Posted by ed_uk2010 on December 6, 2013, at 14:20:14
In reply to Re: landed in the ER - nardil reaction to cheese, posted by deerock on December 5, 2013, at 20:06:00
> hi ed. from what i can tell its smoked foods, banana peels and aged meats, herring and aged cheese.
>
> can you point me to any resources?Yes, you should avoid ALL cheese except small amounts highly processed American 'hamburger' cheese, which is not really proper cheese. ALL other cheeses are aged, because this is part of the cheese-making process. Also, Cottage cheese is not actually cheese, and is safe.
Any type of meat or fish which is aged, past its expiry, not stored properly, smoked, pickled, dried, preserved, stale or possibly 'going off' is not OK. Only fresh/frozen meats, fish and poultry are safe. There's nothing specifically bad about herring, but pickled herring is unsafe because it is not remotely fresh, and so the proteins in the fish have degraded into tyramine.
Avoid beer (on tap) and wine. Very small quantities of white wine may be tolerable but I do not recommend it. Well known brands of bottled beers are often acceptable in small quantities only, but I do not recommend trying this early during treatment. Spirits (eg. gin, whiskey and vodka) do not contain any tyramine, and are usually safe in moderation, but large quantities may cause dizziness and fainting.
Soy sauce is not safe. Avoid foods which are likely to contain it eg. Chinese ready meals etc. All other fermented soya bean extracts are unsafe. Be careful with takeaways and restaurants. A lot of soy sauce may be added by some as a flavour enhancer.
Meat and yeast extracts are unsafe. These include Oxo, Marmite, Vegemite and Bovril. Brand names vary according to the country. Most are used to spread on bread/toast (eg. Marmite) or as flavour enhancers.
Broad bean pods, banana peels and Sauerkraut are unsafe - but these are not usually popular foods anyway!
Do NOT take any type of medication, including non-prescription medication without checking its safety (+Nardil) with the pharmacist.
Drug and food interactions persist for 2 weeks or more after Nardil has been stopped.
An early warning symptom of a hypertensive crisis is a throbbing headache. It may be useful to buy a blood pressure monitor.
I personally rate Nardil as a very useful drug for patients who do not respond well to other antidepressants and anti-anxiety drugs. It does require a lot of learning though, but it becomes easy after a while.
poster:ed_uk2010
thread:1055485
URL: http://www.dr-bob.org/babble/20131115/msgs/1055581.html