![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
[email protected]Shown: posts 1 to 13 of 13. This is the beginning of the thread.
Posted by UGottaHaveHope on July 5, 2012, at 3:38:59
Hello to some of my longtime friends in here. I need your help or insight into my situation.
I've had primarily anxiety, with underlying depression, since 1997. I have not had much success with ADs. A few years ago, I was put on Nardil 60mg, Seroquel 25mg, and Xanax XR 2mg.
In March 2011, I got tired of the side effects of Nardil and slowly weaned myself off it. At that time, I gained a lot of confidence because of three things: Getting off the Nardil, getting me old job duties back at work, and selling a house.
Back to the meds: From then on, I just took the Seroquel 25mg and Xanax XR 2mg at night. That combination felt like a Benadryl on steroids. Unless I was worked up, it was usually the best sleep of my life. When I woke up, I was groggy for a few hours, but that was OK because it took the edge "off" my anxiety. It made me lethargic during the day but it was worth the tradeoff.
For about 12 months there, I had the best stretch in 15 years of anxiety/depression. Again, a lot of it had to do with work. If I wasnt focused on my current project, I was thinking about my next one. All I did was work, eat and sleep. I know, not balanced but I was functioning well and beginning to do social activities.
In April 2011, I got a job offer that I had been pursuing but I could not take it because it was a contract job and did not offer benefits (including no health insurance), details I did not fully understand until then. With either decision (take the job or not), I was going to have regrets. I spent the rest of April and all of May beating myself up with the regrets. I obsessed about it 24/7, and I had crashed into a severe depression by June. My one year of steady improvement simply crashed.
I have not been able to get back into the groove that I was in. It is hard for me to get out my house. I dont have the same zeal for work. Ive lost 15 pounds. I cant find motivation or purpose. You know how it is? When you dont feel good, you forget that you ever felt well?
Finally, my questions. I finally returned going to see my pdoc this week. The last time I saw this pdoc, she thought I had symptoms of Bipolar 2 for reasons Im still not sure. Anyways, this week I go in there fully expecting the doc to put me on Lamictal or Abilify. First, she asks if I want to try Effexor (I havent had much success with any SSRIs in the past). Then, she asks if I want to go back on Nardil (I didnt want the side effects again). Eventually, she decides to put me on a 30-day sample packet of Viibyrd, along with keeping me on Seroquel 50mg and Xanax XR 2mg. I dont sleep as well on Viibryd Ive noticed, and it gives me diarrhea (common side effect). Im just not sure about this combination.
Does anybody have an opinion on that combo? What about Viibryd in particular? Or is there something out there that might work better? Im in a rural area, and any suggestions my pdoc would consider. Ive thought about going back to Nardil.
Thanks in advance for any insight or opinions.
Posted by Lou Pilder on July 5, 2012, at 4:57:56
In reply to Re: Here's my story ,,, ANY ADVICE??, posted by UGottaHaveHope on July 5, 2012, at 3:38:59
> Hello to some of my longtime friends in here. I need your help or insight into my situation.
>
> I've had primarily anxiety, with underlying depression, since 1997. I have not had much success with ADs. A few years ago, I was put on Nardil 60mg, Seroquel 25mg, and Xanax XR 2mg.
>
> In March 2011, I got tired of the side effects of Nardil and slowly weaned myself off it. At that time, I gained a lot of confidence because of three things: Getting off the Nardil, getting me old job duties back at work, and selling a house.
>
> Back to the meds: From then on, I just took the Seroquel 25mg and Xanax XR 2mg at night. That combination felt like a Benadryl on steroids. Unless I was worked up, it was usually the best sleep of my life. When I woke up, I was groggy for a few hours, but that was OK because it took the edge "off" my anxiety. It made me lethargic during the day but it was worth the tradeoff.
>
> For about 12 months there, I had the best stretch in 15 years of anxiety/depression. Again, a lot of it had to do with work. If I wasnt focused on my current project, I was thinking about my next one. All I did was work, eat and sleep. I know, not balanced but I was functioning well and beginning to do social activities.
>
> In April 2011, I got a job offer that I had been pursuing but I could not take it because it was a contract job and did not offer benefits (including no health insurance), details I did not fully understand until then. With either decision (take the job or not), I was going to have regrets. I spent the rest of April and all of May beating myself up with the regrets. I obsessed about it 24/7, and I had crashed into a severe depression by June. My one year of steady improvement simply crashed.
