What foods or Beverage contains Tyramine?

Answer 1

Fish, alcohol, and chocolate have some, but it is also found in fermented foods like cheeses, soy sauce and soy bean condiments, sauerkraut, and processed meat (salami, peperoni, etc.)

Answer 2

The pathways for the biosynthesis and metabolism of tyramine are described as a basis for the discussion of the interaction between MAO inhibitors and tyramine. While a role of endogenous tyramine in the antidepressant action of MAO inhibitors remains purely hypothetical at this time, the mechanisms leading to the potentiation of the tyramine pressor effect ("cheese effect") are well known. Experiments in animals and man have provided concordant quantitative information on the effect of irreversible and some novel reversible MAO inhibitors on the presystemic disposition of orally ingested tyramine and on the noradrenaline-releasing action of tyramine in noradrenergic nerve terminals. There is a profound difference in the magnitude of tyramine potentiation between the irreversible inhibitor tranylcypromine and the reversible inhibitor moclobemide. A systematic analysis of the tyramine content of current European food and beverage is reported and serves as a rational basis for providing advice to patients on moclobemide. Most of the food and beverages analyzed contain less tyramine than previously reported and a few rules concerning rare cheeses with high tyramine content are sufficient to eliminate the risk of hypertensive crises.


Tyramine-rich Foods and Beverages to Avoid
Class of food or beverage
Specific foods or beverages to avoid

Meat, poultry, and fish
Air dried, aged, and fermented meats, sausages, and salamis (including cacciatore, hard salami and mortadella); pickled herring; and any spoiled or improperly stored meat, poultry and fish (e.g., foods that have undergone changes in coloration, odor, or become moldy); spoiled or improperly stored animal livers

Vegetables
Broad bean pods

Dairy
Aged cheeses

Beverages
Red wines and all varieties of tap beer and beers that have not been pasteurized

Miscellaneous
Over-the-counter supplements containing tyramine
Concentrated yeast extract
Sauerkraut
Most soybean products (including soy sauce and tofu)