slatestarcodex.com/2015/04/...
Perhaps there are methodology flaws in looking at medication review sites in this way.
Regardless, old medications Phenelzine and Tranylcypromine came out top of the list for patient satisfaction. Also the tricyclic Clomipramine did well.
3 of the top 4 places went to monoamine oxidase inhibitors.
Unfortunately, MAOIs can often be some of the hardest antidepressants to get doctors to prescribe.
Hi Alex just wondering if you can help me ? I just been prescribed phenelzine from my psychiatrist for anxiety and depression..as others medication didn’t help me at all ..I tried than all almost..... I’m a bit worried about all the food and medications interactions..can you give me some ideas of you views on this medication please ..do you take this medication you self? Any advice will be well come .🙏🏽Bela
Never taken Phenelzine. I'm waiting to start Moclobemide.
With the dietary restrictions, take it seriously of course, but you apparently don't trigger a reaction in a lot of cases just because you eat something on the banned list. It may not be as bad an issue as it used to be as it's claimed that tyramine levels are far lower than back in the 1960s because of changes to food production.
As with all antidepressants, not everyone can tolerate Phenelzine. People do e.g. complain about insomnia and weight gain. It can lower blood pressure I think which creates a problem for some people. (As well as spiking it sometimes if you eat the wrong thing, as you already know about.)
You need to check even over-the-counter medications for compatibility.
Some people respond well, but only by going over the maximum, so if you can tolerate the side effects it may be worth pushing the dose up.
Anyway, good luck with it. I wish I could get a prescription to try it but not an easy thing to get prescribed on the NHS. I'm interested in how you find it.
Good morning Alex and thank you for replying to me .. yes I’m a bit concerned about all the restrictions.!! but I do need to get better I already tried all the others medication with not any help.. this is my psychiatrist last resort ..how ever for me to get those I needed a private psychiatrist to prescribed it for me .. It might worthy for you to get a private psychiatrist appointment ..have you tried all the others medication ? I still have to wait for two weeks before I can start taking it ! I will keep you up to date with my progress .. when are you starting moclobemide ? Please let me know how you getting on with itAnd thank you again..good luck and best wishes .. Bela
Be patient with myself!
Depression has become hard to come out of
Out with hubby tonight...
Does anxiety come with super sadness 
A good way to come to terms with something frustrating
