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MEDICATIONS FOR TREATING DEPRESSION

1. Tricyclic antidepressants:
  • Amitriptyline
  • Imipramine
  • Nortriptyline
  • Desipramine
2. Selective serotonin-reuptake inhibitors:
  • Fluoxetine
  • Fluvoxamine
  • Sertraline
  • Paroxetine
3. Reversible inhibitors of monoamine oxidase:
  • Moclobemide
4. 5-HT2 antagonists:
  • Nefazodone
5. Serotonin-norepinephrine reuptake inhibitors:
  • Venlafaxine

Common Side Effects With Antidepressants

MAOIs (monoamine oxidase inhibitors) Insomnia, agitation, lightheadedness
TCAs (tricyclics) Fatigue, dry mouth, blurred vision, lightheadedness
SSRIs (selective serotonin reuptake inhibitor) Nausea, gastrointestinal upset, sleep disturbances, headache, agitation
RIMAs (reversible inhibitors of monoamine oxidase) Insomnia, headache, constipation
SNRIs
(serotonin-norepinephrine reuptake inhibitors)
Nausea, agitation, sweating
5-HT2 antagonists Fatigue, lightheadedness, nausea, headache

Foods To Avoid When Taking MAO Inhibitors

When your doctor prescribes antidepressants, ask if it is an MAOI. If it is, avoid foods with a high content of tyramine. These include:
  • Most cheeses, but especially Blue, Boursault, Brick, Brie, Camembert, Cheddar, Emmentaler, Gruyere, Mozzarella, Parmesan, Romano, Roquefort and Stilton
  • Caviar
  • Herring
  • Sausage meats, including: bologna, pepperoni, salami and summer sausage
  • Yeast extracts: i.e. Those foods containing live yeast, such as compressed yeast cakes. (Cooking kills yeast cells, so baked goods will not cause adverse reactions)
  • Chocolate
  • For those who enjoy wine and beer…. sorry, you must stay away from Chianti wine and imported beers. (Feel free to drink white wines because they are made without the grape pulp and seeds, the possible source of tyramine present in red wines)
When in doubt about the alcohol you prefer to have, discuss it with your doctor; he/she is a good source for your health information!


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