Struggling to find Marplan (Isocarboxazid) at your pharmacy? Learn why this MAOI antidepressant is so hard to find in 2026 and what you can do about it.
You finally found an antidepressant that works — and now your pharmacy says they can't get it. If you've been searching for Marplan (Isocarboxazid) and coming up empty, you're dealing with one of the most frustrating realities in prescription medication today. Marplan has been difficult to find for years, and in 2026, that hasn't changed.
This post will explain exactly why Marplan is so hard to find, what's causing the problem, and most importantly — what you can do about it right now.
Marplan is the brand name for Isocarboxazid, a prescription antidepressant in the monoamine oxidase inhibitor (MAOI) class. It works by blocking the enzymes MAO-A and MAO-B, which normally break down neurotransmitters like serotonin, norepinephrine, and dopamine. By preventing their breakdown, Marplan increases the availability of these mood-regulating chemicals in the brain.
Marplan is FDA-approved for the treatment of major depressive disorder, particularly in patients who haven't responded to other antidepressants. It's also used off-label for atypical depression, panic disorder, and social phobia. It comes as a 10 mg oral tablet and is manufactured by Validus Pharmaceuticals LLC.
Because MAOIs require strict dietary restrictions — patients must avoid tyramine-containing foods like aged cheese, cured meats, and red wine — Marplan is typically reserved for patients who haven't responded to first-line treatments like SSRIs and SNRIs.
There isn't one single reason Marplan is difficult to locate. It's a combination of factors that create a perfect storm of unavailability.
Marplan is made by a single manufacturer — Validus Pharmaceuticals. Unlike blockbuster medications with multiple generic manufacturers, Marplan has no generic version available in the United States. When a single company is the sole source of a drug, any disruption in manufacturing, raw materials, or distribution can cause shortages that ripple across the entire market.
In fact, the shortage has been severe enough that Validus coordinated with the FDA to temporarily import Marplan from outside the US to keep patients supplied. That's an unusual step that underscores just how critical the supply problem has been.
MAOIs like Marplan are prescribed far less frequently than modern antidepressants. Most psychiatrists start patients on SSRIs, SNRIs, or other newer medications first. Marplan is typically a last-resort option for treatment-resistant depression. This low demand means pharmacies rarely stock it, wholesalers don't keep large inventories, and the manufacturer has less financial incentive to ramp up production.
Because so few patients take Marplan, most retail pharmacies — especially large chains — don't keep it on their shelves. When your doctor writes a prescription, the pharmacy may need to special-order it from their wholesaler. If the wholesaler doesn't have it either, you're stuck waiting or calling around to other pharmacies.
There is currently no FDA-approved generic Isocarboxazid available in the US. Without generic competition, there's only one supply source. If that source has problems, patients have nowhere else to turn for the exact same medication. This also means costs remain high, which further limits the number of patients and pharmacies involved in the supply chain.
If you need Marplan and can't find it, here are practical steps you can take today:
Medfinder helps you find which pharmacies near you actually have Marplan in stock. Instead of calling pharmacy after pharmacy, you can check availability online and save yourself hours of frustration.
Independent pharmacies and compounding pharmacies often have more flexibility in their ordering and may be able to source medications that chain pharmacies can't. Ask your pharmacist if they can special-order Marplan directly from the manufacturer or an alternative wholesaler.
If Marplan remains unavailable, your psychiatrist may be able to prescribe another MAOI such as Nardil (Phenelzine), Parnate (Tranylcypromine), or Emsam (Selegiline patch). Each has a different profile, so this is a conversation to have with your prescriber. You can learn more in our guide to alternatives to Marplan.
The manufacturer can sometimes help locate available supply or direct you to pharmacies that have stock. Call Validus at 1-866-982-5438 for assistance.
Marplan is a critical medication for patients with treatment-resistant depression, and the ongoing supply challenges are genuinely harmful to people who depend on it. The combination of sole-source manufacturing, no generic availability, low demand, and supply chain disruptions makes Marplan one of the hardest prescription medications to find in 2026.
But you do have options. Tools like Medfinder can help you locate Marplan in stock near you, and your healthcare provider can help you explore alternatives if needed. Stay proactive, and don't hesitate to reach out to your pharmacist and prescriber for help navigating this shortage.
For more information, check out our Marplan shortage update for 2026 and our guide on how to find Marplan in stock near you.
You focus on staying healthy. We'll handle the rest.
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