>
> I have not been able to get back into the groove that I was in. It is hard for me to get out my house. I dont have the same zeal for work. Ive lost 15 pounds. I cant find motivation or purpose. You know how it is? When you dont feel good, you forget that you ever felt well?
>
> Finally, my questions. I finally returned going to see my pdoc this week. The last time I saw this pdoc, she thought I had symptoms of Bipolar 2 for reasons Im still not sure. Anyways, this week I go in there fully expecting the doc to put me on Lamictal or Abilify. First, she asks if I want to try Effexor (I havent had much success with any SSRIs in the past). Then, she asks if I want to go back on Nardil (I didnt want the side effects again). Eventually, she decides to put me on a 30-day sample packet of Viibyrd, along with keeping me on Seroquel 50mg and Xanax XR 2mg. I dont sleep as well on Viibryd Ive noticed, and it gives me diarrhea (common side effect). Im just not sure about this combination.
>
> Does anybody have an opinion on that combo? What about Viibryd in particular? Or is there something out there that might work better? Im in a rural area, and any suggestions my pdoc would consider. Ive thought about going back to Nardil.
>
> Thanks in advance for any insight or opinions.UGHH,
You wrote,[...any advice...anyone have an opinion on that combo...any suggestions my podc would consider...thanks..for any insight or opinions...].
My friend, the chemicals in the combination of drugs that you are taking could kill you. You see, they are CNS depressants and respiratory depresssants and taken together they become more so, as their effects become magnified.
Here are two links showing the stats in relation to death just by the one drug if taken by itself. When they are combined, the effect of death is increased.
http://www.ehealthme.com/ds/seroquel/death
http://www.ehealthme.com/ds/xanax/death
Now I would like for you to have whoever prescribed this potentally lethal combination of drugs to you to contact me and I could then hhave the opportunity to send him/her educational material in relation to the chemistry of these drugs that I am prohibited here from posting due to prohibitions made to me by Mr. Hsiung. I think that if those prohibitions were not posted to me, that your life and other's lives could bbe saved and/or a life-ruining condition/addiction couuld be prevented. You see, you could run into the argument here from members that take mind-altering drugs that {the benefits outweigh the risks}. I say to you, if death could result from your prescribers combiation of drugs, what benefit could outweigh that risk?
Here are some questions that I think could be appropriate to ask your prescriber:
A. Would you provide a death-benefit to my survivors if I die from the drugs that you are prescribing me?
B. By what authority do you use to prescribe me combination of drugs when they can depress the CNS that could cause respiratory failure/death?
C. How many of your clients have died under your care?
D. Is there an alternative to taking the combination of drugs that you prescribe to me?
E. Do you have any finanial ties to any drug manuacturer?
F. Could what you are doing be considerd negligent homocide in some jurisdictions?
G. Could you contact this Lou guy and he could tell youu the historical development of psyychotropic drugs as to how they were used and for whht purpose and how the psychotropic drugs today could not be new drugs but just off-shoots of old drugs with new names?
H. Could I become addicted to these drugs? If so, how couuld you want me to take drugs that I will have to take for life unless I want to experiance a horrific withdrawal syndrome, which is also referred to as {discontinuation syndrome}, and if taken for life the long-term effects could be even worse such as tardive dyskinesiaa/dystonia and sudden death along with other possible dibilitations and brain damage?
K. Are you aware that Seroquel can cause Tardive dyskinesia? If so, and I get it, will you compenate me for the rest of my life for the suffering that I could have from the drug?
L. Will you consider resigning from psychiatry if this Lou guy, which you can read about, is correct?
M. redacted by respondent
Lou
Posted by Lou Pilder on July 5, 2012, at 5:24:53
In reply to Lou's advice-phleigh » UGottaHaveHope, posted by Lou Pilder on July 5, 2012, at 4:57:56
> > Hello to some of my longtime friends in here. I need your help or insight into my situation.
> >
> > I've had primarily anxiety, with underlying depression, since 1997. I have not had much success with ADs. A few years ago, I was put on Nardil 60mg, Seroquel 25mg, and Xanax XR 2mg.
> >
> > In March 2011, I got tired of the side effects of Nardil and slowly weaned myself off it. At that time, I gained a lot of confidence because of three things: Getting off the Nardil, getting me old job duties back at work, and selling a house.
