Tyramine
OTHER NAME(S): 4-(2-Aminoethyl)phenol, 4-Hydroxyphenethylamine, Tyramin, Tyramine hydrochloride, Tyramine, Tiramina
Overview
Tyramine is a chemical found in the body. It's also found in fermented foods and drinks, like beer and cheese. It can also be made in a lab.
Tyramine helps the brain and nervous system function normally. High levels of tyramine can cause blood vessels to tighten, which increases blood pressure.
People use tyramine for weight loss and athletic performance, but there is no good scientific evidence to support these uses.
Uses
We currently have no information for Tyramine overview.
Side Effects
When taken by mouth: Tyramine is possibly safe when consumed in amounts found in foods. Meals that contain no more than 600 mg of tyramine are considered safe for most people. But eating more than 600 mg of tyramine per meal is possibly unsafe. This might increase the risk for side effects, including high blood pressure and headache.
There isn't enough reliable information to know if tyramine supplements are safe to use.
Precautions
When taken by mouth: Tyramine is possibly safe when consumed in amounts found in foods. Meals that contain no more than 600 mg of tyramine are considered safe for most people. But eating more than 600 mg of tyramine per meal is possibly unsafe. This might increase the risk for side effects, including high blood pressure and headache.
There isn't enough reliable information to know if tyramine supplements are safe to use.
Pregnancy and breast-feeding: There isn't enough reliable information to know if tyramine is safe to use when pregnant or breast-feeding. Stay on the safe side and avoid use.
High blood pressure: Tyramine might increase blood pressure. Taking tyramine supplements might make high blood pressure worse.
Migraine headaches: Taking tyramine might cause migraine headaches, especially in people who suffer from migraines. Don't take tyramine supplements if you get migraines.
Surgery: Tyramine might increase blood pressure. In theory, taking tyramine might interfere with surgery by increasing blood pressure. Stop taking tyramine supplements at least 2 weeks before surgery.
Interactions
Moderate Interaction
Be cautious with this combination
- Medications for depression (MAOIs) interacts with TyramineTyramine can increase blood pressure. Some medications used for depression can stop the body from breaking down tyramine. Taking tyramine with these medications might increase levels of tyramine and increase the risk for serious side effects. Some common MAOIs include phenelzine (Nardil), selegiline (Zelapar), and tranylcypromine (Parnate).
- Medications for high blood pressure (Antihypertensive drugs) interacts with TyramineTyramine might increase blood pressure. Taking tyramine might reduce the effects of blood pressure medications. Monitor your blood pressure closely.
- Alcohol (Ethanol) interacts with TyramineThe body breaks down tyramine to get rid of it. Alcohol might slow down how quickly the body gets rid of tyramine. This might increase the risk for side effects from tyramine.
Minor Interaction
Be watchful with this combination
- Stimulant drugs interacts with TyramineStimulants, such as amphetamines and cocaine, speed up the nervous system. By speeding up the nervous system, stimulant medications can increase blood pressure and speed up the heartbeat. Tyramine can also speed up the nervous system. Taking tyramine along with stimulant drugs might cause serious problems including increased heart rate and high blood pressure.
Dosing
Tyramine is naturally found in many foods and drinks, including aged cheese and wine and beer. In supplements, there isn't enough reliable information to know what an appropriate dose of tyramine might be. Keep in mind that natural products are not always necessarily safe and dosages can be important. Be sure to follow relevant directions on product labels and consult a healthcare professional before using.
References
- D'Andrea G, Terrazzino S, Leon A, et al. Elevated levels of circulating trace amines in primary headaches. Neurology 2004;62:1701-5.
- Shulman KI, Walker SE. Refining the MAOI diet: tyramine content of pizzas and soy products. J Clin Psychiatry 1999;60:191-3.
- Gardner DM, Shulman KI, Walker SE, Tailor SA. The making of a user friendly MAOI diet. J Clin Psychiatry 1996;57:99-104.
- Walker SE, Shulman KI, Tailor SA, Gardner D. Tyramine content of previously restricted foods in monoamine oxidase inhibitor diets. J Clin Psychopharmacol 1996;16:383-8.
- Pawar RS, Grundel E, Fardin-Kia AR, Rader JI. Determination of selected biogenic amines in Acacia rigidula plant materials and dietary supplements using LC-MS/MS methods. J Pharm Biomed Anal. 2014 Jan;88:457-66. doi: 10.1016/j.jpba.2013.09.012. Epub 2013 Oct 5.
- Sun-Edelstein, C. and Mauskop, A. Foods and supplements in the management of migraine headaches. Clin J Pain 2009;25(5):446-452.
