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		<title>What foods and drugs need to be avoided?</title>
		<link>http://www.ayahuasca.com/science/what-foods-and-drugs-need-to-be-avoided/</link>
		<comments>http://www.ayahuasca.com/science/what-foods-and-drugs-need-to-be-avoided/#comments</comments>
		<pubDate>Thu, 28 Feb 2008 16:02:27 +0000</pubDate>
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				<category><![CDATA[Overviews]]></category>
		<category><![CDATA[Science]]></category>
		<category><![CDATA[Spirit & Healing]]></category>
		<category><![CDATA[beta-carbolines]]></category>
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		<category><![CDATA[food]]></category>
		<category><![CDATA[interactions]]></category>
		<category><![CDATA[MAO]]></category>
		<category><![CDATA[MAOI]]></category>
		<category><![CDATA[medications]]></category>
		<category><![CDATA[tyramine]]></category>

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		<description><![CDATA[Foods and medications to be avoided with Ayahuasca]]></description>
			<content:encoded><![CDATA[<h3>What foods need to be avoided?</h3>
<p>Basically foods that are aged, preserved, dried, fermented, pickled, cured (meats), rancid, old, outdated, overripe, or even slightly spoiled.</p>
<p>The following foods are recommended to be avoided with MAOIs:</p>
<ul>
<li><span class="postbody"> Meat that is not fresh, especially unfresh liver (fresh meat and fresh liver are safe) </span></li>
<li><span class="postbody"> Smoked, fermented, pickled (herring) and otherwise aged or dried fish, lox;  any fish that is not fresh </span></li>
<li><span class="postbody"> Sausage, bologna, pepperoni, salami, corned beef </span></li>
<li><span class="postbody"> Aged cheeses (cottage cheese and cream cheese are safe) </span></li>
<li><span class="postbody"> Protein extracts  </span></li>
<li><span class="postbody"> Liquid and powdered protein dietary supplements  </span></li>
<li><span class="postbody"> Brewer&#8217;s yeast, yeast vitamin supplements, or yeast extracts </span></li>
<li><span class="postbody"> Fermented tofu, fermented bean curd, fermented soybean paste, soy sauce </span></li>
<li><span class="postbody"> Canned soups, or soups made with protein extracts or bouillon </span></li>
<li><span class="postbody"> Miso soup (contains fermented bean curd) </span></li>
<li><span class="postbody"> Shrimp paste </span></li>
<li><span class="postbody"> Sauerkraut </span></li>
<li><span class="postbody"> Fruits that are bruised or even slightly overripe, especially bananas and apples; raisins and other dried fruits, fig newtons, etc (banana peels also should be avoided &#8212; as though you&#8217;d eat them anyway) </span></li>
<li><span class="postbody"> Avocados, if ripe or overripe (slightly underripe avocados are fine in moderation).  Guacamole should be avoided. </span></li>
<li><span class="postbody"> Red wine, especially Chianti; sherry, vermouth, champagne, brandy; beers and ales, including nonalcoholic; whiskey and liqueurs such as Drambuie and Chartreuse </span></li>
<li><span class="postbody"> Dairy products that are close to the expiration date or that have been unrefrigerated (fresh yogurt is safe) </span></li>
<li><span class="postbody"> Aspartame (Nutrasweet) </span></li>
<li><span class="postbody"> Fava beans, especially if overripe </span></li>
<li><span class="postbody"> Peanuts &#8211; in large quantities </span></li>
<li><span class="postbody">  Raspberries &#8211; in large quantities </span></li>
<li><span class="postbody"> Spinach, New Zealand prickly or hot weather &#8211; in large quantities   </span></li>
<li><span class="postbody"> Chocolate &#8211; in large quantities </span></li>
<li><span class="postbody"> Caffeine in large quantities (note: in a few rare individuals, there may be a severe interaction with even small amounts of caffeine) </span></li>
</ul>
<p><span class="postbody"></span></p>
<p><span style="font-weight: bold">How long do they need to be avoided?</span></p>
