Psycho-Babble Medication Thread 980504

Shown: posts 1 to 12 of 12. This is the beginning of the thread.

 

MAOI's and food interactions

Posted by MatthewDavid on March 15, 2011, at 20:33:50

Hi I just started taking Nardil. I've read alot that some of the "No No" foods can be ate in moderation. Can someone taking MAOI's please share their diet do's and dont's? Of all of the food restrictions here are the current foods I do eat that are on the list and just want to know if I should forget about ever eating them again or if they can be eaten in moderation:

Banana's
yogurt
pepperoni
deli meat
chedder,swiss, and mozerella cheese

 

Re: MAOI's and food interactions

Posted by atypical on March 15, 2011, at 23:03:36

In reply to MAOI's and food interactions, posted by MatthewDavid on March 15, 2011, at 20:33:50

Many old descriptions of what you can't eat include just about everything! See a resources such as http://www.upmc.com/HealthAtoZ/patienteducation/Documents/MaoiDiet.pdf

I eat tons of bananas and yogurt. No pepperoni because I am vegetarian. I eat tons of cheese but have to be careful. I can eat tons of mozzarella but I can't eat monterey jack cheese, which causes the reaction for me. I also drink red wine. I avoid draft beer -- only drink bottled.

 

Re: MAOI's and food interactions » atypical

Posted by Phillipa on March 16, 2011, at 12:43:10

In reply to Re: MAOI's and food interactions, posted by atypical on March 15, 2011, at 23:03:36

On a different search somehow came up with restrictions for Maois and some cheeses were mentioned I think I thought pizza so that makes me think of mozzarella. A long time ago an old poster named Elizabeth those on maois kept referring to the archieves and the list she had made up you might also want to look there Phillipa

 

Re: MAOI's and food interactions

Posted by emmanuel98 on March 16, 2011, at 19:24:01

In reply to MAOI's and food interactions, posted by MatthewDavid on March 15, 2011, at 20:33:50

Of the list you mention, only pepperoni, swiss and cheddar and real no-no's. (Bananas don't contain tyramine. Only banana skins and why would you eat the skin?). But I have eated all the no-nos in small quantities without a problem. When I first started parnate I said to my p-doc, well no wonder they're not prescribed that often. All I would have to do is have some salami and cheese and a bottle of chianti and check out. He said these are tendencies, not absolutes. If it were that urgent, nobody would prescibe MAOIs to someone who is, or has been, suicidal.

So watch it with dried meats and aged cheeses and you should be fine.

 

Re: MAOI's and food interactions

Posted by MatthewDavid on March 16, 2011, at 19:30:45

In reply to Re: MAOI's and food interactions, posted by emmanuel98 on March 16, 2011, at 19:24:01

thank you everyone, your comments were very very helpful. following the guidlines hardly seem to be a sacrifice knowing that on this medication there is a real chance of getting my life back. But thanks to your comments I really feel at ease knowing that if I inadvertanly ate a food no no it's not necessarly a life or death situation.

 

Re: MAOI's and food interactions » MatthewDavid

Posted by jedi on March 18, 2011, at 13:54:20

In reply to Re: MAOI's and food interactions, posted by MatthewDavid on March 16, 2011, at 19:30:45

As a newcomer to Nardil, you should be more careful until you know exactly how your body will react to a dose of tyramine. Tyramine content in various foods can vary and our bodies response to the substance can vary. I've read that norepinephrine, such as in the tricyclic nortripyline can actually reduce our susceptibility to a hypertensive episode from MAOIs. I won't be the one to test this, however.

At least two of the foods you mentioned, cheddar and swiss cheese can have very high tyramine content. I will have a small bite of these, but that is it. I have never had a problem with the pepperoni on pizza. I can east mass quantities of mozzarella cheese and also some Jack cheeses. But with the two cheeses you mentioned, you are playing with fire!

