Escitalopram and Sam-E
Supplement–drug interaction evidence from the TruthStack database.
| Severity | HIGH |
|---|---|
| Evidence Tier | Moderate |
| Interaction Type | SEROTONERGIC RISK |
| Mechanism | SEROTONERGIC |
| Last Reviewed | 2026-02-15 |
Source Verification
Attestation METHODOLOGY_ATTESTED
Corpus manifest 26b2d684...
Last reviewed 2026-02-15
Live attestation Query API — returns signed DAA ID per request
Data license CC BY 4.0
Summary
SAM-e plus SSRI equals serotonin excess. Serotonin syndrome risk. Combination is flagged in literature. Discuss with your prescriber or pharmacist.
API Reference
GET https://api.truthstack.co/v1/check?c1=escitalopram&c2=sam-e
Open, unauthenticated. Returns JSON. Developer documentation
Related Interactions
What this page is and is not. TruthStack is an informational reference database that describes published pharmacological findings. It does not provide medical advice, diagnosis, or treatment recommendations. The information on this page reflects flags in our database and should not replace consultation with a qualified healthcare provider. Always discuss supplement-drug combinations with your prescriber or pharmacist.