Yeah you have to be really really strict with what you eat! Even the ripeness of fruit can affect MAOI's. I only tried them for about 3/4 months, I started blacking out and gagging at night so my doctor took me off them. I didnt notice much of an improvement over any SNRI or SSRI that I had tried to that date, but SSRIs and SNRIs are a hell of a lot less hassle! And nicer to come off.
Heaps of SSRIs didnt work, or made me worse but a few did work. 2 is not that many to try out, there are a so many more available.
I havent personally met anyone who MAOI's have worked for over the newer meds, but surely they must work for some people to still be suggested.
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