Thanks Guinness. Having my Emsam cut off would be a huge nightmare. There are a couple of ADs that I haven't tried (Vibriid, Cymbalta and Trintellix (sp?) but since MAOIs work for me we'd probably stick with that. And the hospital only stocks the MAOI I don't want the most because it causes weight gain. Both MAOI options would be hard as I am terrible at taking AM meds and both require multiple dosing. So I don't know what we'd decide but I'm so glad we don't have to worry about it.