Low-Tyramine Diet
En Español (Spanish Version)

What Is Tyramine?
Tyramine is found in many foods, including wines, ripe cheeses, and fermented or aged foods.

Why Should I Follow a Low-Tyramine Diet?
A low-tyramine diet is recommended if you are taking monoamine oxidase inhibitors (MAOIs), a type of drug found in certain antidepressants, Parkinson’s medications, and antibiotics. Eating foods with high amounts of tyramine while taking MAOIs can cause a drug-nutrient interaction that produces side effects such as elevated blood pressure, headaches, heart palpitations, and chest pain.

Eating Guide for a Low-Tyramine Diet
Food CategoryFoods RecommendedFoods to Avoid
Grains

  • All commercial breads (except sourdough)
  • All baked goods
  • Hot and cold cereals
  • Pasta, rice, grits
  • None
Vegetables

  • With the exception of those listed on the right, all fresh, frozen, and canned vegetables (as long as they are not overripe or spoiled)
  • Fava beans, Italian broad beans, sauerkraut, Chinese pea pods, fermented pickles and olives
Fruits

  • With the exception of those listed on the right, all fresh, frozen, and canned fruit (as long as they are not overripe or spoiled)
  • Banana peel
Milk

  • Plain milk
  • Ricotta, cottage cheese, processed cheese (eg, American), and cream cheese
  • Cultured milk products: yogurt, buttermilk, keifer, sour cream (limit to 4 ounces per day)
  • All cheese not on “recommended” list, aged cheese, cheese sauces
Meat and Beans

  • Fresh or frozen meats, poultry, fish, and shellfish
  • Eggs
  • Legumes
  • Nuts, peanut butter
  • The following are allowed in limited amounts: fresh sausage and pepperoni, canned sardines, caviar and paté (limit to 1 ounce)
  • Liver
  • Smoked or dried meats
  • Smoked, pickled, or dried fish
  • Meat processed with tenderizers
  • Meat extracts
  • Salami
  • Fermented and dry sausage
  • Fermented soybean products
Oils

  • Salad dressings without aged cheese
  • Vegetable oils
  • Nuts, peanut butter
  • Olives
  • Dressings made with aged blue cheese
Beverages

  • Juice
  • Milk
  • Carbonated beverages
  • Decaffeinated coffee and tea
  • These are allowed, but should be limited: chocolate drinks; coffee, tea, and other caffeinated drinks; white wine; bottled or canned beer; and clear spirits (if approved by your doctor)
  • Tap beer, ale, chianti and vermouth wines, sherry, champagne, and mixed drinks
Other

  • Monosodium glutamate (MSG)
  • Brewer’s yeast
  • Bouillon and bouillon-based soup
  • Chocolate
  • Lasagna, casserole, pizza, or other food made with meat or cheese on the "avoid" list
  • Marmite spread
  • Vegemite spread
Additional Suggestions
  • Limit caffeine intake. While there is no tyramine in caffeine, consuming too much caffeine can result in high blood pressure .
  • Fresh food is less likely to contain high levels of tyramine.
    • Promptly refrigerate or freeze foods.
    • Use or toss leftovers within 48 hours.
    • Eat allowed fresh meats within three days.
    • Eat allowed cheese within three to four weeks.
  • Do not eat combination foods that contain foods on the “avoid” list.
  • Continue this diet for four weeks after stopping your MAOI’s (or as directed by your physician).



RESOURCES:
American Dietetic Association

National Institutes of Health

CANADIAN RESOURCES:
Dietitians of Canada

Public Health Agency of Canada

References
California diet manual. State of California website. Available at: http://www.dds.ca.gov/Publications/docs/DDSDietManual.pdf. Accessed January 4, 2010.

Low-tyramine diet. Northwestern Memorial Hospital website. Available at: http://www.nmh.org/nmh/patientinformation/lowtryaminediet.htm. Accessed June 24, 2007.

Low-tyramine diet for use with monoamine oxidase inhibitors. University of North Carolina School of Medicine website. Available at: http://gcrc.med.unc.edu/investigators/diet/diet_maoi.html. Accessed June 24, 2007.

MAOI diet facts. University of Pittsburg Medical Center website. Available at: http://patienteducation.upmc.com/Pdf/MaoiDiet.pdf. Accessed June 24, 2007.

Nutrition care manual. American Dietetic Association website. Available at: http://nutritioncaremanual.org/auth.cfm?p=%2Findex.cfm%3F. Accessed January 3, 2009.

Last Reviewed March 2014



Health Information Library content is provided by EBSCO Publishing, fully accredited by URAC. URAC is an independent, nonprofit health care accrediting organization dedicated to promoting health care quality through accreditation, certification and commendation.

 

This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.

 

To send comments or feedback to EBSCO's Editorial Team regarding the content please e-mail healthlibrarysupport@ebscohost.com.