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Re: MAOI Diet

Posted by Elizabeth on May 29, 1999, at 11:31:59

In reply to Re: MAOI Diet , posted by Gretchen on May 29, 1999, at 9:22:07

Hi Gretchen.

With regard to the chicken, it doesn't really matter if it was cooked properly or not; it might have been contaminated (by bacteria that break down tyrosine into tyramine). I find myself wondering if the two portions originated from the same source and might have been "a bad batch" so to speak.

Had you eaten anything else either time?

How high was your blood pressure each of these times?

You might think about lowering the dose of Parnate for a while, or even switching to Marplan (which is probably less tyramine-potentiating than Parnate) or selegiline (which definitely is). The other thing is, you should definitely get your doctor to prescribe you a little bit of nifedipine, a fast-acting calcium channel blocker. (It comes in 10mg gelcaps, you bite them in half and then swallow to make them work faster.) There has been some controversy about this in the past but it seems that the only risk is if you have some kinds of preexisting heart disease.

Anyway I'm sorry to hear this is going on. I hope it gets better. For whatever it's worth, I was very sensitive to Parnate the first time I took it (had spontaneous htn, had to quit the drug) but adjusted to it, so it might just be that you need to readjust. Good luck.




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