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Multiple Choice

Which meal demonstrates understanding of a low-tyramine option suitable with a monoamine oxidase inhibitor?

With an MAOI, the goal is to choose foods low in tyramine, since tyramine-rich foods can trigger dangerous spikes in blood pressure. Tyramine is especially avoided in fresh, non-fermented foods and never in aged, smoked, or fermented items. The meal with fried catfish, French fries, coleslaw, and apple juice fits this. The catfish is fresh fish, not aged or smoked; fries and coleslaw are made from everyday fresh produce, and apple juice is a non-fermented beverage. Together they keep tyramine exposure low, making it a safer option for someone on an MAOI. The other meals include items that tend to be high in tyramine—smoked turkey and dressing brings in smoked meat, and parmesan sauce uses aged cheese, both of which are common high-tyramine sources and should be avoided with MAOIs.

With an MAOI, the goal is to choose foods low in tyramine, since tyramine-rich foods can trigger dangerous spikes in blood pressure. Tyramine is especially avoided in fresh, non-fermented foods and never in aged, smoked, or fermented items.

The meal with fried catfish, French fries, coleslaw, and apple juice fits this. The catfish is fresh fish, not aged or smoked; fries and coleslaw are made from everyday fresh produce, and apple juice is a non-fermented beverage. Together they keep tyramine exposure low, making it a safer option for someone on an MAOI.

The other meals include items that tend to be high in tyramine—smoked turkey and dressing brings in smoked meat, and parmesan sauce uses aged cheese, both of which are common high-tyramine sources and should be avoided with MAOIs.