Headache doctor has given these three drugs as the next option for my CH 17 y/o to try.  Anyone have any feedback, good or bad?  Effectiveness, side effects?  He did have a good experience previously with Nardil, but it was short lived.

Antidepressants have been shown to increase the risk of suicidal thinking and behavior in children, adolescents and young adults with depression and other psychiatric disorders. All patients on antidepressants and their families or caregivers should watch closely for the following, especially early during antidepressant treatment and when the dose is adjusted up or down: worsening of depression symptoms, unusual changes in behavior, thoughts of suicide, anxiety, agitation, panic attacks, difficulty sleeping, irritability, hostility, aggressiveness, impulsivity, restlessness, and extreme hyperactivity. Such symptoms may be associated with an increased risk of suicidal thinking and behavior and should be reported to the patient's healthcare professional right away, especially if they are severe or occur suddenly. EMSAM is not approved for use in pediatric patients. Furthermore, EMSAM at any dose should not be used in children under the age of 12, even when administered with dietary modifications.

If he's on any Triptans/Vasoconstrictors, Emsam is directly contradicted. Don't let him take them together because serotonin syndrome can occur.

I've been on antidepressants since I was around 13 (a medication triggered it.) So, make sure let him know if he's feeling odd in ANY way to speak to you. I've had some antidepressants do that... Hopefully he won't have any issues with it.