MAOIs (Phenelzine, Tranylcypromine) & Tyramine-Rich Foods

CRITICAL — Strict avoidance

Mechanism

MAOIs inhibit monoamine oxidase → prevent tyramine breakdown → tyramine accumulates → triggers massive norepinephrine release → hypertensive crisis (BP >180/120). Potentially fatal.

Recommendation

Tyramine reaction is a medical emergency (severe headache, chest pain, vision changes). Strict dietary compliance is mandatory. Most doctors now prescribe newer antidepressants (SSRIs/SNRIs) that don't require these restrictions.

⚠️ Foods to STRICTLY AVOID

aged-cheesecured-meatfermented-foodssoy-saucesauerkrautkimchidraft-beerred-wineoverripe-bananaavocadofava-beansmarmite

✅ Safe Alternatives

fresh-meatfresh-fishfresh-dairyfresh-vegetablesfresh-fruitricepastabreadmost processed-foods