Posted by gardenergirl on June 7, 2007, at 16:32:31
In reply to Re: spinach, posted by gardenergirl on June 7, 2007, at 14:49:58
From: Clinical Psychopharmacology Seminar
Monoamine Oxidase Inhibitors: Adverse Effects
Original Author: Paul Perry, Ph.D, BCPP
Latest Revisers: Paul Perry, Ph.D, BCPP, Brian C. Lund, Pharm.D.
http://www.tu.edu/user_files/10/19.html
TABLE 4: TYRAMINE-CONTAINING FOODS PRECIPITATING HYPERTENSIVE CRISIS
TYRAMINE CONTENT
(mcg/g or ml) (mg/serving)
Cheeses
English Stilton 1157 17
blue 998 15
3-year old white 780 12
extra-old 608 9
old cheddar 498 8
Danish Blue 295-370 4.4-5.5
Mozzarella 158 2.4
Swiss Gruyere 125 1.9
Muenster, CAN. 102 1.5
Old Colored, CAN 77 1.2
Feta 76 1.1
Parmesan, grated 75 1.1
Gorgonzola Ital. 56 0.8
Parmesan, grated
(Kraft) 15 0.2
Cream chs. plain 9 0.1
Cheese Whiz 8 0.1
Brie w/o rind 15 0.2
Sour Cream 1.23 < 0.1
Processed chs slice nil nil
Cream Cheese nil nil
Ricotta nil nilTABLE 5: TYRAMINE-CONTAINING FOODS PRECIPITATING HYPERTENSIVE CRISIS
Tyramine content per serving (mg) serving size (g)
Fish
Pickled herring 2.45 30
Lup fish roe 0.13 30
Slice schmaltz
herring in oil 0.12 30
smoked fish nil nil
Meat
Chicken Liver, fresh 0.20 30
Chicken Liver (day 5) 63.84 30
Salami cacciatore
{inside) 4.58 30
Salami genoa inside 1.16 30
Bologna 0.11 30
Cacciatore sausage mild 4.50 30
Fruit
Raspberries, 4 days in
refrigerator, no mold 0.3 30
Raspberries, frozen 0.63 30
Banana Peel 52 1.4 mg/peel
Avocados, banana pulp,
raisins, figs nil nil
Yeast Extracts
Marmite concentrated
yeast extract 645 6.45/10 g
Brewer's yeast - 191 mcg/400 mg
Miscellaneous
Tofu 0.80 100
Sauerkraut 7.75 250
Soy sauce 14.12 15 mlTABLE 6: TYRAMINE CONTENT OF COMMON FOODS THAT CAN PRECIPITATE HYPERTENSIVE CRISIS WITH MAOIs DUE TO INGESTION OF 25 MG OF TYRAMINE
Food * Median Tyramine Content (mcg/gm or ml) *Amount required for a hypertensive crisis(gm or ml)
Cheddar cheese, old 1530 16 gm (0.5 oz)
Beer 2-11 2280-12480 ml(19-104)
Sherry Wine 3 6944 ml (245 oz)
Chianti Wine 25 904 ml (35 oz)TABLE 7: RELATIVE RESTRICTIONS OF FOODS AND BEVERAGES WITH MAOI USE (GARDNER ET AL 1996)
Restriction Foods
Absolute Aged cheeses, aged and cured meats, banana peel, broad bean pods, improperly stored or spoiled meats, poultry, and fish, Marmite, sauerkraut, soy sauce and other soybean condiments, tap beer
Moderate Red or white wine, bottled or canned beer (including nonalcoholic varieties)
Unnecessary Avocados, bananas, beef/chicken bouillon, chocolate, fresh and mild cheeses (e.g., ricotta, cottage, cream cheese, processed slices), fresh meat, poultry or fish, gravy (fresh), monosodium glutamate, peanuts, properly stored pickled or smoked fish (e.g. herring), raspberries, soy milk, yeast extracts (except Marmite)I use this reference and interpret the relative safety based on the authors' conclusions and the actual amount of tyramine measured. For example, I've had foods with Kraft grated parmesan cheese, because it does not seem to contain as much tyramine as a good block of aged parmesan. Still, I don't use that much of it, because the more I ingest, the more tyramine I ingest, which would increase the likelihood of a reaction.
Following this diet requires some reasoning and judgment. I've found it impossible to eat in the real world and to have absolute yes or no's about my choices. But I can make a very good, educated and reasoned decision. And sometimes still, I get screwed. For example, I didn't know my aunt used the turkey giblets broth in the dressing, and I had a reaction to the dressing one Thanksgiving. I would not have guessed that any ingredient in dressing/stuffing would be on the restricted list, but I also didn't ask her. I never use the giblets, so I didn't think about it. I've found it's more difficult when eating out or eating food someone else has prepared, because you do have to ask about ingredients. Most people in restaurants and private homes have been quite cooperative, in my experience, though. They usually assume it's food allergies, and I don't give a lot of details about why, just what.
good luck
gg
poster:gardenergirl
thread:761571
URL: http://www.dr-bob.org/babble/20070604/msgs/761678.html