> >
> > Back to the meds: From then on, I just took the Seroquel 25mg and Xanax XR 2mg at night. That combination felt like a Benadryl on steroids. Unless I was worked up, it was usually the best sleep of my life. When I woke up, I was groggy for a few hours, but that was OK because it took the edge "off" my anxiety. It made me lethargic during the day but it was worth the tradeoff.
> >
> > For about 12 months there, I had the best stretch in 15 years of anxiety/depression. Again, a lot of it had to do with work. If I wasnt focused on my current project, I was thinking about my next one. All I did was work, eat and sleep. I know, not balanced but I was functioning well and beginning to do social activities.
> >
> > In April 2011, I got a job offer that I had been pursuing but I could not take it because it was a contract job and did not offer benefits (including no health insurance), details I did not fully understand until then. With either decision (take the job or not), I was going to have regrets. I spent the rest of April and all of May beating myself up with the regrets. I obsessed about it 24/7, and I had crashed into a severe depression by June. My one year of steady improvement simply crashed.
> >
> > I have not been able to get back into the groove that I was in. It is hard for me to get out my house. I dont have the same zeal for work. Ive lost 15 pounds. I cant find motivation or purpose. You know how it is? When you dont feel good, you forget that you ever felt well?
> >
> > Finally, my questions. I finally returned going to see my pdoc this week. The last time I saw this pdoc, she thought I had symptoms of Bipolar 2 for reasons Im still not sure. Anyways, this week I go in there fully expecting the doc to put me on Lamictal or Abilify. First, she asks if I want to try Effexor (I havent had much success with any SSRIs in the past). Then, she asks if I want to go back on Nardil (I didnt want the side effects again). Eventually, she decides to put me on a 30-day sample packet of Viibyrd, along with keeping me on Seroquel 50mg and Xanax XR 2mg. I dont sleep as well on Viibryd Ive noticed, and it gives me diarrhea (common side effect). Im just not sure about this combination.
> >
> > Does anybody have an opinion on that combo? What about Viibryd in particular? Or is there something out there that might work better? Im in a rural area, and any suggestions my pdoc would consider. Ive thought about going back to Nardil.
> >
> > Thanks in advance for any insight or opinions.
>
> UGHH,
> You wrote,[...any advice...anyone have an opinion on that combo...any suggestions my podc would consider...thanks..for any insight or opinions...].
> My friend, the chemicals in the combination of drugs that you are taking could kill you. You see, they are CNS depressants and respiratory depresssants and taken together they become more so, as their effects become magnified.
> Here are two links showing the stats in relation to death just by the one drug if taken by itself. When they are combined, the effect of death is increased.
> http://www.ehealthme.com/ds/seroquel/death
> http://www.ehealthme.com/ds/xanax/death
> Now I would like for you to have whoever prescribed this potentally lethal combination of drugs to you to contact me and I could then hhave the opportunity to send him/her educational material in relation to the chemistry of these drugs that I am prohibited here from posting due to prohibitions made to me by Mr. Hsiung. I think that if those prohibitions were not posted to me, that your life and other's lives could bbe saved and/or a life-ruining condition/addiction couuld be prevented. You see, you could run into the argument here from members that take mind-altering drugs that {the benefits outweigh the risks}. I say to you, if death could result from your prescribers combiation of drugs, what benefit could outweigh that risk?
> Here are some questions that I think could be appropriate to ask your prescriber:
> A. Would you provide a death-benefit to my survivors if I die from the drugs that you are prescribing me?
> B. By what authority do you use to prescribe me combination of drugs when they can depress the CNS that could cause respiratory failure/death?
> C. How many of your clients have died under your care?
> D. Is there an alternative to taking the combination of drugs that you prescribe to me?
> E. Do you have any finanial ties to any drug manuacturer?
> F. Could what you are doing be considerd negligent homocide in some jurisdictions?
> G. Could you contact this Lou guy and he could tell youu the historical development of psyychotropic drugs as to how they were used and for whht purpose and how the psychotropic drugs today could not be new drugs but just off-shoots of old drugs with new names?
> H. Could I become addicted to these drugs? If so, how couuld you want me to take drugs that I will have to take for life unless I want to experiance a horrific withdrawal syndrome, which is also referred to as {discontinuation syndrome}, and if taken for life the long-term effects could be even worse such as tardive dyskinesiaa/dystonia and sudden death along with other possible dibilitations and brain damage?
