Posted by gardenergirl on December 17, 2007, at 0:36:33
In reply to Re: Meal Replacements MAOI - any out there?, posted by ny2bk on December 17, 2007, at 0:11:36
> Your basically given what they ONLY know of to possibly cause interaction,and based on that you have to adhere to a diet either totally avoiding those foods or eating them sparingly.Yep. That's part of the deal and why MAOIs are not widely prescribed. Not everyone is willing and/or capable of following the diet and medication restrictions.
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> ... usually aside from sensitive people most are not affected and can eat in limit the majority of those foods.I strongly disagree, and I'm not aware of any studies which support that statement. For something so serious, I'd like to see more than anecdotal evidence before advising someone on an MAOI that they likely can eat freely without consequence.
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> As time goes on and you become very accustomed to the feel of the med,the onset of it,the normal effects etc,you likely be ahead of the game in the event of a crisis.Perhaps, though my goal is still to avoid any HTN crisis.
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> But with no lecture and a forward answer,there is no listed diet ive come across for maois,least no on the net,but at the same time the food list has been revised many times in decrease and its a warning of POSSIBLE interaction which means many of the foods can be eaten in moderation.That is not how I would interpret "possible" interactions. The number of different foods on the list of restricted foods has decreased over time once they started measuring tyramine levels in those foods. Foods whose tyramine levels measured below the threshhold for causing a reaction in most people could be less risky, and some have even dropped off some lists. But there is still a high risk of a hypertensive crisis if one consumes enough tyramine as in eating tyramine-rich foods.
> I have no problems with pizza when i eat like normal at 1-2 slices,now being a pig and eating half of the pie and maybe some cold slices at night will be a different story.
And did that pizza have only mozzarella and/or provolone cheese on it? Both are fresh cheeses as opposed to aged and thus are not high in tyramine. I eat all the pizza I want as long as it doesn't have aged cheese, and of course no other toppings that are high in tyramine. So a pizza is not a pizza is not a pizza, depending on the toppings.
Along the same lines, I could say that I eat soup, but it matters which soups. I don't have miso soup or any with miso in it. I don't have "instant" soups, as they all tend to have chicken protein concentrate and/or yeast extract in them in higher quantities than I am comfortable with. But split pea and ham soup? You bet. As long as the ingredients all check out.
gg
poster:gardenergirl
thread:801113
URL: http://www.dr-bob.org/babble/20071213/msgs/801237.html