Here are some good guidelines from this site. Everyone is different:
http://www.dr-bob.org/tips/maoi.html

Be careful,
Jedi

 

Re: MAOI's and food interactions » MatthewDavid

Posted by tepi on March 19, 2011, at 11:38:53

In reply to MAOI's and food interactions, posted by MatthewDavid on March 15, 2011, at 20:33:50

> Hi I just started taking Nardil. I've read alot that some of the "No No" foods can be ate in moderation. Can someone taking MAOI's please share their diet do's and dont's? Of all of the food restrictions here are the current foods I do eat that are on the list and just want to know if I should forget about ever eating them again or if they can be eaten in moderation:
>
> Banana's
> yogurt
> pepperoni
> deli meat
> chedder,swiss, and mozerella cheese
>


I ate most of the prohibite food . I ate banna, yougurth , never peperoni and never aged chesse
I ate comercial pizzas wth no problem
I had one Hypertesnive crisis when I ate a big piece of chicken that was on the fridge for a week

 

Re: MAOI's and food interactions

Posted by desolationrower on March 23, 2011, at 4:34:24

In reply to Re: MAOI's and food interactions, posted by MatthewDavid on March 16, 2011, at 19:30:45

i would say:

(try to convince your pdoc to rx a nri)
eat all fresh foods, avoid anything fermented.


-d/r

 

Re: MAOI's and food interactions

Posted by MatthewDavid on March 23, 2011, at 16:59:05

In reply to Re: MAOI's and food interactions, posted by desolationrower on March 23, 2011, at 4:34:24

D/R, can you give me a little more info on an NRI? not exactly sure what type of med that is.

thanks

 

Re: MAOI's and food interactions

Posted by MatthewDavid on March 23, 2011, at 17:39:35

In reply to Re: MAOI's and food interactions, posted by desolationrower on March 23, 2011, at 4:34:24

Hi D-R, do you recommend taking an NRI in combination with an MAOI to counter side effects the MAOI might have such as lack of concentration, or do NRI's compliment MAOI's or enhance them? what was your experience?

 

Re: MAOI's and food interactions

Posted by Elanor Roosevelt on March 23, 2011, at 21:41:10

In reply to Re: MAOI's and food interactions, posted by MatthewDavid on March 23, 2011, at 17:39:35

one ting i learned this time around is you are only allowed yogurt made be big chain companies. That I was told.
I learned that it is very dangerous to eat marinated meat.

Also, consider getting a BP cuff.
good luck

 

Re: MAOI's and food interactions

Posted by desolationrower on March 25, 2011, at 6:07:11

In reply to Re: MAOI's and food interactions, posted by MatthewDavid on March 23, 2011, at 16:59:05

> D/R, can you give me a little more info on an NRI? not exactly sure what type of med that is.
>
> thanks

> Hi D-R, do you recommend taking an NRI in combination with an MAOI to counter side effects the MAOI might have such as lack of concentration, or do NRI's compliment MAOI's or enhance them? what was your experience?

NRI - norepinephrine/noradrenaline reuptake inhibitor. reboxetine, attomoxatine, notriptaline, desipramine. the last two are called 'secondary TCAs' too, based on their chemical structure.

NRIs can increase blood pressure, but only a limited amount. They reduce the chance of hypertensive crisis (the reason you shouldn't eat certain foods in the first place) by blocking entry of tyramine through the uptake pump thingie.

I wanted to take one, but couldn't find a doctor to Rx the combo and ended up just discontinuing the MAOI since my depression was gone. for most people, NRIs seem a bit less effective than stimulants for ADHD symptoms, but they do help. And they are a lot safer with MAOIs. You can think of it as a 'risk' with the maoi, but not taking it is the risk. I had a hypertensive crisis when the only thing i ate all day was an apple. The unsaftey is from reports of 'TCAs' causing problems, but this was serotonergic TCAs causing serotonin syndrome. Nortriptaline should prvent serotonin syndrome, actually.

-d/r


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