> K. Are you aware that Seroquel can cause Tardive dyskinesia? If so, and I get it, will you compenate me for the rest of my life for the suffering that I could have from the drug?
> L. Will you consider resigning from psychiatry if this Lou guy, which you can read about, is correct?
> M. redacted by respondent
> Lou
>
> UGHH,
now here is more that can cause your life to be ruined from the dgs.
One is the potential of getting diabetes from the drugs.
http://www.ehealthme.com/ds/SEOQUEL-and-XANAX/diabetes+mellitus
Then there is the potential for the drugs to compel you to want to kill yorself:
http://www.ehealthme.com/ds/seroquel/completed+suicide
http://www.ehealthme.com/ds/xanax/completed+suicide
Now these are just part of the bag you get from the psychiatrist's prescribing drugs to you. There is much more that could be unbeknownst to you that I am prohibited from posting here due to the prohibitions made to me by Mr.Hsiung. You could go to the admin board and follow the outstnding requests from me to Mr. Hsiung and ask yourself if this Lou guy could be correct and that he could offer educational material that could save live and prevent others form getting a life-ruining condition or addiction if he was not having the prohibitions to him..
Lou
Posted by Phillipa on July 5, 2012, at 10:39:22
In reply to Re: Here's my story ,,, ANY ADVICE??, posted by UGottaHaveHope on July 5, 2012, at 3:38:59
Oh course I remember you. You were such an inspiration to others as your posting name reflects. Yes remember you were doing terrific. Even made me a bit jelous. Sounds like it was the working that did the most for you. I know this is what I miss the most work. Now you worked hard and long and then had worked toward a different job. Were offered it only to find out no benefits so didn't accept it. This was a dream of yours only to be crushed by lack of benefits. You have stopped or gone down on meds. I didnt realize you had had bad side effects on the nardil. Anyway now you kind of are back at baseline from last time here? So you are thinking nardil and your doc is thinking effexor? I do wish Jedi would weigh in on this. As I don't feel he'd mind me saying that he also has attempted to dicontinue nardil long term and then goes back on it. And it always brings him out of depression. So if you have tried all the others perhaps nardil is what you should go back on. I'd use your first name but won't do that online. I do hope other friends of yours also answer your thread. Hang in there UGottaHaveHope!!!!!! Phillipa
Posted by UGottaHaveHope on July 5, 2012, at 18:42:55
In reply to Re: Here's my story ,,, ANY ADVICE?? » UGottaHaveHope, posted by Phillipa on July 5, 2012, at 10:39:22
Thoughts?
Posted by Phillipa on July 5, 2012, at 21:34:27
In reply to Jedi? ... SLS .... Blueaberry ... rjlockhart??????, posted by UGottaHaveHope on July 5, 2012, at 18:42:55
Seriously I can not believe you have not been answered. Try the archeves poster name Jedi and I'm betting if you babblemail him he will reply. I seriously do. Phillipa
Posted by rjlockhart04-08 on July 5, 2012, at 23:24:22
In reply to Re: Here's my story ,,, ANY ADVICE??, posted by UGottaHaveHope on July 5, 2012, at 3:38:59
ok....it sound like these conditions are causing you feel that its useless to try to get back into the groove, i read your post a couple times over it takes me a bit longer to process things...but about the medication issue I seriously encourage you to ask your doctor about Provigil and maybe a stimulating AD like Vivicil and then maybe modifying your xanax dosage to maybe 3-4mg at night to last through out the day...xanax xr releases in 1mg i think .025 per evertime it releases..anways...
Viibryd...im not vary familar with it...but seroquel I know will cause some functionung to shut down in some people...i used to take about 200mg at night and i couldnt really do my best under the influence of it. The Xanax XR sounds good for this situation...klonopin can make people depressed....and not motivated...It sounds like some of your dopamine levels have been down...i mean maybe even ask about Focalin...its not directly stimulating but it raises dopamine levels....but still this situation needs some psychotherpy to talk out and get some solutions found.
but for your situation, sometimes the best thing is to say ... well it happened and really regretting things which I still do vary much can cause life to become sorrow. You just gotta view a problem that happened as a problem, don't let it grow inside you to where it takes over everything you think about, let it go...talk about it, just get it out and don't let this toxic thinking create toxic disorders. I know this is pretty hard but the person that you know the most that can help you is .... you ... i've heard people always use God and say they talk to him everyday in their mind...its a alter imagination that is projecting itself as God...i really think its difficult to find solution from God without a miracoulous sign from heaven to do something. It's difficlt to go to church and hear every talk about how they talked to God 5 min ago...it just doesnt...click...
