Posted by baseball55 on January 18, 2016, at 21:20:12
In reply to Re: Wellbutrin was the closest to help my depression, posted by Joakim on January 17, 2016, at 19:22:54
> Parnate will be my very, very last resort. If nothing else i try works. If only there weren't any dietry restrictions with MAOI's... i'd gladly try them out.
>Obviously, you need to do what is comfortable for you at this time. But I find that people way overestimate the impact of MAOI dietary restrictions. No-nos are:
aged cheeses (mozzarella and American, cream cheese are all fine) I have eaten aged cheeses in small amounts without a problem however - parmesan, cheddar, feta. Generally, you would need to eat an ounce or so to cause a reaction, though there's no hard and fast rule. I kind of push the envelope. I could give all this up with little impact on my normal diet.
aged meats. Salami, pepperoni, other hard deli meats (am not familiar with any others). Spoiled meats are dangerous too, but then spoiled meats are dangerous in many ways. Probably beef jerky is no good. So how often do you eat these things? You can switch from pepperoni to sausage pizza. I like sausage better anyway. Other meats, including deli meats, are fine.
Marmite - Huh? Some British food. Never had it
Sauerkraut - something I've eaten maybe twice in my life. If you like reubens, switch to cole slaw.
Fava beans - never had them in my life. Don't miss them. All other beans are fine.
Soy sauce in large quantities. Use sparingly with sushi. Be careful what you order at a Chinese restaurant. I have read that up to 1/4 cup is fine.
Draft beer - lines can have tyramine buildup. Bottled beer is fine.
Chianti is a no-no. Other red wines not mentioned anywhere, but I avoid all red wine. I don't like red wine anyway. White wine is fine, as are spirits, though one should avoid alcohol when depressed, in general.
Other things? I've seen things like no more than one orange a day, but you see a lot of stuff that's alarmist and not replicated anywhere else. And I never eat more than one orange a day. I usually don't eat oranges at all (probably I should). I do eat a lot a grapefruit.So that's pretty much it. Most American diets don't include most of the restricted foods anyway. Might be harder if you live in Italy or France.
Another argument I've heard friends use against MAOIs is that they don't want to do the washout. But really, if your current drug isn't helping you, why not take two weeks off and start an MAOI? You won't make anything worse.
People also worry about drug interactions besides SSRIs. There are some dangerous one - demeral and tramadol come to mind. But these drugs have many substitutes and aren't used all that much anyway. If you are having surgery, no problem. I had two surgeries on parnate and just told the anesthesiologist beforehand. If you're worried about an accident leaving you unconscious, so you can't tell the anesthesiologist, get a medical alert bracelet.
poster:baseball55
thread:1085444
URL: http://www.dr-bob.org/babble/20151225/msgs/1085543.html