<p>24 hours before and after drinking Ayahuasca should be sufficient.</p>
<p><span style="font-weight: bold">Is it really important to avoid those foods?</span></p>
<p>The warnings about tyramine interaction sound very serious, because they are adapted from warnings about interactions with pharmaceutical MAOIs.<br />
However, food interaction with Ayahuasca is frankly <span style="font-style: italic">not</span> as serious a matter as it is with pharmaceutical MAOIs.</p>
<p><a href="http://forums.ayahuasca.com/phpbb/viewtopic.php?t=12275" target="_blank">http://forums.ayahuasca.com/phpbb/viewtopic.php?t=12275</a></p>
<p>However, while there are no reports of fatalities from food interactions with Ayahuasca, food interactions could conceivably be life-threatening for a person with severe high blood pressure or serious heart disease. People with these conditions, therefore, should follow the MAOI safety diet very strictly when taking Ayahuasca.</p>
<p>Please note: Peganum harmala (Syrian rue) is a stronger MAOI than Banisteriopsis (Ayahuasca vine) and has potentially more serious interactions.</p>
<p><span style="font-weight: bold">What <span style="font-style: italic">can</span> I eat?</span></p>
<p>In terms of the MAOI safety diet, basically foods that are as fresh as possible and not overripe, preserved, or spoiled in any way.</p>
<h3>Drugs and Medications</h3>
<p><span style="font-weight: bold">Is it really dangerous to combine some pharmaceutical drugs with Ayahuasca?</span></p>
<p><span style="font-weight: bold">YES. </span>  Unlike food interactions, whose consequences are unlikely to be serious, <span style="font-weight: bold">interaction with pharmaceutical drugs and meds (<span style="font-style: italic">including some over-the-counter drugs and certain herbs</span>) can be potentially life-threatening.</span>.</p>
<p><span style="font-weight: bold">Which drugs are dangerous with Ayahuasca?</span></p>
<p>A list of meds to be careful of with MAOIs:</p>
<ul>
<li><span class="postbody"> other MAOIs </span></li>
<li><span class="postbody"> SSRI&#8217;s (any selective serotonin reuptake inhibitor) </span></li>
<li><span class="postbody"> amphetamines (meth-, dex-, amphetamine) </span></li>
<li><span class="postbody"> antihypertensives (high blood pressure medicine) </span></li>
<li><span class="postbody"> appetite suppressants (diet pills) </span></li>
<li><span class="postbody"> medicine for asthma, bronchitis, or other breathing problems </span></li>
<li><span class="postbody"> antihistamines, medicines for colds, sinus problems, hay fever, or allergies (Actifed DM, Benadryl, Benylin, Chlor-Trimeton, Compoz, etc.) </span></li>
<li><span class="postbody"> CNS (central nervous system) depressants </span></li>
<li><span class="postbody"> antipsychotics </span></li>
<li><span class="postbody"> alcohol </span></li>
</ul>
<p><span class="postbody"><br />
Some specific drugs that should not be combined with MAOIs:</span></p>
<ul>
<li><span class="postbody">Actifed </span></li>
<li><span class="postbody">Amantadine hydrochloride (Symmetrel) </span></li>
<li><span class="postbody">Amoxapine (Asendin) </span></li>
<li><span class="postbody">Benadryl </span></li>
<li><span class="postbody">Benylin </span></li>
<li><span class="postbody">Bupropion (Wellbutrin) </span></li>
<li><span class="postbody">Buspirone (BuSpar) </span></li>
<li><span class="postbody">Carbamazepine (Tegretol, Epitol) </span></li>
<li><span class="postbody">Chlor-Trimeton </span></li>
<li><span class="postbody">Clomipramine (Anafranil) </span></li>
<li><span class="postbody">Cocaine </span></li>
<li><span class="postbody">Cyclobenzaprine (Flexeril) </span></li>
<li><span class="postbody">Cyclizine (Marezine) </span></li>
<li><span class="postbody">Desipramine (Pertofrane) </span></li>
<li><span class="postbody">Dextromethorphan (DXM) </span></li>
<li><span class="postbody">Disopyramide (Norpace) </span></li>
