Evidence guide · South Africa

5-HTP after Korea's overseas-supplement crackdown: what MFDS found, and what the sleep and mood evidence actually shows

South Korea's MFDS and Korea Consumer Agency flagged 37 of 60 overseas focus and height supplements in late October 2026, often over 5-HTP. What that regulatory action means, and what the sleep and depression evidence actually shows. Includes what SAHPRA requires.

Review type: research summary. This page summarises published research and product labels, cited below.

In late October 2026, South Korea's Ministry of Food and Drug Safety (MFDS) and the Korea Consumer Agency checked 60 overseas direct-purchase supplements marketed for "focus" or "height growth". Thirty-seven of the 60 carried or contained ingredients Korea blocks from food imports. Height-growth products commonly listed or found to contain 5-hydroxytryptophan (5-HTP), which Korea treats as a blocked, prescription-class ingredient for food.

5-HTP is also sold in many other countries as a sleep and mood supplement, often from Griffonia simplicifolia seeds. The evidence for those uses is thin, and combining it with serotonergic medicines carries a real interaction warning.

The short answer: Korea's joint check found hazardous or blocked ingredients in 37 of 60 focus and height products, with 5-HTP a recurring problem in height-growth SKUs. That is a regulatory fact about Korean food import rules, not proof that 5-HTP "works" for growth. For sleep and depression, the human evidence is small, older and methodologically weak. Memorial Sloan Kettering warns patients on SSRIs, MAOIs, tricyclics or other serotonergic drugs to avoid 5-HTP without physician supervision because of the theoretical potential for serotonin syndrome, a serious condition.

What Korea found in October 2026

Yonhap reported on 29 October 2026 (AKR20261028128300030) that the Korea Consumer Agency and MFDS surveyed 60 overseas direct-purchase foods sold online for concentration or height growth. Hazardous or import-blocked ingredients were labelled or detected in 37 products (61.7%): 18 of 30 focus products and 19 of 30 height products.

  • Focus products: labels named bacopa, deanol and L-dopa; laboratory testing detected vinpocetine and kava in some products. Yonhap notes vinpocetine and L-dopa as prescription medicine ingredients, and warns that unsupervised use in children or adolescents can cause sleep problems or nerve-cell injury.
  • Height products: labels or tests involved 5-HTP, melatonin, citrulline and dolomite. New Era Korea Daily's English summary of the ministry notice says 5-HTP was detected in six height products and melatonin in one, and that some labels did not match what was found in the bottle.
  • MFDS asked customs to hold the products, asked communications regulators to block sales sites, and asked for action against purchasing-agent businesses. Product details were posted on the ministry's overseas direct-purchase hazardous-food list. New Era cites 5,048 products on that list as of 26 October 2026.

MFDS's official "Overseas Direct-Purchase Food, Rightly" / Allbaro pages are the live lists to check before buying. A separate Food Safety Korea catalogue of ingredients blocked for internet purchasing-agent import (basis date 25 August 2021) lists "5-HTP (5-hydroxytryptophan), Griffonia, Griffonia simplicifolia seed extract" as item 1. In Korea, that is a food-import block, not a statement about efficacy for sleep or mood.

What 5-HTP is

5-HTP is an intermediate on the path from the amino acid tryptophan to serotonin and melatonin. Supplement products are commonly made from Griffonia simplicifolia seeds. Memorial Sloan Kettering's About Herbs monograph summarises the rationale: raise serotonin where it may be low. That is a mechanism story. It is not the same as proven clinical benefit.

Depression evidence

A 2020 systematic review and meta-analysis in Nutrition Reviews (Javelle and colleagues) included 13 investigations in the qualitative review and seven in the full meta-analysis. It reported a depression remission rate of 0.65 (95% CI 0.55 to 0.78) and a large Hedges' g of 1.11 (95% CI 0.53 to 1.69) on questionnaire scores. The same paper flags high heterogeneity (I² = 76%), wide variation in dose, duration, depression type and design, and an Office of Health Assessment and Translation (OHAT) risk-of-bias rating that current studies are relatively weak, with few placebo groups. The authors ask for better placebo-controlled trials in well-defined depression.

The Cochrane review of tryptophan and 5-HTP for depression (Shaw, Turner and Del Mar, 2002) found only two trials of sufficient quality to include, with 64 patients in total. One trial studied 5-HTP and the other studied tryptophan; Cochrane pooled them. Those trials suggested benefit versus placebo (Peto odds ratio 4.10; 95% CI 1.28 to 13.15), but the reviewers called the evidence of insufficient quality to be conclusive and said further studies were needed before widespread use could be recommended.

Sleep evidence

A 2024 single-blind randomised controlled trial in Clinical Nutrition enrolled 30 older adults in Singapore (mean age 66), assigned to 100 mg of 5-HTP daily or no capsule (not a placebo) for 12 weeks (NCT04078724). The authors report a favourable effect on certain sleep-quality components, a rise in serum serotonin, and clearer subjective global sleep-score improvement among participants who started as poor sleepers. Thirty people is a small sample. It is not a large, multi-centre demonstration that 5-HTP fixes insomnia.

