"at first, viibryd was god send. i was always happy, no sexual side effects, no fatigue: it worked absolutely great. i went through the trial pack and forgot to get a prescription. about 2 months go by (because i&#039;m lazy) and i finally go to the doctors to get another trial and a prescription. this time around of starting up, there&#039;s major side effects. the medication somewhat helps with my depression now, and i still get a strong sense of paranoia and hopelessness. the medication has strong sexual side effects now, and all arousal whatsoever is gone now. the insomnia is terrible. i get maybe 3 or 4 hours of sleep now. and might i mention i&#039;m on the low dosages; i haven&#039;t even started the 40mg yet."