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饮食与单胺氧化酶抑制剂:重新审视

Diet and monoamine oxidase inhibitors: a re-examination.

作者信息

Sullivan E A, Shulman K I

出版信息

Can J Psychiatry. 1984 Dec;29(8):707-11. doi: 10.1177/070674378402900814.

DOI:10.1177/070674378402900814
PMID:6394124
Abstract

Monoamine oxidase inhibitors (MAOIs) are attracting renewed attention as effective antidepressants for refractory depressions, particularly among the elderly. However, widespread fears concerning the interactions of MAOIs with tyramine-containing foods have led to the development of long and complicated diets. These diets have served as an obstacle to the ready use of MAOIs, yet very little systematic or critical review of the basis for food restriction has been undertaken. An international survey of MAOI diets was conducted and from the diets collected, foods were categorized according to frequency of restriction on the diet lists. On the basis of this survey and a critical review of the literature it was determined that only four foods clearly warrant absolute prohibition: aged cheese, pickled fish (herring), concentrated yeast extracts and broad bean pods. While there is insufficient evidence to prohibit alcohol completely (even chianti wine) true moderation must apply. It is suggested that a radically simplified diet should be investigated on a prospective basis.

摘要

单胺氧化酶抑制剂(MAOIs)作为治疗难治性抑郁症的有效抗抑郁药正重新受到关注,尤其是在老年人中。然而,人们对MAOIs与含酪胺食物相互作用的广泛担忧导致了漫长而复杂的饮食规定的产生。这些饮食规定成为了MAOIs广泛应用的障碍,但对食物限制依据的系统性或批判性审查却很少。我们进行了一项关于MAOI饮食的国际调查,并根据收集到的饮食,按照饮食清单上的限制频率对食物进行了分类。基于这项调查和对文献的批判性审查,确定只有四种食物明确需要绝对禁止:陈年奶酪、腌鱼(鲱鱼)、浓缩酵母提取物和蚕豆荚。虽然没有足够的证据完全禁止饮酒(即使是基安蒂红葡萄酒),但必须真正适度饮酒。建议前瞻性地研究一种彻底简化的饮食。

相似文献

1
Diet and monoamine oxidase inhibitors: a re-examination.饮食与单胺氧化酶抑制剂:重新审视
Can J Psychiatry. 1984 Dec;29(8):707-11. doi: 10.1177/070674378402900814.
2
The making of a user friendly MAOI diet.一份便于使用的单胺氧化酶抑制剂饮食的制定。
J Clin Psychiatry. 1996 Mar;57(3):99-104.
3
Patient compliance with MAO inhibitor therapy.患者对单胺氧化酶抑制剂疗法的依从性。
J Clin Psychiatry. 1984 Jul;45(7 Pt 2):78-80.
4
The role of biogenic amines in foods.生物胺在食品中的作用。
Nahrung. 1978;22(3):285-9. doi: 10.1002/food.19780220304.
5
Dietary restriction, tyramine, and the use of monoamine oxidase inhibitors.饮食限制、酪胺与单胺氧化酶抑制剂的使用。
J Clin Psychopharmacol. 1989 Dec;9(6):397-402.
6
Monoamine oxidase inhibitors: safety and efficacy issues.单胺氧化酶抑制剂:安全性与有效性问题
Drug Intell Clin Pharm. 1988 Mar;22(3):232-5. doi: 10.1177/106002808802200311.
7
Tyramine content of previously restricted foods in monoamine oxidase inhibitor diets.单胺氧化酶抑制剂饮食中先前受限食物的酪胺含量。
J Clin Psychopharmacol. 1996 Oct;16(5):383-8. doi: 10.1097/00004714-199610000-00007.
8
Refining the MAOI diet: tyramine content of pizzas and soy products.优化单胺氧化酶抑制剂饮食:披萨和豆制品中的酪胺含量
J Clin Psychiatry. 1999 Mar;60(3):191-3.
9
Monoamine oxidase inhibitors: reappraisal of dietary considerations.单胺氧化酶抑制剂:对饮食注意事项的重新评估。
J Clin Psychopharmacol. 1983 Aug;3(4):249-52.
10
Monoamine oxidase inhibitor dietary restrictions: what are we asking patients to give up?单胺氧化酶抑制剂的饮食限制:我们要求患者放弃什么?
J Clin Psychiatry. 1995 May;56(5):196-201.

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Current place of monoamine oxidase inhibitors in the treatment of depression.单胺氧化酶抑制剂在抑郁症治疗中的现状。
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J Chem Inf Model. 2012 Mar 26;52(3):617-48. doi: 10.1021/ci200542m. Epub 2012 Feb 17.
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The pharmacological management of depression.抑郁症的药物治疗。
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The role of monoamine oxidase inhibitors in current psychiatric practice.单胺氧化酶抑制剂在当前精神病学实践中的作用。
J Psychiatr Pract. 2004 Jul;10(4):239-48. doi: 10.1097/00131746-200407000-00005.
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Monoamine oxidase inhibitors. An update on drug interactions.单胺氧化酶抑制剂。药物相互作用的最新进展。
Drug Saf. 1996 Apr;14(4):219-27. doi: 10.2165/00002018-199614040-00002.
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Evaluation and comparison of the interaction between alcohol and moclobemide or clomipramine in healthy subjects.健康受试者中酒精与吗氯贝胺或氯米帕明相互作用的评估与比较。
Psychopharmacology (Berl). 1990;100(1):40-5. doi: 10.1007/BF02245787.
8
Monoamine oxidase inhibitor update. Potential adverse food and drug interactions.
Drug Saf. 1990 May-Jun;5(3):195-204. doi: 10.2165/00002018-199005030-00004.
9
Comparison of the monoamine oxidase inhibiting properties of two reversible and selective monoamine oxidase-A inhibitors moclobemide and toloxatone, and assessment of their effect on psychometric performance in healthy subjects.两种可逆性选择性单胺氧化酶-A抑制剂吗氯贝胺和托洛沙酮的单胺氧化酶抑制特性比较,以及它们对健康受试者心理测量表现的影响评估。
Br J Clin Pharmacol. 1990 Dec;30(6):805-16. doi: 10.1111/j.1365-2125.1990.tb05445.x.