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Dietary supplement

Double Strength L-Tryptophan 1000 mg Ingredients & Drug Interactions

by NOW

Tablet Or Pill Category: Amino Acid/protein
Most serious interaction: Major
The interaction bottom line Most serious interaction: Major

Double Strength L-Tryptophan 1000 mg is a dietary supplement by NOW with 1 active ingredient. Its ingredients are commonly taken for sleep problems, low mood and depression, anxiety.Based on those ingredients, 394 medications have a known interaction with it, the most serious rated major. The ingredients most likely to interact are L-Tryptophan. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.

HelloPharmacist Scorecard of Double Strength L-Tryptophan 1000 mg by NOW

Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.

From our pharmacy team — supplement deep dive

What’s inside

Full disclosure
Ingredient Transparency · database check
Full

Every active ingredient lists its own amount on the label.

Why this rating?
  • The label discloses an exact amount for 1 of its 1 active ingredient.
  • No proprietary blends here — you can verify the dose of every single component.

This product contains one active ingredient: L-Tryptophan 1000 mg per tablet. L-Tryptophan is an amino acid—a building block your body uses to make proteins and other compounds.

It's also a precursor to serotonin, a brain chemical involved in mood, sleep, and other functions. The remaining ingredients are inactive fillers and binders that help form the tablet.

Does it work?

Not established
Evidence for Intended Use · database check
By FDA rules, dietary supplements can’t claim to treat, cure, or prevent disease — so labels speak in careful marketing language. We discern each product’s intended use from its name, label claims, and label statements, then grade the clinical evidence for that use. How these ratings are computed
Not established

The graded evidence we hold for these ingredients covers different conditions than the ones this product is marketed for, so there's no established rating for its stated use — see L-tryptophan's own graded uses on its monograph.

Why this rating?
  • The label markets this product for: supports mood, relaxation and restful sleep.
  • We looked for evidence on: Anxiety, Depression, Premenstrual syndrome (PMS), Premenstrual dysphoric disorder (PMDD), Seasonal affective disorder (SAD), insomnia — and 1 related terms.
  • The closest evidence on file: L-tryptophan is rated "Possibly Ineffective" for Depression (Natural Medicines).
  • Also on file: L-tryptophan is rated "Insufficient Reliable Evidence To Rate" for Anxiety, Premenstrual dysphoric disorder (PMDD), Premenstrual syndrome (PMS), Seasonal affective disorder (SAD).

The evidence we hold shows L-Tryptophan is possibly ineffective for depression. For anxiety, athletic performance, teeth grinding (bruxism), and premenstrual dysphoric disorder (PMDD), there isn't enough reliable evidence to say one way or the other whether it works.

The evidence, ingredient by ingredient L-tryptophan

How safe is it?

Well-documented data
Safety Information · database check
Well characterized

Adverse-effect, pregnancy, and general safety data are on file for most of these ingredients.

Why this rating?
  • We hold adverse-effect (side-effect) data for 1 of the 1 matched ingredient.
  • Pregnancy & breastfeeding safety ratings cover 1 of 1.
  • General safety write-ups exist for 1 of 1.
  • Remember: this measures how much safety information exists. Thin data is not the same as being safe.

L-Tryptophan is generally well tolerated by mouth, but it can cause common side effects including drowsiness, nausea, diarrhea, headache, dry mouth, stomach pain, heartburn, flatulence, belching, lightheadedness, visual blurring, and vomiting. Rarely, it has been linked to a serious neurological condition called eosinophilia-myalgia syndrome (EMS)—though almost all documented cases in the U.S. came from contaminated product made by a single Japanese manufacturer in 1989, leading to an FDA recall and import restrictions.

There isn't enough safety data to recommend this during pregnancy, so it's best avoided then. Safety is not established for breastfeeding, so you should avoid it while nursing.

If you're pregnant, breastfeeding, or planning to be, talk with your pharmacist or doctor before taking this supplement.

Side effects, ingredient by ingredient L-tryptophan

Meds to double-check

Major interaction found
Known Interaction Concern · database check
Major identified

At least one ingredient has a documented Major-severity interaction. Check your medications for a personalized result.

Why this rating?
  • 1 of the 1 matched ingredient can interact with medications — L-tryptophan.
  • The most serious interaction on file is rated Major.
  • For scale: 394 individual medications appear in the full list. A big number alone doesn't make a product dangerous — what matters is whether YOUR medication is on it, so run yours through the interaction checker on this page.

Before taking this supplement, check your medications against these drug types using the interaction tool on this page: CNS depressants (Major severity)—sedatives, sleep aids, alcohol, opioid pain relievers—and serotonergic drugs like antidepressants and certain migraine or pain medications (Moderate severity). No interactions are documented for other medication types.

