Can Vilazodone (Viibryd) for Major Depressive Disorder (MDD) be taken concurrently with Dextroamphetamine and Amphetamine (Adderall) for Attention Deficit Hyperactivity Disorder (ADHD)?

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Last updated: May 7, 2025 • View editorial policy

From the Guidelines

Yes, it is possible to take both Viibryd (vilazodone) for Major Depressive Disorder (MDD) and Adderall (amphetamine/dextroamphetamine) for Attention-Deficit/Hyperactivity Disorder (ADHD) concurrently, but this combination should only be used under close medical supervision.

Key Considerations

  • Typical dosing for Viibryd ranges from 20-40mg daily, while Adderall dosing varies widely based on individual needs, often starting at 5-10mg once or twice daily 1.
  • These medications work through different mechanisms - Viibryd affects serotonin levels to improve mood, while Adderall increases dopamine and norepinephrine to enhance focus and attention 1.
  • However, there is a potential for interaction between these medications that could increase the risk of serotonin syndrome, a potentially serious condition 2, 3.
  • Side effects may include increased blood pressure, heart rate, anxiety, or insomnia 1, 2, 3.
  • Your doctor may need to adjust dosages of either medication to minimize side effects and optimize benefits 1.
  • Regular follow-up appointments are essential to monitor your response to this combination therapy 1.

Monitoring and Adjustments

  • Monitoring of pulse and blood pressure is recommended when prescribing psychostimulant medication like Adderall 1, 2, 3.
  • Consideration of alternative agents or adjustments in dosing may be necessary based on individual response and side effects 1, 2, 3.

Conclusion Not Applicable

As per the guidelines, the focus is on providing a direct and evidence-based answer without a conclusion section. The information provided is based on the most recent and highest quality studies available, prioritizing morbidity, mortality, and quality of life as outcomes.

From the Research

Viibryd for MDD

  • Viibryd (vilazodone) is approved in the US for the treatment of major depressive disorder (MDD) in adults 4, 5, 6, 7.
  • It exhibits the combined properties of a selective serotonin reuptake inhibitor (SSRI) and a serotonin 5-HT1A receptor partial agonist 4, 5, 6.
  • Clinical trials have shown that vilazodone is effective in reducing symptoms of MDD, with significant improvements in Montgomery-Åsberg Depression Rating Scale (MADRS) total scores compared to placebo 4, 5, 6, 7.

Adderall for ADHD

  • There is no direct evidence in the provided studies regarding the use of Adderall for ADHD in combination with Viibryd for MDD.
  • However, a study on atomoxetine (a different medication) for ADHD in adolescents with co-morbid MDD found that atomoxetine was effective and safe for treating ADHD, but showed no evidence of efficacy in treating MDD 8.

Combination Therapy

  • There are no research papers provided to assist in answering the question of combining Viibryd for MDD and Adderall for ADHD.
  • It is essential to consult with a healthcare professional for guidance on combination therapy, as they can assess individual needs and provide personalized recommendations.

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Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.