Yeah, the only way you can avoid the 14 day washout is to go on the Emsam in the hospital. That was what I did for a bunch of reasons. I think as much anything because I've had so many drug reactions my pdoc wanted someone to watch me while I started the new drug to be sure nothing weird happened.

I hope it works out for you. It really helped me when I'd done everything but ECT and so far I still haven't had ECT and it's been 6 years.