In my opinion only, I would resort to a MAOI as a last resort. I understand it helps the best with panic attacks, but at an extreme cost of dietary restrictions, that if you eat aged cheese, ie blue cheese,etc., with a host of numerous other foods, your blood pressure can skyrocket to the point of being hospitalized. I have heard it causes urinary incontingency as well. Also if you should ever need surgery, you have to be off the medication, you cannot mix any cold medicines, and host of other over the counter medicines with it.
I was at a point I asked my psychiatrist for the MAOI and he flat said NO. I did have a friend on it, she said she did feel it was the best, but worried so consistently every time they went to eat, that she freaked about assurance that none of the dietary restrictions were in the food. She said she worried so much over the potential adverse reactions with foods, etc. she gave it up.
