A 65-year-old woman with treatment-resistant major depressio… | MyMerci
Medical Emergencies PA
Question

A 65-year-old woman with treatment-resistant major depression has been on phenelzine 60 mg PO daily for 6 weeks. About 30 minutes after a dinner that included aged cheddar, salami, and red wine, she calls the clinic with a sudden severe pounding headache, neck stiffness, palpitations, and nausea. The clinic obtains BP 230/130 mmHg, HR 110. Which action should the nurse prioritize?

Explanation
MAOIs (phenelzine, tranylcypromine, isocarboxazid, selegiline at antidepressant doses) inhibit gut and hepatic monoamine oxidase, so dietary tyramine from aged cheese, cured meats, fermented soy, draft/red wine, and tap beer is not metabolized and triggers a massive norepinephrine release — a hypertensive crisis with sudden occipital pounding headache, neck stiffness, palpitations, sweating, and BP often >200/120. This is an emergency: activate EMS, place the patient supine with head elevated, prepare for IV alpha-blockade (phentolamine 5–10 mg IV) or careful nicardipine, and avoid abrupt overshoot lowering. Recommending a walk dismisses an emergency. Increasing phenelzine adds risk. Self-stopping does not address the active crisis and can cause MAOI rebound issues; tapering is required when discontinuing.

In-depth explanation

On MAOIs, the dietary "AGE" rule helps — Aged, Cured/Fermented, Etc. (draft beer, soy sauce, fava beans, smoked fish). Patients also carry a wallet card and avoid sympathomimetic OTC decongestants and SSRIs/SNRIs.

Clinical scenario

Scenario 65-year-old woman, treatment-resistant MDD, on phenelzine 60 mg PO daily for 6 weeks. After dinner with aged cheddar, salami, and 2 glasses of red wine, she develops a sudden pounding occipital headache, neck stiffness, palpitations, and nausea within 30 minutes. Clinic BP 230/130 mmHg, HR 110, alert. No focal neuro deficits at this moment. Allergies: none. No SSRI/SNRI/triptan/meperidine in her chart.

Key concepts

Browse all questions No login required

Master the NCLEX-RN with MyMerci

Thousands of NCLEX-style questions with detailed rationale — in your language. Track your progress and study smarter.

Start for free
Read in another language: English한국어日本語繁體中文Tiếng Việt

For study reference only. Always follow current clinical guidelines and your institution’s protocols.