Cutting the patch has never seemed to be a problem for me. I've done it a number of times over the last 7 years when it was making me manic. Obviously listen to your own pdoc but mine has given me permission to cut them and I've never had problems. My pdoc got a lot more relaxed about Emsam after she met the man who developed it. That's when she started letting me cut patches and she also decreased the dietary restrictions on 9 mg somewhat based on what he told her. I've been on anywhere from 3 mg to 12 mg at different times and have also alternated doses by the day.