> 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
=======
Well, I was looking around on the web for a list of more info on the "cheese effect"
and tyramine and found some information I'll share.
"Deprenyl exhibits no significant "cheese effect" at therapeutic dosages, and only
minimal effects at extremely high dosages."
"Deprenyl exhibits no significant cheese effect" to MOST but COULD mildly to
others. We certainly are all different and some may be more sensitive to tyramine in
foods. I figured it's worth taking a closer look.
"Cheese effect" is a reaction caused by neural uptake of tyramine from
tyramine-containing foods like aged cheeses, certain wines, yeast, beans, chicken
liver and herring."
[Charley didn't you say that at your family smorgasbord you indulged yourself in
pickled herring , various cheeses and meats? ...yikes! ...]
There are some "tyramine-rich" foodstuffs, so it seems wise to advocate care with
regard to the dietary intake of foodstuffs likely to contain a high tyramine content.
If feeling especially poorly why not consider putting some foods on the “no touch
list” or at least keep at moderation if you are taking Deprenyl / Selegiline / Eldepryl.
I found this list:
Tyramine List - compiled from Archives of Biochemistry
and Biophysics and the Mayo Clinic Diet Manual
Avoid
Alcoholic beverage (some, not all alcohol) - red wine, "aged" wine,
Chianti wine and tap beer.
[Domestic bottled or canned beer are considered safe when
consumed in moderation. ]
Homemade yeast breads
Crackers containing cheese
Sour cream
Bananas , Red plums , Avocados , Figs , Raisins
Aged game
Liver , Stored beef liver , Chicken livers
Canned meats , aged or cured meats (e.g.,air-dried sausage); any
potentially spoiled meat, poultry, or fish.
Yeast extracts , nutmeg ,
Sauerkraut ; soy sauce and soy bean condiments
Commercial meat extracts
Salami
Sausage
* Aged cheese (including Blue, Boursault, Brick, Brie, Camemberter,
Cheddar, Colby, Emmentaler, Gouda, Mozzarella, Parmesan,
Provolone, Romano, Roquefort, and Stilton) * [on pizza too]
Salted dried fish (herring, cod), pickled herring and some smoked fish
Italian broad beans , Green bean pods , Egg plant
Yeast concentrates or products made with them
Marmite
Soup cubes
Commercial gravies – anything with soy sauce, and any protein that has
not been stored properly or has some degree of spoilage
(i.e., all
but those that have been freshly prepared).
The tyramine list was found in the book, Breathe Well, Be Well, Robert Fried.
...and further snooping around the web I found:
* Concomitant prescription of serotonin-enhancing drugs should only be undertaken
with caution for patients on selegiline.
* Coprescription of sympathomimetic drug sshould also be avoided with the newer
MAOIs and patients should be advised against purchasing over-the-counter
preparations that may contain *sympathomimetic drugs.
* best not to take Selegiline at bedtime for a better sleep
Take care,
Gail Vass
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