.I have just been prescribed Viibryd for anxiety. I have been on everything under the sun and my doctor is at the end of his rope with me. This is pretty much our last option. I would love some advice on this med as I am always Leary of side effects with new meds. Particularly weight gain, as I have recently lost a lot of weigh and don't want to gain it back. Any advice would be greatly appreciated
2 Sep 2011
Viibryd is a relatively new antidepressant with little track record, just hit the market back in April 2011. You may experience the usual side effects when first starting the Viibryd such as headache, nausea and diarrhea, but these will pass with continued use. It will take several weeks for it to reach maximum effectiveness so give it a good trial. As far as the weight gain, not sure to be honest, but just watch those calories and should do fine. Good luck,
13 Mar 2012
I have been taking Cymbalta for 5 years, since I had a stroke in my spinal cord. It is very good at relieving my nerve pain and fibromyalgia pain, but my depression has recently worsened. SO, I went off the Cymbalta 4 days ago and started taking Viibryd. Result so far: I am in PAIN, I feel like I have the flu and I am still depressed. I know it takes a few weeks for the stuff to get into my system at a therapeutic level. What I want to know is: Has Viibryd been shown to help with nerve and fibro pain as Cymbalta has?
30 Mar 2013
I am hypersensitive to many meds.I have been on many antidepressants the last being lexapro. worked great for awhile. after 2 years weaned off like was supposed to. actually went thru terrible withdrawels brain fog rubbery legs sweats and shaking but I toughed it out and made it thru swearing to never do another antidepressant.I dont like the weight gain. never was heavy until I started on my first one celexa. the weight poured on and kept going.I havent been on anything for 7 years even made it thru my sons death without the crutch antidepressants.I lost the weight.I still had anxiety and depression and knew I needed my crutch back but didnt give in until I lost my sister oct 2012 and went thru so much I had to get some meds so I started the viibryd against my better wishes.It has been 2 months.I am still on five milg.
tried the tens and got headaches.I can take a childs dose of most meds and it works so doc says stay on fives if it works.It does.I take it at bedtime after 6 weeks my energy level has risen lots of energy and fewer naps more get up and go.I now feel like getting up in the morning.As long as the fives work I am not moving to tens.some people require less lucky me. no sick stomache either.so give it a try and time for it to work...
30 Mar 2013
I will reply to PetLoverLady to say I'm so sorry to hear that you suffered the loss of a child and more recently the loss of your sister. You must not refer to your meds as a "crutch." That's a very unfortunate and unhealthy way to view them. They are no different than someone who has to take meds for their heart or their thyroid. You need these medications. You may not need them forever or you might, who knows? But presently you've been depressed, from dealing for so long with what life has thrown at you, that the chemicals in your brain became imbalanced. Don't be so hard on yourself. Try to be as kind and as patient to yourself as you would be to a good friend who was hurting-I know you're a sensitive soul and you would not be hard on your friend. You've been through so much. Just celebrate that you have a good Dr and that this great med Viibryd is working for you. I've been on it for going on 10 months and I found it to be life changing. Please keep us posted!
1 May 2013
I have taken viibryd since jan 2013.Have been on every kind possible with to many side effects and trouble getting off of them with more side effects.Have not been on anything in 8 years until this jan when I tried viibryd... beleive it or not .I feel great have tons of energy am 73 years old. I am only taking half of a 10. so five miligrams has worked for me and see no need in going up on to ten.doctor says if this works for me just stay on the five.If the need arises I will move to ten but so far 5 months of the fives are working.I just cut a ten in half and take at bedtime.I am pleased and so amazed at this miracle drug.A childs dose on any medication works for me.I start out low and go from there
11 Jul 2013
I wanted to ask a question regarding this medication. I was originally on Celexa 60 mg for over a year (my Celexa was increased from after being on 40 mg for 4 years after having severe PPD in Jan 2012). When I went to my dr on June 26 we discussed my increasing weight issue and the inability to lose it (no other problem with the Celexa except for feeling 'foggy' most if the time) and decided to try Viibryd. He gave me a sample starter kit and told me to take 20 mg of Celexa each day for the first week with the 10 mg of Viibryd. I only had three Celexas left and didn't want to have to pay for another prescription for only a few pills. So I took three days if Celexa with the Viibryd. My last dose of Celexa was on June 29 and I have read that it will be in ur system up to 7 days. For the first week of the new medicine I felt like a new woman. I had energy, I exercised, I was happy. I started the 20 mg of Viibryd on July 5.