Check your own medication Run your meds through the checker above

The bottom line

Scorecard at a glanceFully disclosed formula with no established evidence rating for its marketed use. Major medication interactions have been identified, and safety information is well characterized.

L-Tryptophan may be worth considering if you're interested in mood or sleep support and your medications don't include CNS depressants or serotonergic drugs—but the evidence for many uses is thin. If you take any sedatives, sleep aids, antidepressants, pain or migraine medications, or anything that affects serotonin, check your specific drugs first.

Pregnant or breastfeeding? Skip it and talk to your pharmacist.

Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI

Assessment coverage: 1 of 1 active ingredient matched to our full ingredient reviews (monographs). Based on the product label dated Jun 20, 2024.

This Scorecard evaluates available label information, ingredient evidence, and known medication-safety considerations. It does not independently verify product identity, purity, potency, contamination, or manufacturing quality. How these ratings are computed

At a glance

General information

Key facts about Double Strength L-Tryptophan 1000 mg, straight from the product label.

Brand NOW
Barcode (UPC) 733739001696
Net contents 60 Tablet(s)
Market status On market
Date entered into DSLD Jun 20, 2024
DSLD ID 314285
Product type Amino Acid/protein
Supplement form Tablet Or Pill
Dietary claims / uses Nutrient, All Other, Structure/Function
Intended target group(s) Vegan, Vegetarian, Adult (18 - 50 Years), Kosher, Halal, Gluten Free
From the label
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.

Supplement Facts

The label details for Double Strength L-Tryptophan 1000 mg by NOW, sourced from the NIH Dietary Supplement Label Database.

Supplement Facts

Daily Value (DV) Target Group(s):
Adults and children 4 or more years of age
Minimum serving Sizes:
1 Tablet(s)
Maximum serving Sizes:
1 Tablet(s)
Servings per container
60
UPC/BARCODE
733739001696
IngredientAmount% DV
L-Tryptophan1 Gram(s)--

Other ingredients: Croscarmellose Sodium, Hydroxypropyl Cellulose, Stearic Acid, Magnesium Stearate, Hypromellose, Calcium Carbonate, Glycerin, Silicon Dioxide

Tap any ingredient to jump to its full detail below.

Label statements
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
Suggested/Recommended/Usage/Directions

Suggested Usage: Take 1 tablet 1 to 3 times daily on an empty stomach, with final dose at bedtime, or as directed by your physician.

Formula

Tryptophan is an essential amino acid; therefore, it is not synthesized by the body and must be obtained from the diet. Tryptophan is critical for the production of serotonin and melatonin, which help to support a positive mood, healthy sleep patterns, and proper immune system function.

Triangle K (Kosher)

NOW Double Strength L-Tryptophan has twice the L-Tryptophan (1000 mg per tablet) as in our regular strength product (500 mg per capsule).

Crescent H (Halal)

Formulation

Every lot of NOW L-Tryptophan is tested to be free of peak E and microbial contamination.

Supports relaxation Encourages positive mood Promotes restful sleep

Non-GMO

Vegetarian/Vegan

Made and quality tested in the USA with globally sourced ingredients.

Not manufactured with wheat, gluten, soy, milk, egg, fish, shellfish or sesame ingredients.

FDA Disclaimer Statement

These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.

Precautions

Caution: For adults only. Keep out of reach of children.

Consult physician if pregnant/nursing, taking medication (especially antidepressants such as SSRIs and MAOIs), or have a medical condition.

May cause drowsiness. Do not use with alcoholic beverages or while operating heavy machinery.

Not manufactured with wheat, gluten, soy, milk, egg, fish, shellfish or sesame ingredients. Produced in a GMP facility that processes other ingredients containing these allergens.

Seals/Symbols

Triangle K (Kosher)

Crescent H (Halal) GMP Quality Assured

FDA Statement of Identity

A Dietary Supplement

General Statements

Amino Acids Family owned since 1968.

This bottle is made from 100% PCR (post-consumer recycled) resin.

Storage

Store in a cool, dry place after opening.

See for yourself

Double Strength L-Tryptophan 1000 mg by NOW label

The label scan from the NIH Dietary Supplement Label Database. Tap to enlarge.

What’s inside

The Ingredients in Double Strength L-Tryptophan 1000 mg by NOW

This is the 1 active ingredient this product is made of. Select it to open its full monograph.

Serving size1 Tablet(s) Dosage formTablet Or Pill Servings per container60 Amounts shown are per serving.

L-Tryptophan

Interacts with
394 drugs
1 Gram(s) per serving

L-tryptophan is an essential amino acid the body uses to make serotonin and melatonin, and people take it to support sleep and mood. The evidence for...

