A client is prescribed phenelzine to treat her depression. She is at a local café for lunch with a friend. Which of the following items on the menu would be least appropriate for the client to order?
A) Roast beef, mashed potatoes, and gravy
B) A Cobb salad with blue cheese and Roquefort salad dressing
C) Scrambled eggs, toast, and grape jelly
D) Medium-well steak, french fries, and broccoli
Ans: B
Phenelzine is a monoamine oxidase inhibitor (MAOI). If co-administered with food or other substances containing tyramine (e.g., aged cheese, beer, red wine), MAOIs can trigger a hypertensive crisis that may be life threatening. The blue cheese is aged, and the Roquefort salad dressing contains aged cheese.
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