A 22-year-old female asked:
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can i eat fermented foods like kefir which have alcohol content while on an ssri antidepressant?

2 doctor answers
Dr. Kenneth Lanier
9 years experience Pharmacology
Yes: Fermented foods contain an amine called tyramine which can cause your blood pressure to elevate significantly. However this usually occurs when you take monoamine oxidase inhibitors (anotherclass of antidepressants) and ingest tyramine. If you plan to consume fermented foods on a regular basis it would be wise to monitor your BP and to consult your physician.
Answered on Jun 10, 2014
Dr. Ralph Morgan Lewis
37 years experience Family Medicine
Kefir + SSRI: The degree of interaction depends on which ssri you're taking: some like Paxil (paroxetine) r associated with sedation; others like prozac, with stimulation; & others r neutral. Kefir does contain some alcohol, but kefir made commercially has less than 1% alcohol; so u would have to drink a fair amount on an empty stomach for there to b a major concern. Check with prescribing doc for more info.
Answered on Sep 28, 2016
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Related questions:

A 22-year-old female asked:
Dr. Steven Reidbord
35 years experience Psychiatry
Usually ok: Most commercially available kefir in the us contains little or no alcohol. If it's homemade or imported, it may have significant alcohol content. Ta ... Read More
1
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A 22-year-old female asked:
Dr. Kenneth Lanier
9 years experience Pharmacology
Yes: Fermented foods contain an amine called tyramine which can cause your blood pressure to elevate significantly. However this usually occ ... Read More
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A 22-year-old female asked:
Dr. William Gaya
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Pharmacology: Not sure. There is some controversial data that suggests that fermented foods should be avoided in combination with ssri use. The main risk is with MA ... Read More
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Dr. Richard Maughon
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Yeast: Should be fine yeast causes fermintation it does not consist of etoh.

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