Emsam is an MAOI but it's less of a pain than other MAOIs because it is a patch so doesn't interact with food as much. On the lowest dose there aren't restrictions and on the other 2 doses there are less interactions than traditional MAOIs.

Clozapine has been a miracle for me. Zyprexa did absolutely nothing and other APs either didn't work or I had bad reactions. Clozapine has annoying side effects and labs but you get used to it and eventually barely notice, or at least that's my experience. I'm at nearly 4 years on it, nearly 4 years without an IP stay and nearly 4 years without a severe episode on either end or mixed (which used to be my daily life). It's not a cure-all but it's better than ever before.