What monitoring is recommended when a patient starts on an MAOI?

When a patient starts on a monoamine oxidase inhibitor (MAOI), blood pressure monitoring is critically important due to the risk of hypertensive crises. MAOIs can interact with certain foods containing tyramine, such as aged cheeses, cured meats, and fermented products, leading to a dangerous rise in blood pressure. This interaction occurs because MAOIs inhibit the enzymatic breakdown of tyramine, which can then cause significant vasoconstriction and increased norepinephrine release, resulting in acute hypertension.

Your choice of blood pressure monitoring aligns with best practices in ensuring patient safety while on MAOIs. Regular monitoring allows for prompt identification and management of any concerning changes in blood pressure, helping to mitigate the risk of serious complications associated with the medication.