Posted by Ilene on February 21, 2004, at 8:10:28
In reply to Re: MAOI food and drug interactions » Ilene, posted by cubbybear on February 21, 2004, at 0:16:13
> > I keep reading out of date info about what you can and can't eat while taking MAOIs, so here is what I've gleaned. Most of it comes from Psychotropic Drugs Fast Facts, 3rd edition, some from other reading. It's rather North America-centric; apologies to Babblers from furrin' parts.
>
> > Aged cheeses are the worst. These include Liederkranz, English Stilton, blue cheese, aged cheddar, brick, mozzarella, Gruyere, Swiss, [I question the mozzarella--good mozzarella is fresh. ]
> >
> It's very frustrating--sure the list was updated several years ago, but contradictions remain. Like you, I question the listing about mozarella--since I read on another source that fresh mozarella is OK. So long as contradictiions remain, MAOI users will have difficulty deciding what to do or not do in certain instances. I would very much like to try a small pizza in Pizza Hut with only plain mozarella,but still worry about this. Has ANYONE experienced a hypertensive reaction solely from eating fresh mozarella? Please come forward!
Go for it!J Clin Psychiatry. 1999 Mar;60(3):191-3.
Comment in:
* J Clin Psychiatry. 2000 Feb;61(2):145-6.Refining the MAOI diet: tyramine content of pizzas and soy products.
Shulman KI, Walker SE.
Department of Psychiatry, University of Toronto, Sunnybrook Health Science Centre, Ontario, Canada.BACKGROUND: Continuous refinement of the monoamine oxidase inhibitor (MAOI) diet has resulted in much reduced and simplified recommendations that attempt to balance safety and practicality. In the spirit of evidence-based practice, dietary restrictions should be based on carefully documented case reports and valid tyramine analyses. Residual concerns have focused on combination foods such as pizza and a variety of soy products. We determined the tyramine content of pizzas and a variety of soy products in order to refine dietary recommendations for use with MAOIs. METHOD: High-pressure liquid chromatography analysis of tyramine content was performed on a variety of pizzas, soy sauces, and other soybean products. A tyramine level of 6 mg or less was considered safe. RESULTS: No significant tyramine levels were found in any of the pizzas, including those with double pepperoni and double cheese. Marked variability was found in soy products, including clinically significant tyramine levels in tofu when stored for a week and high tyramine content in one of the soy sauces. CONCLUSION: Pizzas from large chain commercial outlets are safe for consumption with MAOIs. However, caution must be exercised if ordering pizzas from smaller outlets or gourmet pizzas known to contain aged cheeses. All soybean products should be avoided, especially soy sauce and tofu. Individualized counseling and continuous surveillance of compliance are still essential.
poster:Ilene
thread:315567
URL: http://www.dr-bob.org/babble/20040218/msgs/316341.html