TherapyPotential significant adverse effects*
Botanicals
Kava (Piper methysticum)Possible hepatotoxicity, sedation, interference with P450 substrates
Lavender oil (Lavandula angustifolia)Minimal
Passionflower (Passiflora incarnata)Dizziness, sedation, decreased blood pressure
St. John's wort (Hypericum perforatum)Similar to serotonin reuptake inhibitors, interference with P450 substrates
Valerian (Valeriana officinalis)Headache, gastrointestinal upset
Supplements
5-HydroxytryptophanGastrointestinal upset, possible eosinophilia-myalgia syndrome
InositolNausea, headache
l-theanineMay lower blood pressure; may lower effect of stimulant medication
l-tryptophanGastrointestinal upset, possible eosinophilia-myalgia syndrome
S-adenosyl-l-methionineGastrointestinal upset, mania in patients with bipolar disorder
Vitamin B complexYellow urine