Safety and drug interactions

Memorial Sloan Kettering warns that patients taking selective serotonin reuptake inhibitors (SSRIs), monoamine oxidase inhibitors (MAOIs), tricyclic antidepressants or other drugs that affect serotonin should avoid 5-HTP without physician supervision because of the theoretical potential for serotonin syndrome, a serious condition. The same monograph advises against combining 5-HTP with St John's wort or SAM-e for the same reason, notes common gastrointestinal side effects, and cites case reports including mania with an MAOI, serotonin syndrome with linezolid, and a scleroderma-like illness with carbidopa plus 5-HTP. Common side effects listed there include nausea, vomiting or diarrhoea; less common ones include headache, insomnia and palpitations.

Yonhap also notes Korea Consumer Agency advice that 5-HTP can cause blood-pressure changes and gastrointestinal problems. None of that makes 5-HTP appropriate as a "height growth" food for children.

How to read the marketing

Two separate facts are being mixed in the news cycle. Korea blocked many overseas focus and height products because they listed or contained ingredients that are not allowed in Korean food imports, including 5-HTP. Separately, 5-HTP is sold elsewhere for sleep and mood on evidence that systematic reviewers themselves call weak or inconclusive. A customs hold in Seoul does not prove the ingredient is dangerous in every legal market, and a serotonin mechanism does not prove it treats depression or insomnia. Honest labelling would say the human evidence is limited, interactions with antidepressants matter, and "height growth" claims for a serotonin precursor are not supported by the Korean regulatory action or by the sleep and depression literature summarised here.

South African rules

SAHPRA's public information states that, under the Medicines and Related Substances Act 101 of 1965, any product intended to treat, prevent or alter bodily functions must be registered with SAHPRA before it can be sold in South Africa. A product sold on depression, insomnia or height-growth medicinal claims belongs under that scrutiny. Side effects can be reported to adr@sahpra.org.za.

FAQ

Why did Korea block 5-HTP products?

MFDS treats 5-HTP and Griffonia seed extract as ingredients subject to import block for food, and the October 2026 joint check found 5-HTP labelled or detected in height-growth overseas products. Check the official hazardous-food list and Allbaro before buying products shipped into Korea.

Does 5-HTP treat depression?

The evidence is limited and often low quality. A 2020 meta-analysis reported large average effects but high heterogeneity and few placebo controls. Cochrane in 2002 found only two adequate trials. Depression needs proper medical assessment; do not replace prescribed care with a supplement.

Does 5-HTP improve sleep?

One 2024 randomised trial in 30 older adults in Singapore reported improvement in certain sleep-quality measures, especially in people who began as poor sleepers. That is early evidence, not a definitive insomnia treatment.

Can I take 5-HTP with an antidepressant?

Memorial Sloan Kettering advises people on SSRIs, MAOIs, tricyclics or other serotonergic drugs to avoid 5-HTP without their physician's supervision because of the theoretical potential for serotonin syndrome, a serious condition. Ask a doctor or pharmacist before combining them.

Where can I report a suspicious product in South Africa?

SAHPRA asks the public to report suspected illegal sales through its 24-hour hotline on 0800 204 307, and side effects to adr@sahpra.org.za.

Sources

These are the documents this page relies on.

  1. 식약처-소비자원, 집중력 강화·키성장 효과 내세운 해외직구식품 공동조사 결과 발표 (29 October 2026)Ministry of Food and Drug Safety press release
  2. 집중력·키 광고 직구식품 60개 중 37개 위해 성분…판매 차단 (AKR20261028128300030, 29 October 2026)Yonhap News Agency
  3. Korea blocks 37 imported supplements marketed for focus and growth (1 November 2026)New Era Korea Daily
  4. 해외직구 위해식품 목록 (Overseas direct-purchase hazardous food list)Ministry of Food and Drug Safety (impfood)
  5. Overseas Direct-Purchase Food, Rightly — blocked productsMinistry of Food and Drug Safety (Allbaro)
  6. 인터넷 구매대행 수입금지 성분 (ingredients subject to import block for overseas purchasing agents), listing 5-HTP / Griffonia firstMinistry of Food and Drug Safety / Food Safety Korea
  7. Javelle F, et al. Effects of 5-hydroxytryptophan on distinct types of depression: a systematic review and meta-analysis. Nutr Rev. 2020;78(1):77-88Nutrition Reviews (PubMed 31504850)
  8. Shaw K, Turner J, Del Mar C. Tryptophan and 5-hydroxytryptophan for depression. Cochrane Database Syst Rev. 2002;(1):CD003198Cochrane Database of Systematic Reviews (PubMed 11869656)
  9. Sutanto CN, et al. The impact of 5-hydroxytryptophan supplementation on sleep quality and gut microbiota composition in older adults: a randomized controlled trial. Clin Nutr. 2024;43(3):593-602Clinical Nutrition (PubMed 38309227; NCT04078724)
  10. 5-HTP (About Herbs; last updated 2 June 2022)Memorial Sloan Kettering Cancer Center
  11. Peptide products: public information (registration under the Medicines Act, and adr@sahpra.org.za)SAHPRA
  12. SAHPRA warns the public about GLP-1 products sold through social media platforms (11 November 2025)SAHPRA