but moving on, you can post whats going on to doctors online but their not really the best when it comes to actually sitting and talking things out with a psychiatrist. Start Faxing whats going on to your doctor or write her a letter, put it in her mailbox and just tell her whats going on...what your feeling....some aspects of what your talking about sound like dyphoria [medical term]
Have coffee...[i usally would never tell someone to do this] but after the caffiene kicks in..force yourself to do the rountines you did, get yourself into that mindset you had everyday while working...i know their must be a reason why it stopped but for short time try to get back into that mindset. Maybe in the evening have a glass of wine or scotch...but make it only ONE...
seriously...i know depression will make people think they can't solve anything...its mainly the dopamine system that causes people to have motivtion to get things done...and NE but too much of them will cause schizophenia...and too much NE will cause anxiety to skyrocket.
keep in contact, and thank you for post.
rj
Posted by jedi on July 6, 2012, at 0:10:09
In reply to Re: Here's my story ,,, ANY ADVICE??, posted by UGottaHaveHope on July 5, 2012, at 3:38:59
Hi,
I don't know how much help I can be here, but I am a long time user of Nardil. Most of 14 years. I have no personal knowledge of Viibryd. Just what I've read. So I can't really say anything about it. Effexor never worked for me.My depression is atypical and Nardil is the only med that has ever worked for me. That is with 45+ different combination trials. Now I take 60mg of Nardil and .5mg of clonazepam for anxiety and sleep. I have been off Nardil at least a half dozen times because of the side effects and just to give a shot at being drug free. Each time, after a period of several months the major depression has returned.
I also have social anxiety which is controlled well by Nardil, with clonazepam.
I was doing really well for probably 5 or 6 months the last time I was med free. I am self employed in investment real estate and the 5 year real estate depression caught up to me with some pretty severe financial stress. This sent me back into another major depression. Luckily for me, I have enough experience with my medications to know that the Nardil always pulls me out. That month or 5 week wait can be a bitch, but it has always worked for the major depression.
I guess I should just reside myself to being a lifer, but I always want to get off the medications. I've always have a residual level of dysthymia since my teenage years. But my major depressions are life threatening. I have never had physical pain that was as bad as the mental pain from my major depressions.
The weight loss makes me wonder if your depression is atypical. I know mine is. Nardil does work for other treatment resistant depressions, but it is "The Bomb" for atypical depression with social anxiety.
I don't like the side effects, but I know the med works for me. The side effects lessen over time and besides, there is no side effect as painful as major depression.
I've been working on getting out of my financial black hole in real estate and haven't been studying the meds like I used too. I found the one that works for me. I sure hope you find what works for you. If the Nardil worked before, there is a good chance it would work again.
Good Luck,
Jedi> Hello to some of my longtime friends in here. I need your help or insight into my situation.
>
> I've had primarily anxiety, with underlying depression, since 1997. I have not had much success with ADs. A few years ago, I was put on Nardil 60mg, Seroquel 25mg, and Xanax XR 2mg.
>
> In March 2011, I got tired of the side effects of Nardil and slowly weaned myself off it. At that time, I gained a lot of confidence because of three things: Getting off the Nardil, getting me old job duties back at work, and selling a house.
>
> Back to the meds: From then on, I just took the Seroquel 25mg and Xanax XR 2mg at night. That combination felt like a Benadryl on steroids. Unless I was worked up, it was usually the best sleep of my life. When I woke up, I was groggy for a few hours, but that was OK because it took the edge "off" my anxiety. It made me lethargic during the day but it was worth the tradeoff.
>
> For about 12 months there, I had the best stretch in 15 years of anxiety/depression. Again, a lot of it had to do with work. If I wasnt focused on my current project, I was thinking about my next one. All I did was work, eat and sleep. I know, not balanced but I was functioning well and beginning to do social activities.
>
> In April 2011, I got a job offer that I had been pursuing but I could not take it because it was a contract job and did not offer benefits (including no health insurance), details I did not fully understand until then. With either decision (take the job or not), I was going to have regrets. I spent the rest of April and all of May beating myself up with the regrets. I obsessed about it 24/7, and I had crashed into a severe depression by June. My one year of steady improvement simply crashed.
