Viibryd Titration Increase 5mg To Start?

I'm new to this forum. I have had anxiety and panic attacks for almost 40 years but fought it fairly well until Depression crept in about 10 years ago. Like most here, I've tried just about every antidepressant known but they either did nothing or the anxiety got out of control. My PCP suggested Viibryd as it works slightly different than other SSRIs. I started the sample pack at 10mg per day for one week, then got part way through week 2 but it made me sleep long hours and my anxiety went haywire. I stopped it and started preparing for TMS. Funny thing was that a couple days after stopping Viibryd, I felt as good as I had in quite awhile. This only lasted for a few days and I started feeling crappy again, no energy, no drive. I started Viibryd again and the exact sequence reoccurred. I have since started TMS.
So, the question I have is can someone start at a much lower dosage (5mg, maybe even every other day) and work up much more slowly?
Thanks, and good luck to everyone here...


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You can do that, as long as your doctor approves. The cycling of improvement, then side effects is typical and experienced by many people that start these types of medications.

I've generally found that it tends to hit its peak around 21 days and then taper off, until they go away entirely. Other side effects, as listed by the FDA, may also include nausea, dizziness, dry mouth and weight changes.

However, you may experience them a bit more, if you titrate up, since each raise in the dosage could cause side effects, again, for a period of time.

Is there anything else I can help with?

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