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Re: Toradol for migraine ? (on EMSAM) » Maggiemae

Posted by SLS on March 1, 2012, at 23:41:47

In reply to Re: Toradol for migraine ? (on EMSAM), posted by Maggiemae on March 1, 2012, at 20:55:11

> Thank you. Interesting about imitrex and MAOI. But it would be scary to try it I think.
>
> But I was afraid to have my first beer, and I was fine! Ha! I suspect I am taking the diet restrictions too seriously.

Take the diet seriously.

The requirement to adhere to a special diet is important. I experienced a tyramine pressor reaction to a few slices of pepperoni on a pizza. My head almost blew off with the sudden onset of a pounding headache at the base of my skull. The mozzarella on the pizza was okay to eat. I eat pizza all of the time. It is not okay to eat parmesan. Ricotta is okay. Provolone is not okay. Blue cheese is the worst. Any protein food that is aged or fermented should be avoided. Bottled beer from major manufacturers is okay. Micro-brewery and draft beers are suspect. I have a few glasses of white wine every now and then. I am reluctant to drink red wines, but this might be an old idea.

Here is the old list of foods to avoid:

http://www.livestrong.com/article/301453-list-of-foods-high-in-tyramine/

There are quite a few foods on the list that should not be. It has been quite awhile since we had a thread on the MAOI diet. Perhaps it is time for another one.

Here is a good paper that scrutinizes the old list:

http://psychotropical.com/pdfs/maois_diet_full.pdf

When in doubt, follow the old list.

If you find a concise updated list, please post it.

Warning signs of a tyramine reaction:

Headache
Nausea
Vomiting
Sweating
Fast heartbeat
Dilated pupils
Brain hemorrhage (infrequent)
Death (rare)

You can sometimes get lucky and accidentally eat a restricted food without experiencing a reaction. However, this does not guarantee that you will not react to the same food in the future.


- Scott


Some see things as they are and ask why.
I dream of things that never were and ask why not.

- George Bernard Shaw

 

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