<li><span class="postbody">Doxepin (Sinequan) </span></li>
<li><span class="postbody">Ephedrine </span></li>
<li><span class="postbody">Flavoxate Hydrochloride (Urispas) </span></li>
<li><span class="postbody">Fluoxetine (Prozac) </span></li>
<li><span class="postbody">Imipramine (Tofranil) </span></li>
<li><span class="postbody">Isocarboxazid (Marplan) </span></li>
<li><span class="postbody">Levodopa (Dopar, Larodopa) </span></li>
<li><span class="postbody">Loratadine (Claritin) </span></li>
<li><span class="postbody">Maprotiline (Ludiomil) </span></li>
<li><span class="postbody">Meperidine (Demerol) </span></li>
<li><span class="postbody">Methylphenidate (Ritalin) </span></li>
<li><span class="postbody">Nortriptyline (Aventyl) </span></li>
<li><span class="postbody">Oxybutynin chloride (Ditropan) </span></li>
<li><span class="postbody">Orphenadrine (Norflex) </span></li>
<li><span class="postbody">Parnate </span></li>
<li><span class="postbody">Paroxetine (Paxil) </span></li>
<li><span class="postbody">Phenergen </span></li>
<li><span class="postbody">Phenelzine (Nardil) </span></li>
<li><span class="postbody">Procainamide (Pronestyl) </span></li>
<li><span class="postbody">Protriptyline (Vivactil) </span></li>
<li><span class="postbody">Pseudoephedrine </span></li>
<li><span class="postbody">Quinidine (Quinidex) </span></li>
<li><span class="postbody">Salbutemol </span></li>
<li><span class="postbody">Salmeterol </span></li>
<li><span class="postbody">Selegiline (Eldepryl) </span></li>
<li><span class="postbody">Sertraline (Zoloft) </span></li>
<li><span class="postbody">Tegretol </span></li>
<li><span class="postbody">Temaril  </span></li>
<li><span class="postbody">Tranylcypromine (Parnate) </span></li>
<li><span class="postbody">Tricyclic antidepressants (Amitriptyline, Elavil) </span></li>
<li><span class="postbody">Trimipramine (Surmontil) </span></li>
<li><span class="postbody"> Yohimbine </span></li>
</ul>
<p><span class="postbody"><br />
Also avoid the following herbs:</span></p>
<ul>
<li><span class="postbody"> St. Johns Wort </span></li>
<li><span class="postbody"> Kava </span></li>
<li><span class="postbody"> Ephedra </span></li>
<li><span class="postbody"> Ginseng </span></li>
<li><span class="postbody"> Yohimbe </span></li>
<li><span class="postbody"> Sinicuichi </span></li>
</ul>
<p><span class="postbody"><br />
Using Tricyclic antidepressants within two weeks of taking MAOIs may cause serious side effects including sudden fever, extremely high blood pressure, convulsions, and death.</span></p>
<p>Using Fluoxetine (Prozac) within five weeks of taking MAOIs may cause high fever, rigidity, high blood pressure, mental changes, confusion and hypomania.</p>
<p>Using Meperidine (Demerol) with pharmaceutical MAOIs has resulted in deaths from a single dose.</p>
<p>Using cocaine with MAOIs may cause a severe increase in blood pressure, increasing the chances for stroke and cerebral hemorrhage and making it possible to overdose on a relatively small amount of cocaine. (A fatality has been recorded involving combining Peganum harmala and cocaine.)</p>
<p>Using Bupropion (Wellbutrin) within two weeks of taking MAOIs may cause serious side effects such as seizures.</p>
<p>Using Buspirone (Buspar) with MAOIs may cause high blood pressure.</p>
<p>Using Carbamazepine (Tegretol) with MAOIs may increase seizures.</p>
<p>Using CNS depressants with MAOIs may increase the depressant effects.</p>
<p>Using Dextromethorphan with MAOIs may cause excitement, high blood pressure, and fever, or brief episodes of psychosis.</p>
<p>Using Tryptophan with MAOIs may cause disorientation, confusion, amnesia, delirium agitation, hypomanic signs, shivering.</p>
<p>Using alcohol with MAOIs may cause side effects like angina (chest pain) or headaches. The headache may mask or be mistaken for hypertensive crisis caused by MAOI interaction.</p>
<p>Using Kava with MAOIs may result in hypotensive crisis (severe blood pressure drop).</p>
<p>Using Temaril with MAOIs may increase chance of side effects.</p>
