Phenelzine
"I have bipolar disorder that stays on the depressed side, so I also take 750 MG of lithium in addition to 60 MG of Nardil. I've taken every TCA, every SSRI, and SSNRI. I have AARP insurance, the add-on to Medicare. Nardil is a Tier 4 drug, about $95/mo. I've taken everything else, the drug was dropped to a Tier 1. I changed all my meds to Optum RX, and for 90 days of Tier 1 or 2 meds, I pay $0. Nardil is the most effective antidepressant I've taken. The dietary restrictions are not a problem, but I cheat and have coffee. The problem is the lack of coordination if you need elective surgery.  Communication between the anesthesiologist, psychiatrist, retina specialist/surgeon, and 3 RNP's is pitiful. Anesthesiologist refuses to meet with me."