>
> I have not been able to get back into the groove that I was in. It is hard for me to get out my house. I dont have the same zeal for work. Ive lost 15 pounds. I cant find motivation or purpose. You know how it is? When you dont feel good, you forget that you ever felt well?
>
> Finally, my questions. I finally returned going to see my pdoc this week. The last time I saw this pdoc, she thought I had symptoms of Bipolar 2 for reasons Im still not sure. Anyways, this week I go in there fully expecting the doc to put me on Lamictal or Abilify. First, she asks if I want to try Effexor (I havent had much success with any SSRIs in the past). Then, she asks if I want to go back on Nardil (I didnt want the side effects again). Eventually, she decides to put me on a 30-day sample packet of Viibyrd, along with keeping me on Seroquel 50mg and Xanax XR 2mg. I dont sleep as well on Viibryd Ive noticed, and it gives me diarrhea (common side effect). Im just not sure about this combination.
>
> Does anybody have an opinion on that combo? What about Viibryd in particular? Or is there something out there that might work better? Im in a rural area, and any suggestions my pdoc would consider. Ive thought about going back to Nardil.
>
> Thanks in advance for any insight or opinions.
Posted by SLS on July 6, 2012, at 5:49:29
In reply to Re: Here's my story ,,, ANY ADVICE??, posted by UGottaHaveHope on July 5, 2012, at 3:38:59
What about using Parnate or Marplan in place of Nardil?
From what I can see, we really don't have a large pool of Viibryd success stories here on Psycho-Babble. There is only one responder I know of who will hopefully provide some input here. I tried Viibryd. I experienced a significant antidepressant response to it that, unfortunately, lasted for only a week or so.
The combination of Abilify and Lamictal is effective for some people, even when used without antidepressants. I know someone who is currently diagnosed as unipolar who fits this description.
Have you ever tried Wellbutrin? Someone in your position often reacts by responding well to it or by experiencing acute anxiety. If you tolerate Wellbutrin, it can sometimes be augmented successfully with Lamictal. Wellbutrin makes my depression worse.
My current regime:
Parnate 80 mg
nortriptyline 150 mg
Lamictal 200 mg
Abilify 10 mg
lithium 300 mg
prazosin 6 mg
Topamax 75 mgI have been improving very gradually since December 2011. I recently added Topamax in an effort to accelerate my rate of recovery. I am still titrating it and will stop at 100 mg. I would need to feel something magical for me to continue taking it. Other augmenting options for me include memantine, ketamine, and rTMS; all to be added to my drug treatment. Of course, the other option is to just leave things alone and be patient for another year or two; with the risk that I won't reach full remission after all.
- Scott
Posted by huxley on July 6, 2012, at 22:04:28
In reply to Lou's advice-phleigh » UGottaHaveHope, posted by Lou Pilder on July 5, 2012, at 4:57:56
My thoughts are that it is very rare to find a medication that works for you long term and ultimately your medication or combination of medications will make you far worse than you ever would have been without them.
They destroy your health, your immune system, your memory and your mind.
Posted by UGottaHaveHope on July 7, 2012, at 3:06:36
In reply to Re: Here's my story ,,, ANY ADVICE??... Viibryd? » UGottaHaveHope, posted by SLS on July 6, 2012, at 5:49:29
Posted by Phillipa on July 7, 2012, at 21:13:35
In reply to Re: Lou's advice-phleigh, posted by huxley on July 6, 2012, at 22:04:28
Welcome P
Posted by phidippus on July 17, 2012, at 18:44:32
In reply to Re: Here's my story ,,, ANY ADVICE??, posted by UGottaHaveHope on July 5, 2012, at 3:38:59
I'm a real Viibryd fan, though I've incurred seratonin syndrome on it at least 4 times.
Viibryd is easily the best SSRI I have been on. The 5ht1a partial agonismm is very pronounced and makes the drug activating. I'm not surprised you have a bit of insomnia on it. Just push up your Seroquel dose and you should be fine.
I think you're on a cool combo of meds. Don't go back to Nardil just yet. Keep on wiith the Viibryd-I think you'll find yourself enjoying it more as you go along (if the poops ease up)
I'm on Viibryd, Lithium, Invega and Clonazepam myself.
Eric
This is the end of the thread.
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