Emsam Food Interactions

Emsam and Foods With Tyramine

In general, foods that are fermented, aged, or spoiled have large amounts of tyramine. You should not eat foods containing more than 6 mg of tyramine per serving. These foods (which should always be avoided if you are taking more than Emsam 6 mg per day) include:
 
  • Any red meat, poultry, or fish that may be spoiled or has not been stored properly.
     
  • Mortadella, pastrami, pepperoni, salami, summer sausage, and any other similar sausages or meats.
     
  • All aged cheese. The only cheeses that are okay are cottage cheese, cream cheese, mozzarella (part-skim), ricotta, and processed cheese (such as American). However, these cheeses should not be eaten if they have been stored (in the refrigerator) for more than two or three weeks.
     
  • Sauerkraut.
     
  • All protein supplements, including liquid or powdered protein products.
     
  • Fermented soy products, including soy sauce, teriyaki, miso soup, tamari, and any other similar products.
     
  • All tap beer.
     
  • Broad bean or fava pods.
     
  • Banana peel.
     
  • Yeast extracts or supplements (regular yeast used in baking is okay).
     
  • Chianti wine and vermouth.
     
Some foods can be eaten sparingly (no more than two servings total per day) if approved by your healthcare provider. These foods include:
 
  • Wine (one serving is 4 ounces), other than Chianti wine or vermouth
  • Distilled spirits or liqueurs (one serving is 1.5 ounces)
  • Bottled or canned beer, including non-alcoholic beer (one serving is 12 ounces)
  • Over-ripened avocados.
     
People taking Emsam should avoid large amounts of caffeine or chocolate. Although caffeine does not contain tyramine, it can potentially cause dangerously high blood pressure. Ask your healthcare provider about limiting your intake of caffeine-containing products, such as soft drinks, coffee, and tea.
 
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