L-Tryptophan monograph & interactions

Other (inactive) ingredients: Croscarmellose Sodium, Hydroxypropyl Cellulose, Stearic Acid, Magnesium Stearate, Hypromellose, Calcium Carbonate, Glycerin, Silicon Dioxide. These complete the product’s ingredient list but are not active constituents.

Interaction report

Double Strength L-Tryptophan 1000 mg by NOW Drug Interactions

Want to check YOUR meds against Double Strength L-Tryptophan 1000 mg?

Ask about interactions with your drugs in plain English — “Can I take it with lisinopril?” — and we find you the answer in seconds, ingredient by ingredient.

Go to the checker
394Drugs
248 Major 146 Moderate

Ingredients driving the most interactions

Each ingredient & the kinds of drugs it affects

For each ingredient in Double Strength L-Tryptophan 1000 mg with known interactions, here are the types of medications it can affect. Open any type for the detail — or search your exact drug in the checker above.

L-Tryptophan2 drug types · 394 drugs

Cns Depressants

Theoretically, concomitant use of L-tryptophan with CNS depressants might cause additive sedative effects.
Clinical research shows that L-tryptophan can cause fatigue and drowsiness.

Likelihood Probable Evidence B
Serotonergic Drugs

Theoretically, combining L-tryptophan with serotonergic drugs might cause additive serotonergic effects.
L-tryptophan is a precursor to serotonin. Theoretically, combining serotonergic drugs with L-tryptophan might increase the risk of serotonergic side effects, including serotonin syndrome and cerebral vasoconstrictive disorders.

Likelihood Possible Evidence D
The maker

Brand information

Manufacturer and brand details for Double Strength L-Tryptophan 1000 mg, from the product label.

NOW

See all NOW products
Name
NOW FOODS
Street Address
395 S. Glen Ellyn Rd.
City
Bloomingdale
State
IL
ZipCode
60108
Web Address
nowfoods.com
Pharmacist Counseling Corner

Double Strength L-Tryptophan 1000 mg by NOW: Common Questions

Does Double Strength L-Tryptophan 1000 mg by NOW interact with any medications?
Yes. Based on its ingredients, Double Strength L-Tryptophan 1000 mg has a known interaction with 394 medications, including 248 rated major. Use the checker to see how it interacts with a specific drug.
How can one product interact with so many drugs?
Double Strength L-Tryptophan 1000 mg contains a single active ingredient, and that one ingredient can interact with many different medications on its own. We check it against each medication and show the mechanism responsible.
Where does this information come from?
The product label data comes from the NIH Dietary Supplement Label Database (DSLD); the interaction data is built on the Natural Medicines database and reviewed by HelloPharmacist pharmacists.
What is L-Tryptophan and what does it do in my body?
L-Tryptophan is an amino acid—a building block protein—that your body uses to make serotonin, a brain chemical tied to mood, sleep, and other functions. Your body can't make L-Tryptophan on its own, so you get it from food or supplements.
Does this supplement actually work for depression or anxiety?
For depression, the evidence we hold shows it's possibly ineffective. For anxiety, there isn't enough reliable evidence yet to say whether it works or not. If you're dealing with depression or anxiety, talk with your doctor about what's proven to help.
What are the most common side effects?
The most common are drowsiness, nausea, diarrhea, headache, dry mouth, stomach pain, heartburn, and a few others like flatulence and belching. Most people tolerate it well, but these mild effects do happen.
Is L-Tryptophan safe? I've heard about a problem in the 1980s.
L-Tryptophan is generally well tolerated. The serious problem you're thinking of happened in 1989 when contaminated L-Tryptophan from one Japanese manufacturer caused a rare neurological condition called EMS in over 1,500 people in the U.S. Almost all those cases traced back to that one contaminated batch. The FDA imposed strict import limits afterward, but it's worth knowing the history.
Can I take this if I'm pregnant or breastfeeding?
No. There isn't enough safety data for pregnancy, so it's best avoided then. Safety during breastfeeding isn't established either. Talk with your pharmacist or doctor if you're pregnant, breastfeeding, or planning to be.
Why does this supplement make me drowsy?
Clinical research shows L-Tryptophan causes fatigue and drowsiness as side effects. If you're also taking sedatives, sleep aids, alcohol, or other CNS depressants, that drowsiness can get worse, so it's important to check with your pharmacist first.

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

Not sure if Double Strength L-Tryptophan 1000 mg is safe with your meds?

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Label information is sourced from the NIH Dietary Supplement Label Database and reflects the product version on file; always read your actual product label. This page is for education only and is not a substitute for professional medical advice. Confirm with your pharmacist or doctor before combining supplements and medications.