<p>Special note to diabetics: MAOIs may change the amount of insulin or oral antidiabetic medication that you need. Notes on <a href="http://forums.ayahuasca.com/phpbb/viewtopic.php?t=14672" target="_blank" class="postlink"> Diabetes and Ayahuasca.</a></p>
<p>Threads discussing specific meds:</p>
<p><a href="http://forums.ayahuasca.com/phpbb/viewtopic.php?t=14661" target="_blank" class="postlink">antibiotics</a><br />
<a href="http://forums.ayahuasca.com/phpbb/viewtopic.php?t=3030" target="_blank" class="postlink">antihistamines</a><br />
<a href="http://forums.ayahuasca.com/phpbb/viewtopic.php?t=14592" target="_blank" class="postlink">asthma inhalers</a><br />
<a href="http://forums.ayahuasca.com/phpbb/viewtopic.php?p=34468" target="_blank" class="postlink">SSRIs</a><br />
<a href="http://forums.ayahuasca.com/phpbb/viewtopic.php?t=11411" target="_blank" class="postlink">Acetominophen</a><br />
<a href="http://forums.ayahuasca.com/phpbb/viewtopic.php?t=11411" target="_blank" class="postlink">Codeine</a><br />
<a href="http://forums.ayahuasca.com/phpbb/viewtopic.php?t=11201" target="_blank" class="postlink">Diazepam</a><br />
<a href="http://forums.ayahuasca.com/phpbb/viewtopic.php?t=7669" target="_blank" class="postlink">Elavil</a><br />
<a href="http://forums.ayahuasca.com/phpbb/viewtopic.php?t=4046" target="_blank" class="postlink">Kava</a><br />
<a href="http://forums.ayahuasca.com/phpbb/viewtopic.php?t=9952" target="_blank" class="postlink">Kava</a><br />
<a href="http://forums.ayahuasca.com/phpbb/viewtopic.php?t=6449" target="_blank" class="postlink">Klonopin</a><br />
<a href="http://forums.ayahuasca.com/phpbb/viewtopic.php?t=7669" target="_blank" class="postlink">Klonopin</a><br />
<a href="http://forums.ayahuasca.com/phpbb/viewtopic.php?t=12774" target="_blank" class="postlink">Losartan (Cozaar)</a><br />
<a href="http://forums.ayahuasca.com/phpbb/viewtopic.php?t=6864" target="_blank" class="postlink">Methadone</a><br />
<a href="http://forums.ayahuasca.com/phpbb/viewtopic.php?t=797" target="_blank" class="postlink">MDMA</a><br />
<a href="http://forums.ayahuasca.com/phpbb/viewtopic.php?t=11411" target="_blank" class="postlink">Oxycodone</a><br />
<a href="http://forums.ayahuasca.com/phpbb/viewtopic.php?t=3959" target="_blank" class="postlink">Paxil</a><br />
<a href="http://forums.ayahuasca.com/phpbb/viewtopic.php?t=11411" target="_blank" class="postlink">Percocet</a><br />
<a href="http://forums.ayahuasca.com/phpbb/viewtopic.php?p=34468" target="_blank" class="postlink">Prozac</a><br />
<a href="http://forums.ayahuasca.com/phpbb/viewtopic.php?t=12032" target="_blank" class="postlink">Risperdal</a><br />
<a href="http://forums.ayahuasca.com/phpbb/viewtopic.php?t=8062" target="_blank" class="postlink">Stratera</a><br />
<a href="http://forums.ayahuasca.com/phpbb/viewtopic.php?t=9336" target="_blank" class="postlink">St Johns Wort</a><br />
<a href="http://forums.ayahuasca.com/phpbb/viewtopic.php?t=9771" target="_blank" class="postlink">Vicodin</a><br />
<a href="http://forums.ayahuasca.com/phpbb/viewtopic.php?t=11048" target="_blank" class="postlink">Wellbutrin</a><br />
<a href="http://forums.ayahuasca.com/phpbb/viewtopic.php?t=6864" target="_blank" class="postlink">Zoloft</a></p>
<p><span style="font-weight: bold">How long do you have to stay off them before and after an Ayahuasca ceremony?</span></p>
<p>Depends on the drug.  May be 24 hours, may be six months.  Two to six weeks is typical, but <span style="font-weight: bold">do not guess.  Find out for sure from your doctor.</span></p>
<p><span style="font-weight: bold">Questions</span> about food or medication interactions may be posted in this thread <a href="http://forums.ayahuasca.com/phpbb/viewtopic.php?t=7088" target="_blank">http://forums.ayahuasca.com/phpbb/viewtopic.php?t=7088</a><br />
Or you can create a new thread in the Information Forum with your safety question.</p>
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