Table 4. Tyramine-Containing Foodsa
| Class of Food and Beverage | Tyramine-Rich Foods and Beverages To Avoid | Acceptable Foods Containing Little or No Tyramine |
| Meat, poultry, and fish | Air-dried, aged, and fermented meats, sausages, and salamis (including cacciatore, hard salami, and mortadella); pickled herring; and any spoiled or improperly stored meat, poultry, and fish (e.g., foods that have undergone changes in color or odor or that have become moldy); spoiled or improperly stored animal livers | Fresh meat, poultry, and fish, including fresh processed meats (e.g., lunch meats, hot dogs, breakfast sausage, and cooked sliced ham) |
| Vegetables | Broad bean pods (fava bean pods) | All other vegetables |
| Dairy | Aged cheeses | Processed cheeses, mozzarella, ricotta cheese, cottage cheese, and yogurt |
| Beverages | All varieties of tap beer, and beers that have not been pasteurized so as to allow for ongoing fermentation | As with other antidepressants, concomitant use of alcohol with selegiline is not recommended. (Bottled and canned beers and wines contain little or no tyramine.) |
| Miscellaneous | Concentrated yeast extract (e.g., Marmite), sauerkraut, most soybean products (including soy sauce and tofu); OTC supplements containing tyramine | Brewer’s yeast, baker’s yeast, soy milk, commercial chain-restaurant pizzas prepared with cheeses low in tyramine |
| OTC = over-the-counter. | ||
| aAdapted from the EMSAM Medication Guide.[46] The foods and beverages listed above should be avoided beginning on the first day of treatment with selegiline 9 mg/24 h or 12 mg/24 h and should continue to be avoided for 2 weeks after a dose reduction to 6 mg/24 h or following the discontinuation of selegiline 9 mg/24 h or 12 mg/24 h. |
References
- Medication Guide: EMSAM. Princeton, NJ: Bristol-Myers Squibb Company, 2007. Available online. Last accessed January 3, 2013.