Double Strength L-Tryptophan 1000 mg label
Go deeper

The Full Monographs Behind Double Strength L-Tryptophan 1000 mg’s Ingredients

Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.

Sources

Sources & How We Checked

Double Strength L-Tryptophan 1000 mg's label data comes from the NIH Dietary Supplement Label Database; the ingredient interaction data is from the Natural Medicines database, reviewed by our pharmacists.

Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.

The 18 references behind this product’s interaction data

Every citation that drives the interaction findings for this product’s ingredients, from the evidence-graded Natural Medicines (TRC Healthcare) database. Open an ingredient to browse its citations — links open the study on PubMed or the publisher’s site.

L-tryptophan 18 references
  1. Messiha FS. Fluoxetine: adverse effects and drug-drug interactions. J Toxicol Clin Toxicol 1993;31:603-30. PubMed
  2. Devoe LD, Castillo RA, Searle NS. Maternal dietary substrates and human fetal biophysical activity. The effects of tryptophan and glucose on fetal breathing movements. Am J Obstet Gynecol 1986;155:135-9. DOI
  3. Lieberman HR, Corkin S, Spring BJ. The effects of dietary neurotransmitter precursors on human behavior. Am J Clin Nutr 1985;42:366-70. PubMed
  4. U. S. Food and Drug Administration, Center for Food Safety and Applied Nutrition, Office of Nutritional Products, Labeling, and Dietary Supplements. Information Paper on L-Tryptophan and 5-hydroxy-L-tryptophan, February 2001.
  5. Sullivan EA, Kamb ML, Jones JL, et al. The natural history of eosinophilia-myalgia syndrome in a tryptophan-exposed cohort in South Carolina. Arch Intern Med 1996;156:973-9. DOI
  6. Philen RM, Hill RH, Flanders WD, et al. Tryptophan contaminants associated with eosinophilia-myalgia syndrome. Am J Epidemiol 1993;138:154-9. PubMed
  7. Bohme A, Wolter M, Hoelzer D. L-tryptophan-related eosinophilia-myalgia syndrome possibly associated with a chronic B-lymphocytic leukemia. Ann Hematol 1998;77:235-8. PubMed
  8. Singhal AB, Caviness VS, Begleiter AF, et al. Cerebral vasoconstriction and stroke after use of serotonergic drugs. Neurology 2002;58:130-3. PubMed
  9. Priori R, Conti F, Luan FL, et al. Chronic fatigue: a peculiar evolution of eosinophilia myalgia syndrome following treatment with L-tryptophan in four Italian adolescents. Eur J Pediatr 1994;153:344-6..
  10. Klein R, Berg PA. A comparative study on antibodies to nucleoli and 5-hydroxytryptamine in patients with fibromyalgia syndrome and tryptophan-induced eosinophilia-myalgia syndrome. Clin Investig 1994;72:541-9.. PubMed
  11. Simat TJ, Kleeberg KK, Muller B, Sierts A. Synthesis, formation, and occurrence of contaminants in biotechnologically manufactured L-tryptophan. Adv Exp Med Biol 1999;467:469-80.. PubMed
  12. Shaw K, Turner J, Del Mar C. Tryptophan and 5-hydroxytryptophan for depression. Cochrane Database Syst Rev 2002;(1):CD003198. PubMed
  13. Kilbourne EM, Philen RM, Kamb ML, Falk H. Tryptophan produced by Showa Denko and epidemic eosinophilia-myalgia syndrome. J Rheumatol Suppl 1996;46:81-8.
  14. Horwitz RI, Daniels SR. Bias or biology: evaluating the epidemiologic studies of L-tryptophan and the eosinophilia-myalgia syndrome. J Rheumatol Suppl 1996;46:60-72.
  15. Shapiro S. Epidemiologic studies of the association of L-tryptophan with the eosinophilia-myalgia syndrome: a critique. J Rheumatol Suppl 1996;46:44-58.
  16. Mayeno AN, Gleich GJ. The eosinophilia-myalgia syndrome: lessons from Germany. Mayo Clin Proc 1994;69:702-4. PubMed
  17. Carr L, Ruther E, Berg PA, Lehnert H. Eosinophilia-myalgia syndrome in Germany: an epidemiologic review. Mayo Clin Proc 1994;69:620-5. PubMed
  18. Ullrich SS, Fitzgerald PCE, Giesbertz P, Steinert RE, Horowitz M, Feinle-Bisset C. Effects of intragastric administration of tryptophan on the blood glucose response to a nutrient drink and energy intake, in lean and obese men. Nutrients 2018;10(4). pii: PubMed

See these in context on the L-tryptophan monograph →

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

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