Serine used for?
Serine is an amino acid that people take hoping to support brain health, memory, mood, and the nervous system. It has been studied most in early research on conditions like ALS, but it is not a proven treatment for everyday use.
Do I need a Serine supplement?
Most people do not. Your body makes Serine on its own, and you also get it from protein-rich foods, so a healthy diet usually supplies enough.
Is Serine the same as phosphatidylSerine?
No. L-Serine is the amino acid itself, while phosphatidylSerine is a fatty compound that contains Serine. They are marketed differently, so read the label to know which one you have.
Is Serine safe to take during pregnancy?
There is not enough safety data on Serine supplements during pregnancy or breastfeeding, so it is best to avoid them unless your doctor specifically recommends one.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

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