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Dr. Bob is Robert Hsiung, MD,
[email protected]Shown: posts 1 to 14 of 14. This is the beginning of the thread.
Posted by TriedEveryDrug on April 2, 2009, at 20:07:31
So I'm taking Nardil and I think I'm having a tyramine reaction from some delicious vietnamese pho soup I had for lunch.
My BP is about 135/90 and I have a splitting headache.
My doc gave me a scrip for nifedipine in case of reaction.
Should I take one or just sit this out?
Posted by TriedEveryDrug on April 2, 2009, at 20:56:15
In reply to Tyramine / maoi reaction - when to do anything?, posted by TriedEveryDrug on April 2, 2009, at 20:07:31
I'm seeing conflicting reports on the interwebs.
Posted by Larry Hoover on April 2, 2009, at 21:44:02
In reply to Tyramine / maoi reaction - when to do anything?, posted by TriedEveryDrug on April 2, 2009, at 20:07:31
> So I'm taking Nardil and I think I'm having a tyramine reaction from some delicious vietnamese pho soup I had for lunch.
>
> My BP is about 135/90 and I have a splitting headache.
>
> My doc gave me a scrip for nifedipine in case of reaction.
>
> Should I take one or just sit this out?I really doubt this has anything to do with your lunch. Tyramine reactions don't take very long to develop, and your blood pressure is nowhere near a dangerous level. I'd suggest you take your favourite headache remedy.
Lar
Posted by TriedEveryDrug on April 2, 2009, at 21:48:04
In reply to Re: Tyramine / maoi reaction - when to do anything? » TriedEveryDrug, posted by Larry Hoover on April 2, 2009, at 21:44:02
Thanks.
my BP is usually 120/80, so maybe I'm just having a mild reaction.
Posted by myco on April 2, 2009, at 21:56:57
In reply to Re: Tyramine / maoi reaction - when to do anything? » Larry Hoover, posted by TriedEveryDrug on April 2, 2009, at 21:48:04
Do you get tension headaches?...panic attacks?
These will also raise bp.> Thanks.
>
> my BP is usually 120/80, so maybe I'm just having a mild reaction.
Posted by TriedEveryDrug on April 2, 2009, at 22:16:04
In reply to Re: Tyramine / maoi reaction - when to do anything? » TriedEveryDrug, posted by myco on April 2, 2009, at 21:56:57
> Do you get tension headaches?...panic attacks?
> These will also raise bp.
>No, never. This happened to me the other day to a lesser degree after eating a slice of american cheese.
Posted by myco on April 2, 2009, at 22:21:07
In reply to Re: Tyramine / maoi reaction - when to do anything? » myco, posted by TriedEveryDrug on April 2, 2009, at 22:16:04
Ya that damn diet. try to avoid cheese totally unless its one of the white soft fresh varieties like ricotta, cream cheese, mozza (fresh not smoked or ages), cottage cheese etc...
and whatever you do...dont take OTC cold/flu remedies containing decongestants...you already know this though lol
Ive had a few slips myself...not with food but supplements/herbals...watch out when/if you play with those...nardil will bite you in the *ss when you least expect it
> > Do you get tension headaches?...panic attacks?
> > These will also raise bp.
> >
>
> No, never. This happened to me the other day to a lesser degree after eating a slice of american cheese.
Posted by desolationrower on April 2, 2009, at 23:15:59
In reply to Re: Tyramine / maoi reaction - when to do anything? » TriedEveryDrug, posted by myco on April 2, 2009, at 22:21:07
Well, i don't know the recpipe for pho exactly, but i haven't made anything vietnamese since i started on MAOI since they pretty much all need fish sauce or shrimp paste, which are both high in tyramine. So keep an eye on your BP, if you just ate.
I am not sure on sourdough, i have not seen anything conclusive, and it might be hard to tell because sourdough coudl have any sort of strain of yeast and bacteria. the specific strain has a lot to due with whether they produce significant amounts of tyramine.
-d/r
Posted by Garnet71 on April 2, 2009, at 23:30:34
In reply to Tyramine / maoi reaction - when to do anything?, posted by TriedEveryDrug on April 2, 2009, at 20:07:31
Vietnamese food sometimes has Hoison sauce in it - made from fermented soy
Posted by TriedEveryDrug on April 2, 2009, at 23:42:43
In reply to Re: Tyramine / maoi reaction - when to do anything?, posted by Garnet71 on April 2, 2009, at 23:30:34
getting some chest pains too.
I hope the nifedipine doesn't harm me.
Posted by Phillipa on April 3, 2009, at 0:28:21
In reply to Well, my bp has hit 140. nifedipine time, posted by TriedEveryDrug on April 2, 2009, at 23:42:43
Did you take it? Please get back to us and let us know how you are. Love Phillipa
Posted by TriedEveryDrug on April 3, 2009, at 10:03:01
In reply to Re: Well, my bp has hit 140. nifedipine time » TriedEveryDrug, posted by Phillipa on April 3, 2009, at 0:28:21
Yup. Took 10mg and then went to bed.
Woke up about 1am with a splitting headache, took my BP and it was down to 125.
So everything worked out ok :)
Posted by Phillipa on April 3, 2009, at 20:42:56
In reply to Re: Well, my bp has hit 140. nifedipine time » Phillipa, posted by TriedEveryDrug on April 3, 2009, at 10:03:01
Well that's a relief. Phewww!!!!! Love Phillipa
Posted by jedi on April 7, 2009, at 1:29:08
In reply to Re: Well, my bp has hit 140. nifedipine time » Phillipa, posted by TriedEveryDrug on April 3, 2009, at 10:03:01
> Yup. Took 10mg and then went to bed.
>
> Woke up about 1am with a splitting headache, took my BP and it was down to 125.
>
> So everything worked out ok :)Are you taking the 10mg bite and swallow capsules? I took one of these once in a true hypertensive crisis(systolic over 200), and then rushed to the ER. Lucky I did, because the tyramine reaction wore off before my reaction to the nifedipine. I ended up spending the night in the hospital, on IV fluids, with dangerously low BP.
Obviously not everybody reacts to nifedipine this way, but many doctors will no longer prescribe the medication because of the possibility of this reaction. People die from low BP too.
Take care,
Jedi
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