Maybe I missed something, but you and others appear to be taking too low of a dose, unless you are taking the orally disintegrating form. Is anyone using the patch form?
I don’t think it is a high-risk drug, but I commonly eat tyramine-rich foods. Also FWIW: AI thinks that selegiline is the more risky drug for the elderly.
The risk of a hypertensive “cheese reaction” from eating tyramine-rich foods (like aged cheese or cured meats) is generally considered low but not zero. Rare cases have been reported, so some caution is still advised.
I was considering trying selgiline, but I think that I will pass for now. Modafinil is serving me well.

