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Viibryd vs. Prozac

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

Key takeaways

Viibryd (vilazodone) and fluoxetine (Prozac) are both medications used to treat depression, but they have some key differences. Viibryd is a selective serotonin reuptake inhibitor (SSRI) and a serotonin (5HT1A) receptor partial agonist, while fluoxetine is solely an SSRI. This means that Viibryd not only increases serotonin levels but also directly acts on serotonin receptors. Fluoxetine is used to treat a wider range of conditions in adults and some children, such as obsessive-compulsive disorder (OCD), bulimia, panic disorder, and depression from bipolar 1 disorder, whereas Viibryd is only approved for depression in adults. Viibryd is typically taken once daily with food, while fluoxetine can be taken once daily or once weekly, depending on the form. Both medications are available in both brand and generic forms. Common side effects of Viibryd include diarrhea, nausea, and headache, whereas fluoxetine can cause difficulty sleeping, headaches, and tiredness. Both medications can cause withdrawal symptoms if stopped suddenly and have a risk of suicidal thoughts, especially in younger individuals.

Vilazodone

(Viibryd)

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Fluoxetine

(Prozac)

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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 Prozac

Prescription only

Fluoxetine (Prozac) is a selective serotonin reuptake inhibitor (SSRI). It's used to treat several mental health conditions, including depression and panic disorder. The immediate-release pill and liquid are taken by mouth, typically once or twice daily. The delayed-release capsule is taken weekly, but it's approved only for depression. Some common side effects of fluoxetine (Prozac) include headaches, difficulty sleeping, and tiredness. Don't suddenly stop this medication if you've been taking it for a while; doing so can lead to symptoms of withdrawal.

Indications for Prozac

Pros and Cons for Prozac

Pros

  • Good choice for treating depression, OCD, and panic disorder
  • Less likely to make you sleepy compared to some other antidepressants, such as paroxetine (Paxil)
  • Taken by mouth, typically once daily (IR capsules and liquid) or once weekly (DR capsules, for depression only)
  • Can be taken with or without food

Cons

  • Can take up to 2 months for you to feel the full effects of the medication
  • Can raise the risk of suicidal thoughts and/or behavior in those age 24 or younger
  • Can interact with other medications, especially those affecting serotonin levels
  • Can cause withdrawal symptoms if you suddenly stop taking it

Common Side Effects for Prozac

  • Difficulty falling asleep (up to 33%)
  • Nausea (up to 29%)
  • Headache (21%)
  • Weakness (up to 21%)
  • Diarrhea (up to 18%)
  • Low appetite (up to 17%)
  • Drowsiness (up to 17%)
  • Anxiety (up to 15%)
  • Nervousness (up to 14%)
  • Tremor (up to 13%)
  • Dry mouth (up to 12%)
  • Throat pain (up to 11%)
  • Yawning (up to 11%)
  • Low sex drive (up to 11%)

Warnings for Prozac

  • Worsening depression, suicidal thoughts and behavior
  • Anxiety and trouble sleeping
  • Serotonin syndrome
  • Severe allergic reactions
  • Not for use alone in bipolar disorder
  • Risk of bleeding
  • Glaucoma
  • Low blood sodium levels
  • Life-threatening abnormal heart rhythm (QT prolongation)

Prices with our coupons for Viibryd vs. Prozac

Price Card Drug Icon
Vilazodone30 tablets / 40mg
$41.33$231.63
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Fluoxetine30 tablets / 20mg
$9.93$78.85
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