I am on Emsam, a transdermal patch AKA selegiline, which is an MAOI. I try to follow the diet but sometimes cheat and since it is taken in through the skin, instead of the digestive system, it is more forgiving. I have eaten pepperoni pizza without a reaction. Since it is relatively new, it doesn't come in generic and is very expensive, like $700. I will have been on it for two year as of this coming July. The only side effect I have is reddened, dry, itchy place on each arm from the patch - you alternate arms every day. It's not a big deal though... you get used to it. I failed on SSRI, SNRI and then on to MAOI.

If you can't afford Emsam, you can go with the oral meds. They are generic and cheap but you really have to watch your diet. Look up "low tyramine diet" to see the restrictions.