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)