To help minimize the risk of developing 5-HTP drug interactions, it is important to know which medications may not be suitable to take with 5-HTP. Some medications that may interact with 5-HTP include antidepressants, St. John's wort, and MAOIs. Some of these drug interactions with 5-HTP may cause a group of dangerous symptoms called serotonin syndrome, which may include symptoms such as confusion, hallucinations, and difficulty walking.