Parnate for anx & dep - do I need and long term effects?

Hi All 32 yo male here, lifelong anxiety and episodic depression. Have been meditating last 18 months.
First post here, and most pressing issue ATM is whether to take medication, but if there is good support here I will definitely post in the other sub forums.
I have recently seen a new psychiatrist (only ever really seen psychologists before, over last 10 years) and he listened to my experiences and immediately prescribed Parnate.
I have over the last 10 years tried Zoloft, Effexor, Venlafaxine and Paroxetine, and never really noticed any effects, postivie or negative from them. After I withdrew from the last, 2 years ago, Paroxetine, my episodic depression (which is triggered by anxiety, eg can come when am really excited about new things,or changes in my life) has got more constant, and I'm worried medications are the cause, and that this will happen with Parnate.
Reading reviews, it seems to be a useful medication, but people seem to be on it for life.
Has anyone withdrawn from it, and remained off medication? What were the long-term effects - worse after it then before it?
I'm also concerned about whether it is necessary. When I saw psych, I was having a very depressed week, and while anxiety and depression does affect me every day, when I am feeling well (most of the time, as long as things are not changing too much or other stressors) I feel like I don't want to risk taking another medication.
That said, most days I do find small things overwhelming and anxiety-provoking, and I know that I could make a success of my business if I could deal with the stress from minor things, self-criticism and 'replaying things in my head' and the over-sensitivity to others' criticism.
I have stagnated in my life, and I have struggled with mental issues my whole life (when a child, anxiety would manifest in 'dizzy spells', hyperventilation etc).
Another thing is that I feel much better in the evenings, but often struggle to get moving/concentrate in the mornings.
So, with that very brief history, is it worth taking from your experience?
And I suppose, as a more minor point, how have people dealt with the phyiscal restrictions? (for me, a small price to pay). I do like 2 beers every evening (4 sd is not a problem says the psych), but I am willing to give up if necessary and worthwhile.
Thankyou.

I have also tried many antidepressants with no effect. Nothing helped at all. Tired and no energy, horfible ruminating.

I was so desperate I would have tried anything. New pdoc prescribed Parnate in February and I'm up to the highest dose you're supposed to take now. I honestly think this medication saved my life after I went through a very very hard experience around then and was very suicidal.

The thing is, you have to be willing to put up withsome serious side effects. There is a reason MAOIs aren't prescribed much anymore. I'm only beginning to find this lessening now, and by that I mean I only struggle with it part of the time instead of all the time. I am very dizzy frequently, for the first few months, every time I stood up from my computer at work I was dizzy to the point of feeling like I might black out, including buzzing in my ears. I had horrible headaches the first few months and bad exhaustion the first few weeks. From what I u derstand, the bad headaches and dizziness are very very common with Parnate. I still have trouble 2-3 times a week with standing up and feeling like I'm going to pass out. I have a lot if trouble at church with the constant standing and sitting.

BUT I no longer constantly cry and I don't spend all my time at home in bed. I don't call in sick to work all the time anymore and my obsessive ruminating is at about half of what it was (for me, this was the miracle -- even high doses of atypical antipsychotics barely put a dent in this). It was worth it to me, because I was at the end of my rope and considering ECT as a last ditch effort before I ended it all. I honestly do believe this med saved my life.

But you do have to be willing to put up with the serious side effects.

I don't know about being on it your whole life, because I don't really care personally. But it's a strong medication and it feels nothing like the ones you mentioned being on, which never helped with my depression but also never gave me side effects. You'll know you're on Parnate, whether it works for you or not, becausd you will feel it in your body. It feels a bit like a jolt of really really strong coffee every time I take a dose, it's very stimulating.