While I still felt really good I did have some joint pain but I had started my period and attributed it to that because I do have joint pain during that time. On Sunday I started to get lethargic (the Celexa should have been out if my body now for a few days). By Monday I was having horrible mood swings, very lethargic, anxiety, feeling like I was having a panic attack and still had some joint pain. I saw my dr and he said to continue on with the starter pack due to feeling so good the pervious week. Well, today has not been any better, actually I feel worse except the joint pain seems to be better. I'm suppose to start the 40 mg tonight but I'm afraid to. Are these symptoms because my dose is not high enough or because its to high or because the Celexa is gone? I really don't know what to do. All I know is that I want to feel the way I did last week again. Can both meds be taken at the same time for long periods of time? Another change during this time was I was put on levothyroxine at the end of June after my lab work showed I have a thyroid problem I didn't have before. It is 25mcg but my dr said it would take a while to get into my system. Please help!! Any advice would be appreciated!!
9 May 2012
I have been on Viibryd for 6 months now. I'm at 40mg. I took it because lexapro stopped helpin me. Vii helps with my depression but not anxiety. Have also gained 40lbs despite diet and personal trainer. :( I hope it helps you tho. I think it affects everyone differently. Let us know how you do! Good luck :)
28 Sep 2011
I've just recently started taking the Viibryd from Celexa. I'm currently on the 10 mgs and hoping to move to 20 soon. So far, my appetite has remained the same. I really have no appetite, but my body lets me know when I need to eat. I have lost 10 pounds since starting the medications in July. I also feel like I have my life back and can actually work out, so I've been able to fit that into my schedule 2-3 times a week as well.
30 Mar 2013
I have suffered from Major Depression my entire adult life (I am 60). It has only been in the last 20 or so that I have been on medication and I have tried just about everything. To put in simply, Viibryd saved my life. After trying just about everything in September of 2011 I went on Viibryd. After the usual startup issues it has been smooth sailing since then.
I have lost about 50 pounds and I feel great. My team of doctors have done a great job. There are other things in my life that are not going well, but I am fine. I can't say that I have said anything like that, ever. So I am a major fan of Viibryd. I hope it never stops working for me.
30 Mar 2013
Wish I could send you a PM of support but it's not possible. Feel free to send me one if you like. I'm soon returning to France.
Things come up in life-I hope it's not serious and quickly passes without scarring. Your straightforward wisdom is much appreciated on the site.
Best Regards from your friend,
7 Sep 2011
I too take Viibryd for anxiety. I am only on day 10, but overall, I feel more positive and less focused on negative thoughts that generate anxiety. I also feel less physical stress that is associated with my anxiety. It doesn't feel like taking Xanax - no euphoria. I can be obsessive and engage in avoidance behaivors, but Viibryd hasn't helped much with these issues at this point - I don't get the feeling it will help.
As for other side effects, I am eating more and the lethargy can make it difficult to feel like exercising. I take the drug at night with food and haven't quite gotten a handle on my sleep yet - a bit of insomnia. Diarrhea is gone, but constipation still remains (not terrible though). The best part - almost no sexual side effects.
I guess that my advice is to try the drug. If it works, embrace change. I think it is worth it to modify your life to adapt to the side effects if possible. As anxiety subsides, it may be easier to see the positive aspect (flip side) of bad side effects like increased appetite, lethargy, and insomnia. They can become a real motivation to live a more healthy life - to eat less and well, regular exercise, and do what it takes to get enough sleep. After all, being overweight, tired, and sedentary only increases stress and no medication can compensate for being fundamentally unhealthy. However, if the side effects are severe and persistent, it may be time to discontinue the drug.
