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Drug interactions

Frovatriptan + L-tryptophan

Severity: Moderate

Frovatriptan and L-tryptophan: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

L-tryptophan is the precursor of serotonin and increases its synthesis. With frovatriptan, additive serotonergic stimulation could rarely lead to serotonin syndrome.

What this interaction means in plain words

Frovatriptan and L-tryptophan can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Evidence level: Low

Why it happens

Additive serotonergic effects from increased serotonin synthesis and receptor agonism.

What to do

Avoid tryptophan supplements when possible during triptan use. If combined, monitor for agitation, tremor, diarrhea and hyperthermia.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Frovatriptan with L-tryptophan?

MediHelp rates the interaction as moderate. Frovatriptan and L-tryptophan can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. L-tryptophan is the precursor of serotonin and increases its synthesis. With frovatriptan, additive serotonergic stimulation could rarely lead to serotonin syndrome.

How serious is the interaction between Frovatriptan and L-tryptophan?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid tryptophan supplements when possible during triptan use. If combined, monitor for agitation, tremor, diarrhea and hyperthermia.

What other medicines interact with Frovatriptan?

MediHelp also lists interactions of Frovatriptan with, for example, Almotriptan, Dihydroergotamine intranasal, Dihydroergotamine. The full list is on the Frovatriptan page.

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