Hi here in Oklahoma also known as the opioid state, its impossible to get MAOI or TCA antidepressants.

Ive tried most SSRI without success. Leaves just SNRI and duloxetine was good for 8 years. Venlafaxine pooped out so looking at desvenlafaxine now. Im sure most people have never heard of it and its not on the medication list on this forum.

I never goovle stuff and prefer to ask other users direcrly