Posted by jerrympls on October 22, 2005, at 10:17:34
In reply to Too scared to take nardil, posted by quiet_one on October 21, 2005, at 8:38:39
> I have some nardil but I can't decide whether or not I should take it. I am mostly worried about possible food interactions, like for some things its pretty hard to tell if it would contain tyramine or not. For example, processed foods you buy in packets at the shops eg. noodles, pasta's etc. A lot of these things contain certain yeast, soy, and sometimes powdered cheese. How are you sposed to know if it contains a lot of tyramine? Are packaged processed foods usually safe?
>
> Another thing is at restaurants and fast food outlets. How can you be sure that there isn't tyramine in certain foods? What if i'm out and accidently eat something containing tyramine and get a hypertensive crisis when i'm not at home?
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> It just all sounds too risky so i'm not sure if I should take it or not. I heard you can't even take panadeine because it contains codeine which interacts?
>
> What if you were ever in an accident and required surgery? Would this mean you couldn't be operated on due to the narcotics involved with anesthetic?
HI I was on Nardil and it's not as scary as you may think. The only meds you have to watchout for are OTC cold meds liek Sudafed. As far as opiates, DEMEROL + Nardil = very bad/death. However, ER docs know this (or should). You should wear an ID bracelet indicating that you are on an MAOI and cannot have DEMEROL. All other opiates are fine. I even had surgury while on Nardil. I didn't have to stop it or decrease my dosage. After th surgery they gave me the opiate Dilauded and as an outpatient I was on Vicodin for a while - all while on Nardil.Another OTC med to stay away from is dextromethorphan - which is a cough suppressant. Combine it with Nardil and you can easily get full blown serotonin syndrome.
So yes, there are some cautions, - but they aren't as bad as you'd think. And the food preccautions are really overrated. I ate pizza all the time while on Nardil. IN fact I never had any food reaction.
Hope this helps
poster:jerrympls
thread:569754
URL: http://www.dr-bob.org/babble/20051017/msgs/570385.html