Ashwagandha has mild serotonergic and GABAergic activity. Adding it to an SSRI is not known to cause serotonin syndrome but may potentiate sedation, dizziness, or mood changes, especially during dose changes.
Recommendation
If on an SSRI, introduce ashwagandha at a low dose (300mg) and monitor. Discuss with your prescriber before adding.
Timing
If combined, take at different times of day to separate peak effects
Sources
— Phytotherapy Research 2014
— PMID: 24811260
Frequently Asked Questions
Can I take ashwagandha and ssri together?
Ashwagandha may enhance SSRI effects. If on an SSRI, introduce ashwagandha at a low dose (300mg) and monitor. Discuss with your prescriber before adding.
How should I time ashwagandha and ssri?
If combined, take at different times of day to separate peak effects
Is this interaction dangerous?
This interaction is rated “Caution” by Formulate. Ashwagandha has mild serotonergic and GABAergic activity. Adding it to an SSRI is not known to cause serotonin syndrome but may potentiate sedation, dizziness, or mood changes, especially during dose changes.
Want to check your whole stack?
The free checker lets you add any combination of supplements and medications at once. Formulate's desktop app goes further — every stack change surfaces interaction alerts automatically.