- Pawar RS, Grundel E. Overview of regulation of dietary supplements in the USA and issues of adulteration with phenethylamines (PEAs). Drug Test Anal 2017;9:500-517.
- Smedema JP, Müller GJ. Coronary spasm and thrombosis in a bodybuilder using a nutritional supplement containing synephrine, octopamine, tyramine and caffeine. S Afr Med J. 2008;98(5):372-3.
- D'Andrea G, Granella F, Leone M, Perini F, Farruggio A, Bussone G. Abnormal platelet trace amine profiles in migraine with and without aura. Cephalalgia. 2006;26(8):968-72.
- Gilliam LK, Palmer JP, Taborsky GJ Jr. Tyramine-mediated activation of sympathetic nerves inhibits insulin secretion in humans. J Clin Endocrinol Metab. 2007;92(10):4035-8.
- VanDenBerg CM, Blob LF, Kemper EM, Azzaro AJ. Tyramine pharmacokinetics and reduced bioavailability with food. J Clin Pharmacol. 2003;43(6):604-9.
- Meck JV, Martin DS, D'Aunno DS, Waters WW. Pressor response to intravenous tyramine is a marker of cardiac, but not vascular, adrenergic function. J Cardiovasc Pharmacol. 2003;41(1):126-31.
- Gillman K. "Much ado about nothing": monoamine oxidase inhibitors, drug interactions, and dietary tyramine. CNS Spectr. 2017;22(5):385-387.
- Peet M, Yates RA, Carroll JA, Middlemiss DN. The interaction of tyramine with a single dose of tranylcypromine in healthy volunteers. Br J Clin Pharmacol. 1981;11(2):212-4.
- Lawrence MJ, Davies G, Nyberg M, et al. The effect of tyramine infusion and exercise on blood flow, coagulation and clot microstructure in healthy individuals. Thromb Res. 2018;170:32-37.
- Carpéné C, Galitzky J, Belles C, Zakaroff-Girard A. Mechanisms of the antilipolytic response of human adipocytes to tyramine, a trace amine present in food. J Physiol Biochem. 2018;74(4):623-633.
- Del Rio B, Redruello B, Linares DM, et al. The dietary biogenic amines tyramine and histamine show synergistic toxicity towards intestinal cells in culture. Food Chem. 2017;218:249-255.
- Linares DM, del Rio B, Redruello B, et al. Comparative analysis of the in vitro cytotoxicity of the dietary biogenic amines tyramine and histamine. Food Chem. 2016;197(Pt A):658-63.
- National Institutes of Health. Dietary Supplement Label Database. https://www.dsld.nlm.nih.gov/dsld/rptQSearch.jsp?item=tyramine&db=adsld. Accessed October 23, 2019.
- Rapaport MH. Dietary restrictions and drug interactions with monoamine oxidase inhibitors: the state of the art. J Clin Psychiatry. 2007;68 Suppl 8:42-6.
- Merikangas KR, Stevens DE, Merikangas JR, et al. Tyramine conjugation deficit in migraine, tension-type headache, and depression. Biol Psychiatry. 1995;38(11):730-6.
- Colombo F, Porro T, del Rosso G, Bertalero P, Orlandi L, Libretti A. Cardiovascular responses to physical exercise and tyramine infusion in hypertensive and normotensive subjects. J Hum Hypertens. 1989;3(4):245-9.
- Pace DG, Reele SB, Rozik LM, Rogers-Phillips CA, Dabice JA, Givens SV. Evaluation of methods of administering tyramine to raise systolic blood pressure. Clin Pharmacol Ther. 1988;44(2):137-44.
- Ghose K, Carroll JD. Mechanism of tyramine-induced migraine: similarity with dopamine and interactions with disulfiram and propranolol in migraine patients. Neuropsychobiology. 1984;12(2-3):122-6.
- Salter M, Kenney A. Myocardial injury from tranylcypromine-induced hypertensive crisis secondary to excessive tyramine intake. Cardiovasc Toxicol. 2018;18(6):583-586.
- Caston JC, Eaton CL, Gheorghiu BP, Ware LL. Tyramine induced hypertensive episodes and panic attacks in hereditary deficient monoamine oxidase patients: case reports. J S C Med Assoc. 2002;98(4):187-92.
- European Food Safety Authority. Scientific opinion on risk based control of biogenic amine formation in fermented foods. EFSA Journal. 2011;9(10):2393.
- Rafehi M, Faltraco F, Matthaei J, et al. Highly variable pharmacokinetics of tyramine in humans and polymorphisms in OCT1, CYP2D6, and MAO-A. Front Pharmacol. 2019 Oct 30;10:1297.
