A 46-year-old member asked:
taking cymbalta 90 wellbutrin 450 add viibryd (vilazodone hydrochloride) 20 metrotoplo 50 & protonics 40. can it cause sirtonim syndrome?
1 doctor answer • 2 doctors weighed in

Dr. John Moranville answered
Psychiatry 36 years experience
Serotonin syndrome: Several potential interactions between this combination of meds. Cymbalta and viibryd (vilazodone hydrochloride) increase risk of serotonin syndrome, wellbutrin and Cymbalta could increase levels of metopolol and combo of wellbutrin and Cymbalta may increase levels of Cymbalta and increase risk of seizures. Please advise your prescibing physician (s) of all the meds you are taking so they can carefully monitor bp, etc.
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Last updated Jun 24, 2014
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