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Viibryd vs. Desyrel

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Vilazodone (Viibryd) and trazodone are both medications used to treat major depressive disorder (MDD) in adults, but they have some key differences. Vilazodone (Viibryd) is a selective serotonin reuptake inhibitor (SSRI) and a serotonin (5HT1A) receptor partial agonist, while trazodone is an atypical antidepressant known as a serotonin antagonist and reuptake inhibitor (SARI). Vilazodone is typically taken once daily with food, whereas trazodone can be taken once or several times a day, depending on your condition. Trazodone is sometimes used off-label to help with sleep, but vilazodone is not. Common side effects of vilazodone include diarrhea, nausea, and headache, while trazodone often causes sleepiness, dry mouth, and dizziness. Both medications can cause withdrawal symptoms if stopped suddenly, so it's important to follow your healthcare provider's instructions when discontinuing them. Additionally, vilazodone is available in both brand and generic forms, whereas the brand name for trazodone, Desyrel, has been discontinued, leaving only the generic version available.

Vilazodone

(Viibryd)

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Trazodone

 

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Summary for Viibryd

Prescription only

Vilazodone (Viibryd) helps treat depression in adults. It works in a similar way to the drug class called selective serotonin reuptake inhibitors (SSRIs). You take vilazodone (Viibryd) by mouth once a day. Some common side effects are diarrhea, nausea, and headache. Research suggests that it might be less likely to cause weight gain and sexual side effects than some other antidepressants. But it can have many drug interactions. It's important not to stop taking this medication all of a sudden because it can lead to withdrawal symptoms. Vilazodone (Viibryd) comes as both a brand-name and generic version.

Indications for Viibryd

Pros and Cons for Viibryd

Pros

Cons

  • Might take several weeks before you feel a noticeable difference in your mood
  • Must take with food
  • Not approved for children

Common Side Effects for Viibryd

  • Diarrhea (26-29%)
  • Nausea (22-24%)
  • Headache (14-15%)

Warnings for Viibryd

  • Suicidal thoughts or behavior
  • Serotonin syndrome
  • Higher risk of bleeding
  • Manic or hypomanic episode in people with bipolar disorder
  • Withdrawal symptoms
  • Worsening of glaucoma in certain people
  • Low sodium levels
  • Sexual side effects

Summary for Desyrel

Prescription only

Trazodone is an atypical antidepressant. It's FDA-approved to treat depression in adults, but it isn't a first-choice option. In addition, trazodone is sometimes prescribed off-label for difficulty sleeping (insomnia). This medication is taken by mouth, typically once or a few times a day, depending on your condition. Common side effects of this medication include sleepiness, dry mouth, and dizziness. Brand name Desyrel has been discontinued.

Indications for Desyrel

Pros and Cons for Desyrel

Pros

  • Taken by mouth
  • Fewer sexual side effects than some other antidepressants
  • Available as a lower-cost generic
  • Starts to work within a week for treating depression

Cons

Common Side Effects for Desyrel

  • Sleepiness (up to 41%)
  • Dry mouth (up to 34%)
  • Dizziness or lightheadedness (up to 28%)
  • Headache (up to 20%)
  • Blurred vision (up to 15%)
  • Nausea or vomiting (up to 13%)

Warnings for Desyrel

  • Worsening depression, suicidal thoughts, and unusual behavior
  • Serotonin syndrome
  • Life-threatening abnormal heart rhythm (QT prolongation)
  • Difficulty concentrating and extreme sleepiness
  • Dizziness from lower blood pressure
  • Risk of bleeding
  • Prolonged and painful erection
  • Glaucoma
  • Low blood sodium levels
  • Withdrawal

Prices with our coupons for Viibryd vs. Desyrel

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Vilazodone30 tablets / 40mg
$41.33$231.63
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Trazodone30 tablets / 50mg
$9.00$9.00
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