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Multiple Choice

Which item is high in tyramine and should be avoided with MAOI?

Tyramine-rich foods can cause a dangerous rise in blood pressure when someone is taking MAO inhibitors because the body can’t break down tyramine effectively, leading to a surge of norepinephrine. Foods that have been aged, fermented, or preserved tend to have higher tyramine levels. Among the options listed, liver is the one that typically contains higher tyramine, especially in prepared or preserved forms, so it poses the greatest risk with an MAOI and should be avoided. Smoked turkey and Parmesan cheese can also be high in tyramine, but the liver example represents the strongest caution. Tea does not contain significant tyramine, so it’s less of a concern with MAOIs.

Tyramine-rich foods can cause a dangerous rise in blood pressure when someone is taking MAO inhibitors because the body can’t break down tyramine effectively, leading to a surge of norepinephrine. Foods that have been aged, fermented, or preserved tend to have higher tyramine levels. Among the options listed, liver is the one that typically contains higher tyramine, especially in prepared or preserved forms, so it poses the greatest risk with an MAOI and should be avoided. Smoked turkey and Parmesan cheese can also be high in tyramine, but the liver example represents the strongest caution. Tea does not contain significant tyramine, so it’s less of a concern with MAOIs.