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MAO inhibitors should be
contraindicated with Tyramine rich food
Prof. Amol B.Deore
Department of Pharmacology
MVP’s Institute of pharmaceutical Sciences, Nashik
Email: amol_deore@rediffmail.com
Learning Outcome
You will be able to understand
Depression disorder
Action of MAO inhibitors
Action of Tyramine
Tyramine rich food products
Tyramine and MAO inhibitor interaction
Depression (major depressive disorder)
• mood disorder
• persistent feeling of sadness and loss
of interest,
• it affects how you feel, think and
behave
• emotional and physical problems
• trouble doing normal day-to-day
activities
• life isn't worth living
Causes of depression
• low levels of the Monoamine Neurotransmitters
• Serotonin, dopamine, and norepinephrine
Monoamine and
Catecholamines
Catecholamine Synthesis
Tyrosine
L-Dopa
Dopamine
Noradrenaline
ADRENALINE
MAO/
COMT
METABOLISM
Monoamine Oxidase enzyme
• family of enzymes that catalyze the oxidation of monoamines
• outer membrane of mitochondria in most cell types of the body
• serve to inactivate monoamine neurotransmitters
MAO-A
• Metabolism of NA, DA and Serotonin (5-HT)
MAO-B
• DA (Dopamine) and Phenylethylamine
MAO Inhibitors
FDA has approved these MAOIs to
treat depression
• Isocarboxazid
• Phenelzine
• Selegiline
• Tranylcypromine
Mechanism of action of MAO inhibitors
MAO inhibitors
site of action
Tyramine
• Amino acid
• normal constituent of many foods
• chemically related to noradrenaline
• interfere with storage of NA in nerve
terminals
• Increase release of the catecholamine
(monoamines)
MAO inhibitors + Tyramine rich food
MAO-A
inhibitor
Tyramine
rich food
Increase
Catecholamine
Release
Hypertensive
crisis
MAO inhibitors should be contraindicated with
tyramine rich dairy products
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A M O L D E O R E
HAPPY LEARNING

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MAO inhibitors should be contraindicated with dairy (milk containing) products

  • 1. MAO inhibitors should be contraindicated with Tyramine rich food Prof. Amol B.Deore Department of Pharmacology MVP’s Institute of pharmaceutical Sciences, Nashik Email: amol_deore@rediffmail.com
  • 2. Learning Outcome You will be able to understand Depression disorder Action of MAO inhibitors Action of Tyramine Tyramine rich food products Tyramine and MAO inhibitor interaction
  • 3. Depression (major depressive disorder) • mood disorder • persistent feeling of sadness and loss of interest, • it affects how you feel, think and behave • emotional and physical problems • trouble doing normal day-to-day activities • life isn't worth living
  • 4. Causes of depression • low levels of the Monoamine Neurotransmitters • Serotonin, dopamine, and norepinephrine Monoamine and Catecholamines
  • 5.
  • 7. Monoamine Oxidase enzyme • family of enzymes that catalyze the oxidation of monoamines • outer membrane of mitochondria in most cell types of the body • serve to inactivate monoamine neurotransmitters MAO-A • Metabolism of NA, DA and Serotonin (5-HT) MAO-B • DA (Dopamine) and Phenylethylamine
  • 8. MAO Inhibitors FDA has approved these MAOIs to treat depression • Isocarboxazid • Phenelzine • Selegiline • Tranylcypromine
  • 9. Mechanism of action of MAO inhibitors MAO inhibitors site of action
  • 10. Tyramine • Amino acid • normal constituent of many foods • chemically related to noradrenaline • interfere with storage of NA in nerve terminals • Increase release of the catecholamine (monoamines)
  • 11. MAO inhibitors + Tyramine rich food MAO-A inhibitor Tyramine rich food Increase Catecholamine Release Hypertensive crisis
  • 12. MAO inhibitors should be contraindicated with tyramine rich dairy products
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