"i&#039;ve been taking selegiline (emsam) for depression for three years after 40  of pretty much everything else. this has been the most effective treatment i&#039;ve had, lasting the longest with the best results. side effects have been limited to skin irritation from the patch. the dietary restrictions aren&#039;t proving to be too restrictive. on a couple of occasions, i&#039;ve had food with tyramine by accident. a bad headache for a few hours was the only result. (i didn&#039;t realize that i&#039;d had the tyramine until after the headache had come and gone.)
the price and need for prior authorization are my only real complaints."