Step I MAOI vs COMT

Started by DrTacoElf
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DrTacoElf

Full Member
20+ Year Member
So if someone is on MAOI and eats food high in tyramine they get hypertension. Why does COMT not take care of this excess catecholamine load. Does anyone have a good explanation for the difference between the two enzymes?

Thanks!
 
My best guess is that the methylated catecholamines still have some activity, but I can't tell you for sure off the top of my head. If I recall, tyramine is also degraded by MAO, so it'll continue to trigger catecholamine release, giving you a build-up of vasoactive stuff.