I don't think it is if it is on the interaction list for Emsam. If it is you need 2 weeks to get every drop of it out of your body. But maybe your pdoc would not be concerned about that; at a low dose there aren't the major interactions. I would call the pdoc and ask. The sooner you can start the better but I wouldn't start unless I was really sure it was safe; a stroke isn't worth it. My pdoc doesn't worry about every interaction as far as food goes; we've never discusse a med interaction.