embracethevoid said:Perhaps we could experiment, load up on foods with a known tyramine content and hook up a shitload of heavily experienced trippers to a blood pressure monitor. Have a control group where nobody eats tyramine loaded foods and another group where everyone eats a small amount, etc. If you're going to claim that one may have critically dangerous blood pressure as a result of eating cheese pizza on harmala alkaloids then I'd like to see evidence. Here is some to the contrary, with regards to Moclobemide users:
(Tolerability of moclobemide said:Moclobemide, a new selective and reversible inhibitor of monoamine oxidase A (RIMA), has been compared with various tricyclic antidepressants (TCAs) in numerous controlled studies. Pooled data from these studies, comprising 1656 patients, as well as the consideration of individual trials, show that moclobemide is far better tolerated than the TCAs. Its side effects mainly comprise mild degrees of nausea and dizziness at the beginning of treatment in a small proportion of patients. Age and sex do not affect the tolerability of moclobemide: it is equally well tolerated by elderly patients. In 2300 patients treated with moclobemide in doses up to 600 mg/day, without dietary restrictions, there was no tyramine-related hypertensive reaction. It is concluded that moclobemide may be the second-generation antidepressant doctors were waiting for - equally effective as the classical antidepressants but far better tolerated.
I'm very curious to know WHY people are so INSISTENT that it's necessary to be able to eat a cheese pizza with their ayahuasca. Is it really such a great BURDEN to forego cheese when using ayahuasca? That's really the main, bottom line point of this entire discussion. I strongly recommend that people take no chances and give up cheese pizza ON THE FREAKIN' DAY THEY'RE GOING TO BE USING AYAHUASCA! Jesus! You'd think I was insisting people had to give up SEX for a year before--and after--using ayahuasca!
Be that as it may, the beta carbolines are NOT "moclobemide." But, from information I can find in a quick search, at least some of them ARE MAO-A inhibitors, which is BAD (because that's this isozyme that deactivates tyramine), and reversible inhibitors, which is GOOD (see below).
But do you really understand the implications of reversible vs irreversible inhibition, and what it means to thereby have "reduced" risk of "cheese syndrome" with reversible inhibitors?
It's obvious to people what "irreversible" means, and why that can increase risk--so I won't elaborate on that. But what makes you think that "reversible" inhibition is a free pass? What reversible inhibition means is that the inhibitor binds only TEMPORARILY to the enzyme, and then detaches. While it's bound, the enzyme can't be used to catalyze the substrates it's meant to catalyze, and when released it can. What this means is that AT HIGH CONCENTRATIONS, REVERSIBLE INHIBITORS CAN BE VIRTUALLY JUST AS EFFECTIVE AS IRREVERSIBLE INHIBITORS. The simple upshot of that is that ALL IT TAKES is one solid occurrence of a high concentration of those friendly reversible inhibitors AND the presence of tyramine at the SAME TIME for tyramine to do its dirty deed.
Sure...it's LESS LIKELY for that to happen with reversible inhibitors than irreversible inhibitors--UNDER NORMAL MEDICAL CIRCUMSTANCES! But ayahuasca sessions are NOT normal medical circumstances; they are times of "pointed dosing" intended to elicit very STRONG effects from the drugs taken. Any PRUDENT PERSON would agree with me that, at those times, it's wise to avoid all possible risks.
Finally, I want to ask all the the people out there who seem to want to argue this point (or to do experiments on fellow psychonauts!): Are you really SO READY to assist in risking SOMEONE ELSE'S life by (very weirdly) practically BEGGING them to eat cheese with ayahuasca, in order to.....I don't know what....prove some point--a point which you can't POSSIBLY possess the specific evidence to guarantee with certainty that absolutely NOBODY is absolutely EVER at risk eating cheese when doing ayahuasca??
I'm beginning to feel that I'm giving a recommendation for people NOT to shoot themselves in the head...and out of the woodwork are coming gangs of people offering lists of the MANY people who SURVIVED a gunshot to the head, and of people who DROVE THEMSELVES TO THE HOSPITAL after being shot in the head, and the person who's LIFE WAS CHANGED FOR THE BETTER after being shot in the head....
I think I'll still recommend people don't shoot themselves in the head :roll: