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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 11 of 11. This is the beginning of the thread.
Posted by AdamCanada2 on January 22, 2009, at 0:02:21
What brand is a good one to take that doesn't have any food interactions with Parnate (MAOI) because the one I have makes me incredibly dizzy and has that L-Tyrosine or whatever it is called. I assume that is what I have to avoid?
Please let me know what I need to avoid as I plan to pick up some protein powder for energy and health reasons very soon.
Also I cannot take anything with vitamin A.
Posted by Incubusfan on January 22, 2009, at 5:37:48
In reply to Parnate interacts with my Protein Powder......., posted by AdamCanada2 on January 22, 2009, at 0:02:21
I don't think dizziness is a hypertension side effect, is it? Tyramine can only make your blood pressure possibly go up. Are you sure this is what's happening?
L-Tyrosine does not equal Tyramine in terms of your body seeing it. AFAIK, it's only excreted as Tyramine.
Posted by desolationrower on January 23, 2009, at 1:32:06
In reply to Re: Parnate interacts with my Protein Powder......., posted by Incubusfan on January 22, 2009, at 5:37:48
I'd think a more likely explanation is its increasing your blood sugar and you can't handle the glucose/insulin variation. try dividing the dose up and mixing it with solid food or adding soluable fibre to the protein.
-d/r
Posted by Vincent_QC on January 25, 2009, at 0:19:35
In reply to Re: Parnate interacts with my Protein Powder......., posted by desolationrower on January 23, 2009, at 1:32:06
> I'd think a more likely explanation is its increasing your blood sugar and you can't handle the glucose/insulin variation. try dividing the dose up and mixing it with solid food or adding soluable fibre to the protein.
>
> -d/rHummmm strange...I take some whey protein on all the MAOI's I try and never get hypertensive crisis because of it...Also, I take 3 pills by day of 10 000 units of Vitamin A, because I had a gastric by-pass and I need it...and it's not in the interraction list of drugs or natural products to avoid...
The symptoms you describe looks more like orthostatic hypotension...mean LOW blood pressure...
One good trick to know if you have hypotersion blood pressure is to calculate your heart pulse...some people will tell you that's pulse rate is not related to the blood pressure but that's not true...Take it with 2 fingers on the back of your left wrist, at the base of your left hand....calculate the pulse rate you have in 15 seconds....take the number and multiplied it by 4...if your pulse rate is under 60...and you can feel your heart beat really strong...that's mean you have high blood pressure... Sometimes also an strange headache who start from the neck is also present...but in my case I always have headache so I cannot figure out if it was related to high blood pressure or not...
Anyway...all your symptoms looks like it's orthostatic hypotension problems...tinnitus, dizness, faint...that's look a lot like hypotension, not hypertension...
The only thing to avoid is cheese, soy product not fresh and old meat or leftover in the fridge...I never take any chance with them...but whey protein, even with l-tyrosine, are not dangerous...since they not involve a process with bacterias...so it cannot transform in the system in tyramine...
The best way to be sure your proteine powder is safe is to take one brand with only whey protein inside, no addition of booster or creatine or any unnecessary amino acid inside...and avoid also things like Red Bull or too much coffee...
That's my only advise...the tyramine free diet is now very simple to follow...I Remember than on the Nardil, I was able to drink Tap beer without any side-effect on my blood pressure or anything else...Wine was also ok...red or white... but anyway I don't recommend alcohol on any drugs cause it can be dangerous...
Well, I hope everything is fine with you...take care of you and also don't do like me and try to focus on anything else than the side-effects...
