Posted by Larry Hoover on October 30, 2007, at 8:51:08
In reply to Re: Diet restrictions on EMSAM 9 MGS? » Larry Hoover, posted by trx resistant on October 29, 2007, at 20:36:46
> Thanks so much for the info Larry. After reading the various posts I think I can breathe a little easier. But Bristol Meyers said no soy products which is what I found so confusing. So some tofu is OK?
Fresh tofu is okay. I would never eat old tofu, in any case.
The longer food sits around, the more likely it is to have been acted on by bacteria. It's a theoretical risk, which cannot be accurately assessed. It just comes with the territory.
When Emsam 9 mg was being put through the clinical trials, one trial was to assess reactivity to known amounts of dietary tyramine. As far as I recall, there were no incidents of hypertensive crisis, and only a few fairly modest rises in blood pressure. Nothing serious, in other words. It's the old "abundance of caution" thingie, to make the food warnings mandatory for the 9 mg patch. Most people had no noticeable reaction to tyramine, but a few showed some reactivity.