14 Dec 2011
I have been taking the 40mg for about 4 weeks and this medication works for me. I no longer have the feelings of dispair or sadness I used to have at night. This is the 7th type of antidepressant I've been on and for some reason, this one is helping... plus I am having a mild type of euphoria which I can't complain about. I'm a recovering addict so it is nice to have a mild feeling of euphoria without wanting to get messed up on a drug or abuse alcohol. At the end of the day, however, I really think it that every person needs to try out however many types of meds they need to in order to find the right one.
30 Apr 2013
I retired from medicine early because of issues due to my service-connected disabilities from my years in the Army, where I served in Special Operations. After I came off active duty the first time, I wanted to learn to put people back together, which was easy after years of combat, seeing and dealing trauma. I spend thousands of hours before, during and after med school in the OR and cath labs assisting with heart procedures, as well as doing tens of thousands of plastic surgery cases with a world class plastic surgeon friend. I actually specialized in Emergency Medicine and Primary Care, and specifically turned down all allopathic medical schools because I preferred the osteopathic patient philosophy, which to me, mirrored the care that our county doctor provided when I was growing up... very personalized and always attentive to what we had to say.
We got to "tell our story" which is huge in sorting out what requires medicine, which kind of medicine, and what does not require medicine.
I provide that background so that people understand that I see both sides of things. I went to medical school to help others and to make sure the VA did not kill me. That is not an overstatement. If anything, it's an understatement. Anyone who has ever had family at the VA or been a part of that government healthcare system will understand. The best part of the VA is most often the top-notch surgeons and surgical residents and fellows that rotate through the VA. They're not bound by the policies of VA flowchart medicine and are often the only doctors who will actually diagnose a condition, and sometimes, even the only ones who will treat it. My VA doctors have repeatedly refused to treat simple things like chronic sinus infections, which have led to serious infections and bone thinning.
As for the Viibryd, it is the best anti-depressant that I have ever personally used. Until this came out, Cymbalta was my choice. I have PTSD, depression, anxiety, OCD, and a host of other issues since the Gulf War... including ADHD, although my injuries and pain make it more like ADD since it's hard to be hyperactive.
Viibryd has recently been through clinical trials to receive a FDA indication that it has fewer sexual side effects and in fact actually enhances or returns patients to a more "normal" libido. As a part of this trial, I can personally attest that I felt like a 20-year old, but with the control of a mature grown man. I felt alive, to say the least. In my personal experience, that effect worked for me at the low dose. When I moved up to the higher doses, the effects lessened, and my libido was more like a 30-35 year old, with performance being the same as a 20-year old. I preferred the low dose, because I felt very much ALIVE and VIBRANT.
This might seem like a lot of rambling, but the point is that everyone's body and brain chemistry varies. Not every anti-depressant is exactly the same, even if it is in the same "class" of anti-depressants.
This means that just because one "SRI" doesn't work for you, that another one won't.
It also means that your doctor has no way of knowing what your exact needs are for serotonin, etc., and that there is no shame in discussing this with him and trying many different meds until you find one that works the very best.
Then, you need to experiment with the dosage, as discussed and directed by your doctor, and keep a daily journal so that you can honestly find the best medicine for you.
These are the reasons that some people become lethargic and others become motivated. It doesn't mean the medicine didn't work... it simply did not work for you.
Think of anti-depressants as each being a seasoning. The SRIs would be one kind of herb, and each type of SRI anti-depressant as the same herb grown in a different region. The analogy of grapes for wine is also an EXCELLENT analogy. Different regions, their climate and soil properties will give the herbs or grapes grown there a slightly different flavor, meaning that certain recipes or personal taste requires a specific region's herb (e.g. curry) or grape.
