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Treating Depression with Natural Supplements: SAM-e and 5-HTP

By Merely Me Monday, June 22, 2009

In my last post,  I began our discussion of treating depression with natural supplements with many warnings.  I am going to stress some of those warnings again.  When you buy vitamins, herbs, and supplements, just because they are "natural" does not mean they won't have any side effects or interactions with other medications and supplements.  Natural remedies are also not regulated by the FDA.  There could be unknown fillers or the brand of supplement you buy may not have enough of the active ingredient to be effective. 

 

Know the risks you are taking by using natural supplements.  Please do your research and also always tell your doctor everything you are taking including herbal or vitamin products. 

 

I have talked about SAM-e at length in a previous post    but I am going to add on a few additional bits of information to round out that discussion.  And then I am going to tell you my findings about 5-HTP.  In subsequent posts I will talk about other supplements.

 

About SAM-e:  You can find my past article about this substance here.   SAM-e is a dietary supplement (pronounced "sammy"), used to treat depression, arthritis, and some liver disorders.  I have been taking it for well over a year now and I feel that it has been very effective in decreasing my episodes of depression.

 

Here are some additional things you should know about SAM-e:

  • I do not know if SAM-e would be effective for all types of depression. I believe it is mostly effective for those suffering from an on-going mild to moderate type of depression.

 

  • Buy SAM-e from a reputable company. I purchase mine from Whole Foods and use their brand. Make sure the tablets are enteric-coated and store them in a cool dry place.

 

  • Take the minimum dosage and see how it works for you and then increase the dosage as needed. I began by taking 200 mg and now I take 400 mg. This is an effective dose for me but studies show that most people need 800-1600 mg for it to make a difference in treating their depression.

 

  • The main side effect I had personally experienced was stomach upset. Take SAM-e on an empty stomach. The literature states that other side effects may include greater anxiety, sleeplessness, and or feeling dizzy.  Here is a web site which lists some of the possible side effects of taking SAM-e.

 

  • Don't stop taking your anti-depressant in order to take SAM-e without a thorough discussion with your doctor. Do not take SAM-e in addition to your anti-depressant. You need to ask your doctor about possible drug interactions. Here is a list of the possible interactions with SAM-e.

 

  • Some of the literature warns that you should not take SAM-e if you have Bipolar Disorder (it could kick you into mania) or Parkinson's disease.

 

  • There is some confusion out there about whether or not SAM-e will decrease or increase homocysteine levels in your body. Why be concerned about this? Homocysteine is a derivative of the amino acid methionine and may contribute to atherosclerosis (hardening of the arteries) by producing irritation and inflammation in the inner lining of arteries. So the worry is whether or not SAM-e could contribute to heart problems.

 

6/23/09 2:48pm

I have found that 5-HTP has helped me with anxiety as well as worrisome situations that are triggers for me for a downward plunge.  I take a pill when I notice symptoms and about 30 minutes later I notice a calming effect.  I have also used a spray which, when sprayed under the tongue, also is calming.  I have taken supplements which contained 5-HTP in small amounts but cannot state definitively that it helped the depression.  I have checked with my psychiatrist and he told me that using the amounts of 5-HTP that I take doesn't conflict with my Bipolar medications and is fine for me to take.  (If considering using 5-HTP, as with all medications and supplements, confer with your doctor.)

6/23/09 3:01pm

This is really good information!  Thank you for this.  So...it is good for anxiety then...I had not known this.  No side effects for you?  What other meds do you take if we may ask? 

 

 

6/26/09 2:49am

You are quite welcome.  Just sharing what little bit I know from personal experience.

 

Presently I am taking Wellbutrin and Lamictal.  I have asked my psychiatrist about the use of 5-HTP and he said if I find it to help, he doesn't see any conflict with my meds.

 

If I take two pills (100 mg each) I get very sleepy and extremely laid back.  One pill usually is enough to help calm me, even if it takes half an hour to work.  The spray, of course, works very quickly  and I don't get sleepy, but of course, I'm not getting as big of a dose from the spray.  My daughter-in-law has also found the spray to be helpful. 

 

Of course, it isn't a cure-all nor is it something some of us can take instead of medication.  I have found it to be a useful tool to help me through some areas.

 

 

 

 

 

6/28/09 12:41am

I have gone thru quite a bit of searching to find what truely works for me and it has been a rough road(which included today). 

I started 5-htp out of desperation. The vitamins seemed to be losing the battle with my Anxiety. I think it was in march or april 2009 that I started to take it. The brand was Natures Way(50mg) it had extra B and C added in. As usual my first day I cut the pill in half and took it first thing in the morning. I did notice a little nausea the first couple of days but nothing scary. It did seem to help. I had to take it first thing in the morning and then one with dinner. In May I decided to go gluten free and after awhile felt that I didnt need the 5-htp. 5-htp was really helpful for me I wish I had tried it long time ago.

 

Now I have got to find a way to be tested for food allergies without going into further debt.

 

Pat

 

Anonymous
lisa
1/14/10 2:52am

i want to to start taking Sam-e because i get bad depression  at pms time for like 12 days out of the whole month...i was taking evening prim-rose which worked 80% but made/makes me so BLOATED and i cant fit into my jean and other clothes!!!! i cant deal with the bloat any more so i want to try something different for pms.

ya think Sam-e is a good choice?....i want to buy Jarrows brand...damn it all so expensive!!! uggh!...help

1/14/10 4:07am

It is good that you are looking for answers. The best place to start is with your doctor. SAM-E and other natural remedies are unproven to say the least and you should never try anything without consulting your doctor. I totally understand that you are trying to help yourself and give you big KUDO's for that. You are experiencing something at least I would consider not just normal depression/anxiety because you state that it only happens during a certain time period. Consult your doctor about the time period issue, Maybe you are needing a blood test during that time frame to find what you are needing to supplement with. Maybe iron, maybe calcium. Taking something like SAM-E might not be the answer for you. Stuff is expensive too.

 

 

Good health takes awareness and thats where forums can help. Society is so dependant on doctors to fix them. Find active forums that talk about your issues, there are many out there. Get information that relates to your illness and keep digging, talk to nutritionists. Never stop looking till you are happy with the results.

 

Pat

Anonymous
boby
1/14/10 11:39am

try the bestsame brand it works great and is cheaper then some of the others.

http://bestsame.com/

Anonymous
Anonymous
1/27/11 6:30pm

The directions on the Natrol brand of 5-htp advise that it be taken with food.  Because 5-htp does not compete with other amino acids, and because taken on an empty stomach 5-htp commonly causes nausea, this seems like good advice.

4/ 5/12 4:18pm

I take 5-htp every couple days or so (50mg).  I rarely take more than 50mg and I believe the dosage recommendation is too high on the bottle and in general. It helps tremendously with my mood. One should see how there body responds and not become dependent.

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By Merely Me— Last Modified: 11/25/12, First Published: 06/22/09