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Dear Bob, As I recall, Eldepryl is a MAO-B inhibitor and therefore would not have a problem with cheese or other substances with tyramine. You would be exactly correct if the patient was using a MAO-A inhibitor. Documentation for this can be found at http://www.deprenyl.net/ Quote from the above web site: Originally developed as a "psychic energizer" selegiline, also known as L-deprenyl or Eldepryl, appeared to be an irreversible inhibitor of the MAO-B enzyme. The MAO-B enzyme constitutes the main degrading pathway for dopamine, the transmitter which is deficient in the brain in Parkinson's disease An important advantage of selegiline compared with other MAO inhibitors was its lack of the "cheese effect". This effect is caused by the uptake of a food constituent, tyramine, which is present in high concentrations in cheese and Chianti wine, and causes the sudden, marked elevation of blood pressure in patients treated with other, previously used MAO inhibitors. Mark -----Original Message----- From: Parkinson's Information Exchange Network [mailto:[log in to unmask]] On Behalf Of Robert A. Fink, M. D. Sent: Friday, December 28, 2001 10:36 AM To: [log in to unmask] Subject: Re: Low protein diet Date sent: Fri, 28 Dec 2001 04:20:54 +0000 Send reply to: Parkinson's Information Exchange Network <[log in to unmask]> From: Charles Countryman <[log in to unmask]> Subject: Low protein diet To: [log in to unmask] > various cheeses If you are on MAO inhibitors (like Eldepryl), the cheese could be the culprit. Not the protein itself. Best, Bob ********************************************** Robert A. Fink, M. D., F.A.C.S., P. C. 2500 Milvia Street Suite 222 Berkeley, California 94704-2636 Telephone: 510-849-2555 FAX: 510-849-2557 WWW: http://www.rafink.com/ mailto:[log in to unmask] "Ex Tristitia Virtus" ********************************************* ---------------------------------------------------------------------- To sign-off Parkinsn send a message to: mailto:[log in to unmask] In the body of the message put: signoff parkinsn ---------------------------------------------------------------------- To sign-off Parkinsn send a message to: mailto:[log in to unmask] In the body of the message put: signoff parkinsn