Anti-depressants only get you so far, and there are meds now on the market that have also been recently tested in trials to receive FDA indications for use as "adjunct" medications - ones that get you that last 10-25% that your baseline medication could not give you.
For me, my clinical trial experience with Vyvanse, at low dose, not only calmed my ADHD (it is already used to treat that), and got me that last 15-20% I lacked in improvement, BUT it also helped return my incredible mental function, as shown by perfect mental acuity scores, a first for anyone in that trial, but what was normal for me, with photographic memory, prior to the Gulf War.
That's important background because a lot of my depression, and anyone's, is also due to not being able to perform anything at their previous high levels. That could be anything, but especially memory, because when you turn from the stove and have already forgotten you started something cooking, you tend to worry more about burning down the house, taking your meds correctly, and taking care of yourself.
You begin to feel handicapped, instead of challenged.
So, for me, if I could get the VA to approve it, my "cocktail" would be low dose Viibryd + low dose (2mg I believe) Vyvanse.
Since that's not possible, due to cost right now, I did get special approval for Cymbalta, because of the bad side effects from other medications, which included lethargy, weight gain, apathy, agitation, increased anxiety, and even homicidal rage. Some side effects might be tolerable, but if you find that your anxiety, agitation, or even emotions, such as anger, become more volatile, you need to contact your doctor immediately for instructions on carefully discontinuing the medication, usually by a schedule of decreased dosage. Since a low dose, experienced during the weeks of ramping up to a "therapeutic" dose obviously did not work, or you would have discussed that with your doctor and stayed there, then you'll want to discuss other medications, including different classes.
For me, Cymbalta has been my best option in decades and since being put on it two weeks ago, I've lost 22 pounds. Since Cymbalta is also used for treating Fibromyalgia (which there is apparently no doctor at the VA who can actually diagnose this disease), I have also had the benefit of that effect.
The final piece of knowledge comes from recent studies published in the medical journals that discussed why many people cannot lose weight, no matter what they do.
There were two reasons: chronic respiratory/breathing issues AND chronic inflammation.
For years, I've exercised as best I can, and eat a balanced, primarily vegetable-based diet of about 1,100 calories a day. That's a lot of fresh veggies, so I'm never hungry... but I looked and felt like I was 24/7 at the Las Vegas buffets! LOL
My doctors kept telling me to change my diet and exercise. They basically called me a liar.
That will depress and anger anyone... BUT, now, if you have either of those two health issues, and you are doing everything you can to maintain a healthy weight, you have medical research that will shut your doctor up.
Doctors can add to your stress and depression. Especially those who are scientifically-factually-proven driven. Old school country docs are dying out. The ones who grew up without all the lab tests and equipment are still making diagnoses that no modern day doctor can make... because some things require ONE specific lab test, that is so remote, no one would think to order it. I've seen it done, and I've done it myself, by listening to the story and discerning the symptoms, as well as doing a proper physical examination.
So regardless of how well anything works for anyone else, or what the commercials say, remember that you are the best judge of your health, and that for your doctor to be the most effective with his or her knowledge, you will need to force them to COMMUNICATE with you. Don't just ask for a drug, but rather research it, know the reasons why the other drugs you're taking need to be replaced, and why you think it's worth trying the other medication. Not all drugs can be taken together, so never risk trying a friend's medicines because the results can be deadly. Always talk to your doctor.
If your doctor does not have time for you, then fire that doctor and find one who does, even if it requires driving out to a more rural area where the doctor's office does not look like the Fort Worth cattle pens during Stockyard Days.
I hope this has been helpful. I find that people who truly want to feel better will do better with a story, than just facts. When it's a personal story, that really helps them understand what you mean and why you're saying it.
Less confusion. More communication.
Viibryd ROCKS!!! but maybe not for everyone, and certainly at different dosages for anyone. :-)
- Viibryd Information for Consumers
- Viibryd Information for Healthcare Professionals (includes dosage details)
- Side Effects of Viibryd (detailed)
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