Posted by King Vultan on November 19, 2004, at 20:01:09
In reply to Re: more MAOI diet questions, posted by cosis on November 19, 2004, at 17:22:57
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> Wow I wish I would do that... I have ate anything and everything over the last 3 years being on Nardil.
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> My doc actually said I was allowed to drink 1/3 of a beer and that was it? I was thinking in my head "buddy I downed about 12 beers last night"
The recommendation by Dr. Shulman, who has done a lot of research on the MAOI diet, is no more than two bottled or canned beers per day. However, I believe this is based more off Parnate than Nardil because Parnate is significantly more powerful at potentiating the hypertensive effect. My own opinion is that a six pack could be consumed with impunity by someone on Nardil, probably even a 12 pack, as long as one was not also consuming significant amounts of other tyramine containing foods.The point Dr. Shulman makes, however, is that MAOI patients should stick to bottled or canned beer (the equivalent level of wine is also okay) and avoid tap beer. The reason he brings this up is that one of the patients at their facility, who was on 60 mg Nardil, suffered a hypertensive crisis after consuming approximately 14 oz. of tap beer, which certainly does not seem like an imprudent amount. Subsequently, an "analysis of 79 tap and bottled beers revealed 4 tap samples to have alarmingly high tyramine contents." Obviously, not every bar is going to have a problem, but I agree that it's best for MAOI patients to stick with bottles or cans.
Todd
poster:King Vultan
thread:417987
URL: http://www.dr-bob.org/babble/20041118/msgs/418073.html