Posted by CaptainAmerica1967 on January 14, 2009, at 17:26:27
In reply to Re: MAOI TX in Severe+Resistant Depression, posted by Cseagraves on January 14, 2009, at 14:44:16
There's an awesome book called "The Anxiety Disease" by David Sheehan, M.D. (one of the most thought of psychiatrist in treating anxiety) that came out around 1990. You should buy it on Amazon. It's a great book on both the biological control of GAD, panic diorder, phobias, and anticipatory anxiety as well as some of the learned behaviors (ie agoraphobia) you get from the biological based anxiety and fear one "accidentally" learns or associates situations with during their anxiety . I've always had severe anxiety with my depression and at one time developed a little agoraphobia while on some of the tricyclic as the imipramine made my heart race.
I'm a vegetarian as well and have never had any problems with any of my whey protein supplement (whey is great for the immune system as well) drinks or other supplements as long as they don't contain any ephedrine type products which I never dared trying. Don't be concerned about tyrosine. It's the amino acid that gets converted into norepinephrine, but at mega doses it may affect your blood pressure.
Reread the article I posted on MD says Dexedrine, Trazodone, Remeron are ok with MAOIS as it tells it straight forward on what one really needs to not eat while on MAOIs (the new research on actually measuring tyramine content of foods and drinks) which isn't much except age cheeses (I always thought pizza was out and haven't eaten pizza because of the cheese but am going to try some), tap beer (I cannot stand the taste of beer anyways), fava beens (contain L-Dopa which converts into dopamine), sauerkraut, tofu, soy sauce and miso soup. Fresh cheeses and diary products including yogurt is fine as well as wine (even red wine which I thought was a no no, but maybe no chianti wine), most bottled beers (not sure about canned beer as the lack of sunlight allows fermentation and hence tyramine increase), most hard liquors (I like Bailey's but have never tried while on an MAOI as it has milk type products that have sat over time, I've had no problems with others like Sambuca..note Licorce actually has a small MAOI effect and helps mood as well as muscle fatigue as it stimulates cortisteroids), chocolate (never ever had a problem but I've never eaten it in hugh quanities unless you're taking about my protein shakes...I'm 5'11' and pretty much all muscle at 240pds and need the protein being a vegeatrian), coffee (I don't drink it..don't like the taste and you should either as it can preciptate panic attacks from the caffeine). When dining out just ask them about the specifics as for as things being aged or soy sauce being added. I probably eat 5 bananas a day and never had a problem but I like them almost on the green side and not real ripe. Oranges contain a natural neosynephrine which is why they help clear up sinuses during a cold, but I eat several oranges a day as well. I don't eat peanut butter because of the fat content, but do eat peanuts and nuts. I eat lentil soup ever week with no problems, but maybe some lentil soups have a soy sauce put into it?
I noticed the effect of the MAOI's the very same day I started taking them and was amazed that so many physicians are scared to use them when they are so effect.
I have confidence it will work for you.
Best of luck,
Jeff
poster:CaptainAmerica1967
thread:873284
URL: http://www.dr-bob.org/babble/20090104/msgs/874006.html