"i have tried all other ssris available in the us, all have had undesirable side effects. i started taking viibryd about four years ago, been very pleased. no sexual side effects, even as i increased dosage last year. the only part i find super tricky is it&#039;s half life. if i forget to take my dose the next morning i start getting an itchy face. seriously itchy like allergies! as i have adhd too this is very helpful but annoying. if i am without my pills and have to wait until later in the day to take them some of the worst anger feelings i&#039;ve ever had come out. it&#039;s like the hulk! itchy hulk! so as long as i always keep a back up supply in my purse i am good."