title: Two cases of hypomania following the addition of L-tryptophan to a monoamine oxidase inhibitor.
abstract: The combination of L-tryptophan and a monoamine oxidase inhibitor (MAOI) has been reported to be an effective antidepressant regimen. Neurotoxicity has previously been associated with this combination. The author presents two cases of hypomania following the addition of L-tryptophan to an MAOI.
mesh_terms: D000328:Adult; D001714:Bipolar Disorder / Q000139:chemically induced*; D003866:Depressive Disorder / Q000188:drug therapy; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D008996:Monoamine Oxidase Inhibitors / Q000009:adverse effects* / Q000627:therapeutic use; D010624:Phenelzine / Q000009:adverse effects / Q000627:therapeutic use; D007319:Sleep Initiation and Maintenance Disorders / Q000139:chemically induced / Q000188:drug therapy; D014191:Tranylcypromine / Q000009:adverse effects / Q000627:therapeutic use; D014364:Tryptophan / Q000009:adverse effects* / Q000627:therapeutic use
chemical_list: D008996:Monoamine Oxidase Inhibitors; D014191:Tranylcypromine; D014364:Tryptophan; D010624:Phenelzine