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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 10 of 10. This is the beginning of the thread.
Posted by Kim E on December 5, 2002, at 21:53:29
I have been in a depression for 4 yrs now. I have tried at least 10 meds during this time and nothing has worked. I have had every side effect there is. Beginning 12/8 I will start taking Nardil. My doc gave me a list of foods I'm not to take. In this listing is yeast extract. I have no idea what this is. Can anyone tell me what foods contain yeast extract? Also, if anyone out there is on this drug, I would be interested in hearing how you are doing with it.
Thanks,
Kim E.
Posted by cosis on December 5, 2002, at 23:11:09
In reply to yeast extract / Nardil, posted by Kim E on December 5, 2002, at 21:53:29
Yes the side effects are harsh.... I take 90mg.. It is great for despression and does good for my social anxiety. Most of the side effects I received from Nardil or getting easier to control.
I do not know what is this yeast extract?A few thing you want to watch out for is the weight gain, which I think can be controlled although it's hard...
Here are the side effects that bothered me:
The weight gain was from me binging on sweet foods
which I think Nardil does. So I cut my calorie intake to 2200 per day and exercise 3 times a week which took off the weight in a little over a month. I did have the occasional bad day were I would eat whatever I wanted once a week.Anorgasmia started to improve after about 3 months of nothing. Now I am able to have a mild orgasm which I wasn't able to at all. In a book I read it say's anorgamsia eventually goes away most of the time, just to be patient. This I am sure bothers guy's more than girls...
Good luck, it took 4 weeks for the drug to kick in for me, when it did I noticed a big difference. Give the side effects time to get use to, most will diminish as your body get's use to the med..
nick
cosis@alltel.net
Posted by Merci on December 6, 2002, at 9:06:23
In reply to yeast extract / Nardil, posted by Kim E on December 5, 2002, at 21:53:29
I've been on Nardil for about 2 months, and have been quite surprised at how many foods have yeast extract in them. I don't really know what it is, I just know to avoid it.
Yeast extract is found in a lot of packaged foods: rice/pasta mixes, soups, some veggie burgers, salad dressings, boullion cubes . . . I am very diligent about reading food labels and if I'm eating out and don't have access to the food labels, I just don't eat it.
I hope this helps, if I find a good link that explains yeast extract, I'll post it.
Posted by christophrejmc on December 7, 2002, at 0:42:54
In reply to Re: yeast extract / Nardil, posted by Merci on December 6, 2002, at 9:06:23
> Yeast extract is found in a lot of packaged foods: rice/pasta mixes, soups, some veggie burgers, salad dressings, boullion cubesWhat is it listed as? "Yeast extract?" I thought that only marmite/vegemite caused problems.
Posted by Merci on December 7, 2002, at 19:40:54
In reply to Re: yeast extract / Nardil » Merci, posted by christophrejmc on December 7, 2002, at 0:42:54
yes, the lists that my doctor and pharmacist gave me both listed 'yeast extract' as a food to avoid and that's how it's listed on packages
Posted by Kellie on February 13, 2007, at 20:40:07
In reply to Re: yeast extract / Nardil » christophrejmc, posted by Merci on December 7, 2002, at 19:40:54
This is my second day on this medicine and while I took my doctors warning seriously, I decided to avoid chili cheese fries and ate Lipton Mushroon Rice. I started feeling sick right away, and then read the package and it has yeast extract in it. I am scared now to eat at all. My blood pressure is not high enough to call 911 but I have a rash/hives all over my chest and arms.? I wonder if this is as bad as I will feel now that I stopped eating it or what?
I knew yeast extract was on the list but now I need to know what foods have it in the ingredients.
Don't they know depressed people eat?