On my next try on the Nardil or the Marplan, I will just take my pills and forget them... Since you are on the Parnate, I understand you...some people like me have intolerable heart issue problems on it...maybe because it play more on the NE, epinephrine ...and less on the SE...Nardil and Marplan seem to affect less epinephrine and norepinephrine but play more a key role on the Serotonin, the dopamine and also have a gaba-b effect who help to be less activating and help more with the anxiety...Nardil cause more weight gain with some people as well as causing more sexual effects...but in my case, I loose weight on the Nardil and gain weight on the Parnate and I never had any sexual problem on the Nardil...Anyway, i'm not a Doctor or a Pharmacist...that's what I think...it's my own experience...it may vary with others users of these drugs!!! ;-)
Posted by JadeKelly on January 25, 2009, at 23:41:26
In reply to Parnate interacts with my Protein Powder......., posted by AdamCanada2 on January 22, 2009, at 0:02:21
Hi Adam,
Sorry for the late post, took a short vacation ;-)
Buy protien powder that gets its protien from
whey as Vincent recommended. Many brands of
protien powder get their protien from Soy and that could be causing you to have problems. I have the chocolate (whey), I mix it with non-fat milk its really good. You can find it where ever you get your supps etc.Hope you get this!
~Jade
Posted by Vincent_QC on January 26, 2009, at 7:03:42
In reply to Re: Parnate interacts with my Protein Powder....... » AdamCanada2, posted by JadeKelly on January 25, 2009, at 23:41:26
> Hi Adam,
>
> Sorry for the late post, took a short vacation ;-)
>
> Buy protien powder that gets its protien from
> whey as Vincent recommended. Many brands of
> protien powder get their protien from Soy and that could be causing you to have problems. I have the chocolate (whey), I mix it with non-fat milk its really good. You can find it where ever you get your supps etc.
>
> Hope you get this!
>
> ~JadeThe return of Jade...after one week of BAN !!!lol ;-) Hope you are feeling good Jade!!!! Give me some news ok !!!
Bye ;-)
Vincent ;-)
Posted by vlada on February 3, 2009, at 16:30:01
In reply to Re: Parnate interacts with my Protein Powder....... » desolationrower, posted by Vincent_QC on January 25, 2009, at 0:19:35
> One good trick to know if you have hypotersion blood pressure is to calculate your heart pulse...some people will tell you that's pulse rate is not related to the blood pressure but that's not true...Take it with 2 fingers on the back of your left wrist, at the base of your left hand....calculate the pulse rate you have in 15 seconds....take the number and multiplied it by 4...if your pulse rate is under 60...and you can feel your heart beat really strong...that's mean you have high blood pressure... Sometimes also an strange headache who start from the neck is also present...but in my case I always have headache so I cannot figure out if it was related to high blood pressure or not...
>That is not true, the people who have said that pulse rate and blood pressure are unrelated are correct. Personally I take Parnate and when I first started taking it, I monitored my blood pressure with a cuff at home. My pulse could be 110 but my blood pressure was so low I was passing out (I forget exact #'s, but a nurse said it was *very* low)
Sorry, don't have any info on the protein powder, I used to take it but stopped completely when I went on the parnate. Personally I am too scared to try it, I have no idea if it's safe or not though.
Posted by GraceR on April 3, 2009, at 17:12:26
In reply to Re: Parnate interacts with my Protein Powder....... » desolationrower, posted by Vincent_QC on January 25, 2009, at 0:19:35
FYI, this Parnate site says to avoid:
"All protein supplements, including liquid or powdered protein products"
http://depression.emedtv.com/parnate/parnate-food-interactions-p2.html
Of, course, many of the documented "no-no" foods don't generally seem to cause problems. Maybe some of us react differently in terms of the MAO inhibition and tyramine.
Posted by Mickapoo on May 2, 2009, at 18:43:33
In reply to Parnate interacts with my Protein Powder......., posted by AdamCanada2 on January 22, 2009, at 0:02:21
> What brand is a good one to take that doesn't have any food interactions with Parnate (MAOI) because the one I have makes me incredibly dizzy and has that L-Tyrosine or whatever it is called. I assume that is what I have to avoid?
I take Body Fortress Advanced Whey (it also has BCAA's in it). I have at least 2 shakes a day. I'm on Parnate and it's never affected me.
