Serotonin (5-HT) is produced from tryptophan and transported into vesicles by VMAT2 where it acts as a neurotransmitter. Its effects are terminated either through breakdown by MAO enzymes or reuptake by the serotonin transporter. Serotonin acts on both pre- and post-synaptic receptors to regulate numerous functions including mood, anxiety, sleep, appetite, cognition, and circadian rhythms. The multiple receptor subtypes mediate various downstream effects through both inhibitory and excitatory neurotransmission.