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Low-Tyramine Diet

WHAT YOU SHOULD KNOW

The chemical tyramine appears naturally in a variety of foods, especially those that are aged and those containing a large amount of yeast. Tyramine is ordinarily harmless. But for people taking MAO inhibitor drugs such as the antidepressant medications Nardil and Parnate, it poses a severe threat. When combined with these drugs, it can cause a sudden, dangerous spike in blood pressure.

WHAT YOU SHOULD DO

To keep the tyramine in your diet from becoming a danger, two general guidelines are helpful:
  • Avoid foods that have been aged or stored for long periods of time.
  • Stick with fresh, freshly cooked, and canned foods.
You should also check with your doctor before drinking alcoholic beverages. You may be able to drink small amounts of beer or wine. Listed below are the foods to avoid (and the ones to limit) while you are taking an MAO inhibitor.

AVOID THESE FOODS

BEVERAGES

  • Ale and beer
  • Chianti wine
  • Red or white wine
  • Sherry
  • Vermouth

FRUITS and VEGETABLES

  • Fava beans
  • Fermented soy bean products
  • Italian (broad) green beans
  • Lentils
  • Lima beans
  • Sauerkraut
  • Snow peas
  • Soybeans
  • Soybean curd (tofu)
  • Soybean paste

MEAT, FISH, and PROTEIN FOODS

  • Aged, dried, cured meats
  • Dried or pickled fish
  • Dry sausage such as salami and pepperoni
  • Liver
  • Salted or smoked meat or fish
  • Yeast or meat extracts

DAIRY PRODUCTS

  • Aged and processed cheeses (cream cheese, farmer's cheese, cottage cheese, and ricotta cheese are allowed)
  • Unpasteurized milk

OTHER:

  • Bouillon or broth with yeast
  • Commercial gravies
  • Crackers made with cheese
  • Homemade yeast breads
  • Marmite® and other yeast spreads
  • Miso (fermented soybean paste)
  • Soy sauce

EAT THESE FOODS SPARINGLY

Limit yourself to 1 to 3 servings per week.

BEVERAGES

  • Distilled liquor
  • Port wine

FRUITS and VEGETABLES

  • Avocados
  • Bananas
  • Canned figs
  • Raisins
  • Raspberries
  • Red plums
  • Spinach

MEAT and PROTEIN FOODS

  • Caviar
  • Meat patés
  • Peanuts

DAIRY PRODUCTS

  • Cultured products such as buttermilk, sour cream, yogurt

OTHER

  • Coffee, tea, colas (no more than the equivalent of 2 medium cups of coffee a day)
  • Chocolate products
  • Commercial breads low in yeast



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