Serine Drug Interactions, Uses, Effectiveness, Safety & More
What is this page for?
First and foremost: how Serine interacts with medications. The heart of this page is the interaction list — every drug Serine is known to interact with, and how serious each one is.
But these pages have grown well beyond that into a full monograph — what Serine is, what people use it for and how strong the evidence is, its safety and side effects, and answers to the questions we’re asked most — written and reviewed by the clinical staff at HelloPharmacist. It’s educational information from our licensed clinical databases, not medical advice, and we don’t sell or endorse products. Our editorial policy
Check Serine against your medication
Add one medicationDrugs 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.
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.
Serine: Uses, Safety & Side Effects
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
- 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.
Generally considered low-risk in food amounts, but supplement safety and long-term use are not well established.
There is not enough safety data on supplemental serine in pregnancy, so it is best avoided unless your doctor advises it.
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 detailPregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center). Safety guidance is general; always confirm with your pharmacist or doctor for your situation.
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.
Does Serine work?
How to read these evidence grades
Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.
Possibly Effective Schizophrenia
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
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)
It is unclear if oral L-serine is beneficial in patients with ALS.
Insufficient Reliable Evidence To Rate Back pain
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
It is unclear if oral serine is beneficial in patients with circadian rhythm sleep disorders.
Insufficient Reliable Evidence To Rate Cognitive function
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
It is unclear if oral serine is beneficial in patients with depression.
Insufficient Reliable Evidence To Rate Hereditary motor and sensory neuropathy
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)
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
It is unclear if oral L-serine is beneficial in patients with insomnia.
Insufficient Reliable Evidence To Rate Knee pain
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
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
It is unclear if oral D-serine is beneficial in patients with Parkinson disease.
Insufficient Reliable Evidence To Rate Post-traumatic stress disorder (PTSD)
It is unclear if oral D-serine is beneficial in patients with PTSD.
Insufficient Reliable Evidence To Rate Tourette syndrome
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.
Dyspepsia Gastrointestinal
Orally, D-serine 120 mg/kg (about 8 grams) daily has been reported to cause gastrointestinal distress. L-serine 5-30 grams daily has been reported to cause abdominal pain, dyspepsia, bloating, nausea, and loss of appetite.
- 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.
- 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.
- 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.
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.
- 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.
- 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.
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.
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.
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.
Serine & Breastfeeding
© 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.
- 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.
- 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
- 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
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
Brands that make products with Serine
236 brands in our database make a supplement containing Serine.
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.
Serine: Common Questions
What is Serine used for, and does it work?
Does Serine interact with prescription medications?
How are Serine interactions rated?
Is it safe to take Serine with my medications?
Where does this Serine interaction information come from?
What is Serine used for?
Do I need a Serine supplement?
Is Serine the same as phosphatidylSerine?
Is Serine safe to take during pregnancy?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Products that contain Serine
A rotating sample of real supplements in our database that list Serine — open any to see its full ingredients and every drug interaction we check.
- All Insurance Vitamin Powder by Bronson Laboratories
- Whey Isolate Vanilla Creme by Prolab
- Banana-Split Shake by Universal
- Source of Life Gold Mini-Tabs by NaturesPlus
- Aminotropic Fuel by Vitamin World
- Xeno Amino Sour Berries by Glaxon
- Triathlete by Source Naturals
- Premium Soy Protein Isolate Powder Chocolate by Vitamin World
- MEM Food by California Gold Nutrition
- MacroMeal Ultimate Vanilla Protein Powder by MacroLife Naturals
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