i just increased my Emsam dosage from 6 mg to 9mg. the new patch came with a dietary warning. i cant eat any tyramine rich foods and need to decrease/avoid caffeine. tyramine is an amino acid by product (the amino acid it comes from is tyrosine). tyramine is usually just processed by the body and there's no problem. when you use MAOIs at higher dosages you have to avoid tyramine because your body stops processing it well and that can cause sudden, dangerously high blood pressure spikes which can lead to heart attack and stroke, etc. tyramine rich foods are typically foods that fall into the Smoked/Cured/Aged/Preserved/Fermented category. (SCAP F is my acronym so i can remember it) the whole thing means that you cant eat foods like aged cheese, pancetta, olives, soy sauce, tofu, tempeh, smoked fish, etc. there's a big list....several actually...and some of it's conflicting with regard to the forbidden vs cautionary foods. there are also foods that dont fit into the acronym parameters....like bananas and avocados. when you get right down to it....most of my favorite things have been eliminated. i had less difficulty giving up caffeine and chocolate than i did OLIVES!!! i love Greek olives so much!!!
anyway....does anyone else follow a tyramine diet and, if so, which version? the information is conflicting. my pharmacist recommended using the food list from the Emsam website but i felt like it was much less detailed than others i found. also, i cant seem to find one that was updated after 2006.
does anyone have a reference they like to use? i'm really interested!