Hi,
yes it's tricky. The sources that say to avoid all soy products are outdated. If you google around (I don't have the links to hand) you will find studies that did not find *any* fermented soy products with sufficient levels of tyramine to cause trouble. Similarly there is a study that tested 50 bottled beers & 50 draft beers. It found that all 50 bottled beers were fine. Something like 47 of the draft beers were fine too. But old resources generically state that "beer contains tyramine" which whilst technically correct, is draconian and unhelpful to Nardil users.
EDIT: aha, found my good links:
http://www.dr-bob.org/babble/20010804/msgs/73614.html
http://www.dr-bob.org/babble/20010814/msgs/75408.html
http://www.holisticonline.com/remedies/Depression/dep_interactions_MAOI.htm
In my view, the biggest threat is forgetting about Pseudoephedrine. It's in all sorts of OTC meds and in painkillers. For example, my Dentist was going to use it (or epinephrine, I can't remember) on me before I told him about the Nardil.
I recommend you get a Med Alert bracelet/necklace. It's a good idea in general and I find it comforting somehow. It also serves as a reminder, hanging round your neck all day :)
BTW the only Hypertensive episode I ever had was from drinking a single pint of draft lager in London. It must have been crawling with tyramine because I reacted within minutes. I cannot tell you how excruciating the pain was. And it went on for several hours. Not. Nice.
HTH,
Pete
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this signature | Show by default | Change to hide (next time)Treatment Resistant depression, anxiety, OCD: 13 years
IBS-C & GERD: 8 years
Current meds: 90mg Nardil, 300mg Zantac, 20mg Prilosec