Tyramine Restricted Diet

A low-tyramine diet consists of foods that are low in the amino acid tyramine. Tyramine increases in food as it ages.

INDICATIONS FOR USE

Your caregiver may ask you to follow a tyramine restricted diet while taking certain medicines. One such class of medications is called monoamine oxadase inhibitors (MAOI). These medicines may cause sudden increases in blood pressure, headaches, nausea, and vomiting if high amounts of tyramine are consumed while taking them.

GUIDELINES

  • Store foods at proper temperatures.

  • Cook or freeze foods the same day they are purchased from the grocery store.

  • Foods should be eaten the same day they are cooked. Do not eat foods that have been in the refrigerator longer than 48 hours.

  • Freezing cooked or fresh foods within 24 hours will keep tyramine from increasing in the food.

  • Check all expiration dates on packages. Do not eat foods that are expired or near the expiration date.

  • Do not eat aged or fermented foods.

Grains

  • Allowed/Recommended: All.

  • Avoid: None.

Vegetables

  • Allowed/Recommended: All fresh and frozen.

  • Avoid: Spoiled, moldy vegetables. Fermented or pickled vegetables, such as sauerkraut and kimchi. Fava and broad beans.

Fruit

  • Allowed/Recommended: All fresh and frozen.

  • Avoid: Spoiled, moldy fruit.

Meat and Meat Substitutes

  • Allowed/Recommended: Fresh meat, poultry, and fish. Smoked meats and pepperoni from the United States.

  • Avoid: Spoiled or expired meat. Fermented meats, such as chorizo, salchichon, corned beef, imported pepperoni, and dry sausages such as mortadella.

Milk

  • Allowed/Recommended: Milk products. Fresh cheeses such as cottage cheese, American cheese, and ricotta cheese.

  • Avoid: Aged cheeses.

Fats and Oils

  • Allowed/Recommended: All.

  • Avoid: None.

Beverages

  • Allowed/Recommended: All, except those listed to avoid.

  • Avoid: Korean beer. Limit alcohol and beer to 1 portion daily (12 oz beer or 4 oz of red or white wine).

Condiments/Miscellaneous

  • Allowed/Recommended: All, except those listed to avoid.

  • Avoid: Soy sauce and pickles. Soybean curd, yeast extracts, and fish sauce.