NSTK · 01.2026Independent supplement reference
NutriStack
Edition 1.0Updated August 1, 2026

Supplement × Prescription·Evidence index

Selegiline and Tyramine / High-Tyramine Foods: what the published research says

PubMed indexes 4 records that name Selegiline and Tyramine / High-Tyramine Foods together, either in the title or in an interaction, co-administration, or pharmacokinetic context. Each one is listed below with its study design and, where the abstract states one, the authors’ own conclusion, quoted and linked. This page reports that literature. It does not tell you whether to combine them.

Read this first

An evidence index, not guidance.

Every statement below is attributed to a named, dated, linked source.

This page lists published research relevant to Selegiline and Tyramine / High-Tyramine Foods. It deliberately does not state whether the combination is safe, whether it interacts, in which direction, at what dose, or how far apart to take them.

The research

4 studies naming Selegiline and Tyramine / High-Tyramine Foods.

Strongest relevance first: papers naming both substances in the title, then human trials and systematic reviews.

Tyramine kinetics and pressor sensitivity during monoamine oxidase inhibition by selegiline.

Clinical pharmacology and therapeutics · 1989 · PMID 2510962

Comparative StudyHuman subjects

“Fifty-five percent of the selegiline dose was eliminated in urine as amphetamine and methamphetamine. The findings support the assumption that selegiline does not selectively inhibit monoamine oxidase-B (MAO-B) when administered in doses of 20 mg/day and higher.”

Schulz et al. · From the abstract

Names both Selegiline and Tyramine / High-Tyramine Foods in its title.

How to Optimize the Effectiveness and Safety of Parkinson's Disease Therapy? - A Systematic Review of Drugs Interactions with Food and Dietary Supplements.

Current neuropharmacology · 2022 · PMID 34784871

Systematic ReviewHuman subjects

“We found evidence for levodopa positive interaction with coffee, fiber and vitamin C, as well as for the potential beneficial impact of low-fat and protein redistribution diet. Contrastingly, high-protein diet and ferrous sulfate supplements can negatively affect levodopa pharmacokinetics and effectiveness. For other drugs, the data of food impact are scarce.”

Agnieszka et al. · Authors' conclusion

Names Selegiline and Tyramine / High-Tyramine Foods together in an interaction, co-administration, or pharmacokinetic context.

Concomitant use of monoamine oxidase inhibitor and tyrosine in parenteral nutrition.

European journal of clinical nutrition · 2024 · PMID 38057413

Case ReportsHuman subjects

“However, further study is needed to verify our findings beyond this one patient. In conclusion, we recommend initiating PN and increasing it to goal in patients taking MAOIs, gradually, while monitoring for hypertensive crisis given the theoretical possibility of the tyramine pressor response.”

Bharani et al. · From the abstract

Names Selegiline and Tyramine / High-Tyramine Foods together in an interaction, co-administration, or pharmacokinetic context.

High-dose selegiline in treatment-resistant older depressive patients.

Archives of general psychiatry · 1994 · PMID 7519005

Clinical TrialRandomized Controlled Trial

“Our results suggest that high-dose selegiline can be an effective antidepressant in treatment-resistant older depressive patients. While the selegiline dose required has nonselective monoamine oxidase effects and thus would not be free of possible tyramine interactions, other advantages suggest that further investigations with selegiline are warranted in this population.”

Sunderland et al. · Authors' conclusion

Names Selegiline and Tyramine / High-Tyramine Foods together in an interaction, co-administration, or pharmacokinetic context.

Limitations

What this evidence cannot tell you.

Search-based evidence indexes have real limits, and it is worth being explicit about them:

NutriStack

Track what you actually take.

NutriStack is a free iPhone app for organising a supplement routine: what you take, when, and what the published record says about it. Its exploratory interaction checker covers Selegiline, Tyramine / High-Tyramine Foods, and several hundred other substances.

The checker is a research and organisation tool, not a clinical decision aid, and its per-pair assessments are excluded from search until they pass claim-level review.

NutriStack is an informational and organizational tool, not a medical service, and not a substitute for professional advice. Always consult a qualified healthcare professional before starting, stopping, or changing any supplement or medication.