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It has given me increased energy and helped me out of a suicidal bout of depression, though I still feel flat and humorless.

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I am a nursing student so when my psychiatrist suggested an MAOI I said absolutely not because at 21 I was not ready to make that kind of lifestyle/diet changes.

I was happy to hear that on a 6mg/24 hour dose I would not have to worry about diet interactions.

At 6mg I can eat and drink whatever I want but on 9 mg you have to cut back on caffeine and other foods that interfere with MAOI's. At my wits end, I decided to try ECT, hoping it would kill me, but the psychiatrist said to try EMSAM 6mg patch. After three weeks of feeling like I had the flu, I read all of the instructions again, and it said, "Do not cut." So I cut it from 6mg to 4mg and in 45 minutes I felt better than I had ever felt in my life.

Two days in a row, I would cut 1/3 of the patch off, and on the third day, I would use the 2 pieces of 2mgs which equalled 4mgs. My life changed completely; my depression was gone, except in times of great stress, but it still worked well enough.

I have tried over 10 medications for my anxiety and depression over the past 4 years and the only thing that came close to working was a combination of Effector XR, Remron and Xanax.