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Azilect Interactions and Foods With Tyramine

Because tyramine is found in many foods and beverages, people taking Azilect must follow a strict diet.
 
In general, foods that are fermented, aged, or spoiled have large amounts of tyramine. You should not eat foods containing more than 6 mg of tyramine per serving. These foods, which should always be avoided, include:
 
  • All aged cheese. The only cheeses that are okay are cottage cheese, cream cheese, mozzarella (part-skim), ricotta, and processed cheese (such as American), although these cheeses should not be eaten if they have been stored in the refrigerator for more than two or three weeks.
     
  • Any red meat, poultry, or fish that may be spoiled or that has not been stored properly.
     
  • Mortadella, pastrami, pepperoni, salami, summer sausage, and any other similar sausages or meats.
     
  • Liver (especially improperly stored liver).
     
  • Yogurt.
     
  • Sauerkraut.
     
  • All protein supplements, including liquid or powdered protein products.
     
  • Fermented soy products, including soy sauce, teriyaki, miso soup, tamari, and any other similar products.
     
  • All tap beer.
     
  • Broad bean or fava pods.
     
  • Banana peel.
     
  • Yeast extracts or supplements (regular yeast used in baking is okay).
     
  • Chianti wine and vermouth.
     
Some foods can be eaten sparingly (no more than two servings total per day) if approved by your healthcare provider. These foods include:
 
  • Wine (one serving is 4 ounces), other than chianti wine or vermouth
  • Bottled or canned beer, including non-alcoholic beer (one serving is 12 ounces).
     
Large amounts of caffeine or chocolate should be avoided in people taking Azilect. Although caffeine does not contain tyramine, it can cause problems with dangerously high blood pressure. Ask your healthcare provider about limiting your intake of caffeine-containing products, such as soft drinks, coffee, and tea.
 
Written by/reviewed by:
Last reviewed by: Kristi Monson, PharmD;
Last updated/reviewed:
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