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Marplan Food Interactions

Marplan and Foods With Tyramine

Because tyramine is found in many foods and beverages, people taking MAOI medications must follow a strict diet.
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) 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), although these cheeses should not be eaten if they have been stored (in the refrigerator) for more than two or three weeks.
  • Liver (especially improperly stored liver).
  • Any meat prepared with tenderizer.
  • Yogurt or sour cream.
  • Caviar, anchovies, or pickled herring.
  • 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.
  • Raisins, canned figs, or bananas.
  • Yeast extracts or supplements (regular yeast used in baking is okay).
  • Chianti wine, sherry, and vermouth.
Although the manufacturer of Marplan recommends that the following foods or beverages be avoided, other sources state that they can be eaten sparingly (no more than two servings total per day) if approved by your healthcare provider. These foods and beverages 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
  • Chocolate.
Large amounts of caffeine should be avoided in people taking Marplan. Although caffeine does not affect tyramine, it can cause problems with 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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