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Amino acid (NO precursor — bioavailability advantage over L-arginine)Reviewed May 23, 2026

L-Citrulline (and Citrulline Malate) and Ketamine Therapy | Tovani Health

Citrulline malate (L-Citrulline) (also: Watermelon extract)Amino acid (NO precursor — bioavailability advantage over L-arginine)

Verdict at Tovani Health

Fully compatible — same NO-precursor pathway as L-arginine; clinical effect is modest.

L-citrulline and ketamine have no clinically significant interaction. Citrulline is converted to arginine in the kidneys, bypassing first-pass arginase metabolism and delivering arginine more efficiently than oral arginine. Same NO/vasodilation framework — clinically modest. Common pre-workout supplement and used for erectile function and circulation. Often combined with malate as 'citrulline malate' for additional ATP-cycle support.

If you take Citrulline malate regularly and are considering at-home ketamine therapy, the combination is generally safe at therapeutic doses. This page covers the brief pharmacologic context and what we do at intake.

How Citrulline malate interacts with ketamine

L-citrulline converts to L-arginine via argininosuccinate synthase/lyase. Higher oral bioavailability than direct arginine. Downstream effects identical (NO → vasodilation).

What we do at intake

Continue as you normally take it.

Bottom line

L-citrulline and ketamine have no clinically significant interaction. Citrulline is converted to arginine in the kidneys, bypassing first-pass arginase metabolism and delivering arginine more efficiently than oral arginine. Same NO/vasodilation framework — clinically modest. Common pre-workout supplement and used for erectile function and circulation. Often combined with malate as 'citrulline malate' for additional ATP-cycle support.

Ready to find out if at-home ketamine fits your situation?

We’ll note that you’re on Citrulline malate (L-Citrulline) at intake. The eligibility check takes 5 minutes and gives you an honest answer about whether at-home ketamine fits your specific situation.

FL and NJ residents only. Benjamin Soffer, DO — Tovani Health.

Clinically reviewed

Reviewed by Benjamin Soffer, DO on May 23, 2026. Dr. Soffer is a board-certified physician (American Board of Internal Medicine) licensed in Florida and New Jersey, prescribing at-home ketamine therapy through Tovani Health.

This page is general information about how this medication interacts with at-home ketamine therapy at Tovani Health. It is not a substitute for medical advice from your prescribing physician about your specific situation. Always discuss medication changes with the doctor who prescribed them.