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Re: Parnate food interactions

Posted by Ilene on August 30, 2004, at 0:57:26

In reply to Parnate food interactions, posted by ron1953 on August 28, 2004, at 22:24:34

> I'm starting a trial with Parnate tomorrow. There's a lot of contradicting information about foods containing potentially dangerous levels of tyramine. Does anyone have a current and "definitive" list of foods to avoid?

Look in the archives. Many of the "foods you must avoid" are out of date. 80% of reactions are due to aged cheese. Fresh cheeses (e.g. ricotta, mozzarella) and processed cheese are okay. Other things to avoid are aged sausage, beer, shrimp paste, and some other fermented products. Basically you want to avoid aged proteins. Some people have gotten reactions from liver that's been in the fridge too long.

I've done okay by avoiding cheese. Soy products are supposed to be a problem in some people, but I started with a small amount of soy sauce and increased it to see how I tolerated it. Tofu isn't a problem.

You can probably eat pizza from places like Round Table or Domino's because they don't use real cheese or pepperoni. When in doubt, ask. Most cheeseburgers are made with American (processed) cheese.

You also have to avoid many OTC and prescription drugs. Carefully read the labels of any cold, cough, or allergy medications. Ask your doctors about the safety of any other drugs you are taking.

Two caveats: people on Parnate tend to have more reactions than people on other MAOIs, and reactions are individual.

Your pdoc can prescribe nifedipine. I keep some in my purse just in case. It will bring down your BP if necessary.




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