Generic Name: vilazodone (vil-AZ-oh-done)
Brand Name: Viibryd
Antidepressants may increase the risk of suicidal thoughts or actions in children, teenagers, and young adults. However, depression and certain other mental problems may also increase the risk of suicide. Talk with the patient's doctor to be sure that the benefits of using Viibryd outweigh the risks.
Families and caregivers must closely watch patients who take Viibryd. It is important to keep in close contact with the patient's doctor. Tell the doctor right away if the patient has symptoms like worsened depression, suicidal thoughts, or changes in behavior. Discuss any questions with the patient's doctor.
Viibryd is used for:
Treating depression. It may also be used for other conditions as determined by your doctor.
Viibryd is an antidepressant. It is thought to work by increasing the activity of one of the brain chemicals (serotonin), which helps elevate mood.
Do NOT use Viibryd if:
- you are allergic to any ingredient in Viibryd or to nefazodone
- you are taking tryptophan
- you are taking or have taken linezolid, a monoamine oxidase inhibitor (MAOI) (eg, phenelzine), or St. John's wort within the last 14 days
Contact your doctor or health care provider right away if any of these apply to you.
Before using Viibryd:
Some medical conditions may interact with Viibryd. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
- if you are pregnant, planning to become pregnant, or are breast-feeding
- if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
- if you have allergies to medicines, foods, or other substances
- if you have low blood volume, low blood pressure, or low blood sodium levels; you are dehydrated; or you are on a low-salt (sodium) diet
- if you or a family member has a history of bipolar disorder (manic-depression) or other mental or mood problems (eg, depression), suicidal thoughts or attempts, alcohol or substance abuse, or if you drink alcohol
- if you have a history of liver problems, kidney problems, bleeding problems, or seizures
- if you are taking a medicine that contains methylene blue
Some MEDICINES MAY INTERACT with Viibryd. Tell your health care provider if you are taking any other medicines, especially any of the following:
- Many prescription and nonprescription medicines (eg, used for abortion, aches and pains, allergies, blood thinning, Cushing syndrome, depression or other mental or mood problems, heart problems, hepatitis C, HIV, infections, migraine headaches, nausea or vomiting, seizures, stomach or bowel problems, swelling or fluid retention, weight loss), multivitamin products, and herbal or dietary supplements [eg, herbal teas, coenzyme Q10, garlic, ginseng, ginkgo, St. John's wort] because they may interact with Viibryd. Ask your doctor or pharmacist if you are unsure if any of your medicines might interact with Viibryd
This may not be a complete list of all interactions that may occur. Ask your health care provider if Viibryd may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.
How to use Viibryd:
Use Viibryd as directed by your doctor. Check the label on the medicine for exact dosing instructions.
- Viibryd comes with an extra patient information sheet called a Medication Guide. Read it carefully. Read it again each time you get Viibryd refilled.
- Take Viibryd by mouth with food.
- When starting Viibryd, your doctor may slowly increase your dose to avoid side effects. Discuss any questions or concerns with your doctor.
- It may take 1 to 4 weeks for Viibryd to work. Do not stop taking Viibryd without checking with your doctor.
- Do not suddenly stop taking Viibryd. You may have an increased risk of side effects. If you need to stop Viibryd, your doctor will gradually lower your dose.
- If you miss a dose of Viibryd, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.
Ask your health care provider any questions you may have about how to use Viibryd.
Important safety information:
- Viibryd may cause drowsiness, dizziness, or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use Viibryd with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
- Do not drink alcohol while you are using Viibryd.
- Check with your doctor before you use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are using Viibryd; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness.
- Be sure to keep all doctor appointments while you are taking Viibryd.
- Children, teenagers, and young adults who take Viibryd may be at increased risk of suicidal thoughts or actions. Watch all patients who take Viibryd closely. Contact the doctor at once if new, worsened, or sudden symptoms, such as depressed mood; anxious, restless, or irritable behavior; panic attacks; or any unusual change in mood or behavior, occur. Contact the doctor right away if any signs of suicidal thoughts or actions occur.
- Neuroleptic malignant syndrome (NMS) is a possibly fatal syndrome that can be caused by Viibryd. Symptoms may include fever; stiff muscles; confusion; abnormal thinking; fast or irregular heartbeat; and sweating. Contact your doctor at once if you have any of these symptoms.
- Serotonin syndrome is a possibly fatal syndrome that can be caused by Viibryd. Your risk may be greater if you take Viibryd with certain other medicines (eg, "triptans," MAOIs). Symptoms may include agitation; confusion; hallucinations; coma; fever; fast or irregular heartbeat; tremor; excessive sweating; and nausea, vomiting, or diarrhea. Contact your doctor at once if you have any of these symptoms.
- Tell your doctor or dentist that you take Viibryd before you receive any medical or dental care, emergency care, or surgery.
- Use Viibryd with caution in the ELDERLY; they may be more sensitive to its effects, especially low blood sodium levels.
- Viibryd should not be used in CHILDREN or TEENAGERS; safety and effectiveness in children and teenagers have not been confirmed. Children and teenagers may also be more sensitive to its effects, especially the increased risk of suicidal thoughts or actions.
- PREGNANCY and BREAST-FEEDING: Viibryd may cause harm to the fetus if taken during the third trimester of pregnancy. If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of taking Viibryd while you are pregnant. Viibryd is found in breast milk. If you are or will be breast-feeding while you take Viibryd, check with your doctor. Discuss any possible risks to your baby.
Do not suddenly stop taking Viibryd. If you do, you may have WITHDRAWAL symptoms. These may include feeling unwell or unhappy, anxious or irritable, dizzy, confused, or sluggish. You may also have nausea, unusual skin sensations, mood swings, headache, trouble sleeping, or sweating. If you need to stop Viibryd, your doctor will lower your dose over time.
Possible side effects of Viibryd:
All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:
Seek medical attention right away if any of these SEVERE side effects occur:
Decreased sexual desire or ability; diarrhea; dizziness; dry mouth; nausea; trouble sleeping; vomiting.
Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); behavior changes; black, tarry, or bloody stools; bloody or dark urine; blurred vision; decreased coordination; fainting; hallucinations; irregular heartbeat; new or worsening agitation, anxiety, depression, panic attacks, aggressiveness, impulsiveness, irritability, hostility, exaggerated feeling of well-being, restlessness, trouble sleeping, or inability to sit still; seizures; severe or persistent dizziness; suicidal thoughts or actions; symptoms of low blood sodium levels (eg, confusion, severe or persistent headache, trouble concentrating, memory problems, weakness, unsteadiness, sluggishness); tremor; unusual bruising or bleeding; vomit that looks like coffee grounds.
This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.
If OVERDOSE is suspected:
Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include agitation; confusion; disorientation; excessive sweating; fast or irregular heartbeat; fever; hallucinations; loss of consciousness or coma; nausea, vomiting, or diarrhea; restlessness; tiredness or weakness; tremor.Proper storage of Viibryd:
Store Viibryd at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Viibryd out of the reach of children and away from pets.
- If you have any questions about Viibryd, please talk with your doctor, pharmacist, or other health care provider.
- Viibryd is to be used only by the patient for whom it is prescribed. Do not share it with other people.
- If your symptoms do not improve or if they become worse, check with your doctor.
- Check with your pharmacist about how to dispose of unused medicine.
This information should not be used to decide whether or not to take Viibryd or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about Viibryd. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to Viibryd. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using Viibryd.
Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.