Hi, My Dr. Attempted To Have A Prescription For Viibryd

Posted on Mon, 17 Dec 2018

Question: Hi, my Dr. attempted to have a prescription for Viibryd for me. I had been on it for quite a while along with my other medication; Gabapentin 300mg 2x, Lamotrigine 150mg 2x, Desvenlafaxin 100mg 1x.The Viibryd really balanced my mood well. I have always suffered from depression so I was so pleased to finally found the right combination. My Insurance changed as of 3/1/18.
I had a high deductible so the cost of the Viibryd was extremely high. I was prescribed Lexapro instead. I became anxious, just uncomfortable so after 2 months I stopped it.
I have Connecticare POS HSA and since have reached my deductible so I do not pay for any meds.. My Insurance declined my Doctor's request. He asked me to see what other medication they will approve instead. I need your advice. I am also on Xarelto and Amiodarone for A-Fib which is closely monitored.

Answered by Dr. Dr. Muhammad Sareer Khalil (5 hours later)

Brief Answer:
Options trazodone or combination

Detailed Answer:
Hello and welcome

I appreciate your concern

The other options which you can discuss , based on the history and description which you gave are a combination of fluoxetine and olanzapine or trazodone alone. The Desvenlafaxin 100mg would preferably need to be stopped if the combination is prescribed. Other than these options, I am afraid the rest depends upon your insurance provider and the limited options.

Wishing you best of health

Thanks

Let me know if you have any query

Dr. M.S. Khalil

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr. Muhammad Sareer Khalil (17 days later)

Hi there, I have had swollen ankles and numbness on the bottom of my feet. I also have a boil on my leg. My hands get pins and needles when in use, driving, computer. I had a physical then sent to a podiatrist. He addressed my wound and told me to see a vascular Dr. I went to him and was given the support socks and said to see him in 6 weeks. He said I have an issue with the blood flow which he will do a procedure in office. I am on Xarelto for my A-Fib. No answers ... Help

Answered by Dr. Dr. Muhammad Sareer Khalil (10 hours later)

Brief Answer:
Explained

Detailed Answer:
With swelling of legs/ numbness, a Doppler ultrasound of the lower limb can be advised to look for any clot/ thrombosis. You didn't specify what exactly would be the procedure that the vascular surgeon intends to perform. Did he point towards varicose veins ?

Wishing you best of health

Thanks

Let me know if you have any query

Dr. M.S. Khalil

Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Yogesh D