Low-Tyramine Diet MAOI Diet
What Is Tyramine?
Tyramine is found in many foods, including wines, ripe cheeses, and fermented or aged foods.
Why Should I Follow a Low-Tyramine Diet?
A low-tyramine diet is recommended if you are taking monoamine oxidase inhibitors (MAOIs), a type of drug found in certain antidepressants, Parkinsons medications, and antibiotics. Eating foods with high amounts of tyramine while taking MAOIs can cause a drug-nutrient interaction that produces side effects such as elevated blood pressure, headaches, heart palpitations, and chest pain.
Eating Guide for a Low-Tyramine Diet
|Food Category||Foods Recommended||Foods to Avoid|
Meat and Beans
Fresh or frozen meats, poultry, fish, and shellfishEggsLegumesNuts, peanut butterThe following are allowed in limited amounts: fresh sausage and pepperoni, canned sardines, caviar and pat (limit to 1 ounce)LiverSmoked or dried meatsSmoked, pickled, or dried fishMeat processed with tenderizersMeat extractsSalamiFermented and dry sausageFermented soybean productsOilsSalad dressings without aged cheeseVegetable oilsNuts, peanut butterOlivesDressings made with aged blue cheeseBeveragesJuiceMilkCarbonated beveragesDecaffeinated coffee and teaThese are allowed, but should be limited: chocolate drinks; coffee, tea, and other caffeinated drinks; white wine; bottled or canned beer; and clear spirits (if approved by your doctor)Tap beer, ale, chianti and vermouth wines, sherry, champagne, and mixed drinksOtherMargarine, butter, mayonnaiseSalt, pepper, spices, and herbsSugarPotato chips, popcornSherbet, ice cream, and jelloHard candyCookies, cakes, and other baked products (made without yeast)Limit chocolate desserts, candies, and syrupsTeriyaki and soy sauce (limit to cup per day)Instant soup mixes and bouillon cubes (check ingredients for yeast), miso soupCheese-filled dessert and cheesecakeImported chocolateBrewer's yeastMSGAll aged and fermented products Additional SuggestionsLimit caffeine intake. While there is no tyramine in caffeine, consuming too much caffeine can result in high blood pressure.Check ingredient lists for the presence of tyramine-containing ingredients, such as marmite and yeast-extracts.Fresh food is less likely to contain high levels of tyramine. Promptly refrigerate or freeze foods.Use or toss leftovers within 48 hours.Eat allowed fresh meats within three days.Eat allowed cheese within three to four weeks.Do not eat combination foods that contain foods on the avoid list.Continue this diet for four weeks after stopping your MAOIs (or as directed by your physician). RESOURCES:
American Dietetic Associationhttp://www.eatright.org National Institutes of Healthhttp://www.nih.gov/ CANADIAN RESOURCES: Dietitians of Canadahttp://www.dietitians.ca Public Health Agency of Canadahttp://www.phac-aspc.gc.ca/ References Low-tyramine diet. Northwestern Memorial Hospital website. Available at: http://www.nmh.org/nmh/patientinformation/lowtryaminediet.htm . Accessed June 24, 2007. Low-tyramine diet for use with monoamine oxidase inhibitors. University of North Carolina School of Medicine website. Available at: http://gcrc.med.unc.edu/investigators/diet/diet_maoi.html . Accessed June 24, 2007. MAOI diet facts. University of Pittsburg Medical Center website. Available at: http://patienteducation.upmc.com/Pdf/MaoiDiet.pdf . Accessed June 24, 2007. Last reviewed May 2008 by Maria Adams, MS, MPH, RDPlease be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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