Posted by gardenergirl on February 14, 2007, at 9:50:12
In reply to Re: yeast extract / Nardil, posted by Kellie on February 13, 2007, at 20:40:07
Hi Kellie,
That doesn't sound like a tyramine reaction. It might be an allergic reaction to something in the soup or maybe to Nardil. Also, I've eaten tons of stuff with yeast extract in it. It's in a lot of processed food, so it's difficult to avoid. I find that if it's lower on the ingredient list, it's usually in small enough amounts that it has not effect on me. Foods where it's very high on the list of ingredients have relatively more yeast extract. So I stay away from Marmite and Vegemite type foods (not just because of the yeast extract, though). :)Good luck with Nardil. And call your doc if the hives persist or if you start having trouble breathing.
namaste
gg
Posted by kellie on February 14, 2007, at 14:22:25
In reply to Re: yeast extract / Nardil » Kellie, posted by gardenergirl on February 14, 2007, at 9:50:12
Thanks and Happy Valentines Day! The information you gave me was helpful because I did not realize that the order the ingredients was listed dictated the amount. That is a great help. I am now agreeing that the rash is just a side effect in general that I'll have to cope with. I am liking the general affeft of the med so I'll stick for now.
I may be back with more questions though...
Posted by christophrejmc on February 14, 2007, at 19:26:34
In reply to Re: yeast extract / Nardil, posted by kellie on February 14, 2007, at 14:22:25
I've had reactions to processed food with yeast extracts while on MAOIs. Some foods with yeast extract seem to do it and others don't, regardless of how much is in the food ("yeast extract" doesn't really tell you anything anyway).
These reactions have never been very serious, though. Actually, I think most tyramine reactions are like this.. there seem to be only a few foods (like Blue Stilton) that have enough tyramine to be able to cause a serious hypertensive reaction without eating massive amounts.
Posted by Ken Blades on February 18, 2007, at 4:16:28
In reply to Re: yeast extract / Nardil, posted by Kellie on February 13, 2007, at 20:40:07
I agree with gardenergirl...sounds like an allergic
reaction rather than a tyramine reaction. Here is a
link to a good[though detailed]article about
MAO inhibitors with a very good section about
foods and tyramine content:http://www.tu.edu/user_files/10/19.html
IMHO, the 'classic' list of foods to avoid
while on MAOIs is too restrictive. I do avoid
aged cheeses, except for a 'taste' when they
are used in some recipe, and aged meats like
salami and pepperoni, along with 'deli' meats
that have been in the refrigerator longer than
a few days as they also 'age'/protein breaks
down while refrigerated. I do eat mozzarella
on pizza, and have never had a hypertensive
reaction[I used to test my BP when I started
eating pizza again]. But of course, pizza with
pepperoni is a no-no, along with anchovies and
parmesan and romano sprinkled on. You have to
ask each pizza place what they use in making
their pizzas because it varies.I do avoid fermented soy products[miso,tamari,tempeh]; the 'real' soy sauces made in Japan are the most problematic, and
the LaChoy-type American made ones are not as bad
because they are not really fermented and contain
more coloring and salt than soy but don't go overboard with them either. You have to look on
labels of prepared foods for soy sauce content
too; a little won't be a problem but you have to
look for ALL the possible problem ingredients in
prepared foods. You could have blue cheese and soy sauce used in the same package of food for example.My friends are used to my 'diet no-nos' by now
and let me know when a dish contains something
I shouldn't have and make sure the main course
is something I can eat with no problem.Re Marmite and Vegemite...I'm with gardenergirl...
yuck! This is popular in England and Australia,
but it's an acquired taste[how?]. But this stuff
is PURE yeast extract while other prepared foods
use it in small amounts as a flavoring.I've taken 70mg/day of Parnate[tranylcypromine]
for nine years and have never had a hypertensive
crisis. My psydoc asked me a few months ago[after
nine years!]if I ever 'experimented' with my
diet...I admitted I had; she wasn't freaked. Each
doctor has to keep up with the newer material
available on MAOI diets; a lot just hold to the
PDR list that's been around for 40 years.Here's an even more recent tyramine/MAO article
[you have to be a bit technically-minded for
this one!]:http://www.cnsspectrums.com/aspx/articledetail.aspx?articleid=948
KB
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