Posted by Vincent_QC on May 6, 2009, at 7:25:01
In reply to Re: Parnate interacts with my Protein Powder......., posted by Mickapoo on May 2, 2009, at 18:43:33
> I take Body Fortress Advanced Whey (it also has BCAA's in it). I have at least 2 shakes a day. I'm on Parnate and it's never affected me.
Same here...Was on Nardil and Parnate and used to drink at least 2 shakes a day of pure whey protein without any side-effect or tyramine elevation level...
I think the "soy protein" can be the main problem and have to be avoid...whey protein is ok...but not for everyone... You have to try them in small amount first... after, when you are sure it's ok for you, you can go for more of them... but just pure whey protein...
I try to avoid the special blend with booster inside or fat burner...they tend to have extra amino acid inside that make them lesser safe with MAOI's... I also try to avoid green tea extract or others 'naturals' products who are not natural at all anyway...
And no, i'm not now on a MAOI... I'm still wating for the Marplan approved, no news on that one... I guess I will have to follow with the "wonderfull" pristiq...
That's funny how someone who will read the "food to avoid" list will have more strong reaction with "foods to avoid" than someone who just ignore the list and eat what he want... I know that's some well documented cases of "Cheese effects" have occured in the past, but that only occur in a small % of peoples who take a MAOI... Mean that's side-effect or tyramine reaction can be over-exaggerate... the brain is very powerfull...
When I Was on the NArdil, I monitered only for 1 week my blood pressure... after I forgot the "food to avoid list" and the others side-effects... I never got any bad reaction, even if I was eating "cheese, not the strong ones, just mozz and cheedar), I was able to eat soup also or others "foods to avoid" without any bad reactions...strange no?
When I was put on the Parnate, I was reading everywhere that it was the most activating of the MAOI's and I got "over focused" on my blood pressure and on the activation and anxiety increasement... but in fact, the Parnate tend to leave peoples more tired than the Nardil... no wonder why some peoples need stimulant with it... I think a big part of the failure of a MAOI is based on the "false" informations around the MAOI's ... people fear them and when they are put on one of them, they tend to have over reactions...
That's remember me a lot my first Paxil experience, back in 1995.. No Internet at this time and I didn't recieve with my RX the side-effects and interractions list... I Was just taking my 2 blue pills each day (60mg total) and I never had any side-effects on it, except the weight gain... but no sedation, nothing really, just an improve of my panic attacks problem and social phobia... I try it again in 2006 and at this time, I Was aware of all the side-effects that is possible with the Paxil...the fact that he tend to leave the people tired and make some dizness or lighthead effects.... and strangely, I had a terrible experience on it in 2006... I was not able to tolerate a small dose of 20mg without having all the side-effects listed on the fact sheet I receive with the RX... Is it real side-effects or it was just my brain or produce by a kind of "subjection" of my unconscious??? That's the question...
I just think the brain is very powerfull and can produce the side-effects or the "cheese reaction" on a MAOI... they are not more dangerous than the newer AD's... maybe more toxic in higher dose, like the old TCA's, but who will want to take the whole bottle of pills at the same time??? Maybe just someone who feel sucidal... I don't want to lack of respect on anyone here... I just write what I think... For me, I know that reading the side-effects list of a med can make the whole experience and trail a failure... Peoples with anxiety problems and especially GAD or SAD can have more difficulties to find the good meds because they tend to amplify the side-effects...
Posted by GraceR on August 8, 2009, at 1:44:53
In reply to Re: Parnate interacts with my Protein Powder......., posted by vlada on February 3, 2009, at 16:30:01
FYI, this Parnate site says to avoid:
"All protein supplements, including liquid or powdered protein products"
http://depression.emedtv.com/parnate/parnate-food-interactions-p2.html
Of, course, many of the documented "no-no" foods don't generally seem to cause problems. Maybe some of us react differently in terms of the MAO inhibition and tyramine.
This is the end of the thread.
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