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Periods/Perimenopause/Viibryd
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dawninus posted:
I am a 38 year old female. For the past three or so years I have suffered from anxiety disorder. I've been on paxil and wellbutrin in the past. About two months ago after a very bad panic attack I was taken off those drugs and started on Viibryd. Since then I have had two EXTREMELY light periods with mainly some brown discharge and little to no actual blood.

My question is: Could the extremely light periods be due to the Viibryd and/or could I be going through the beginnings of menopause?

My mother started perimenopause fairly early (her very early 40s).

Also, I have had for the past two years or so a hot flash maybe every three months as well as sweats during the night occasionally.

Other than the above, I feel great and have had no other symptoms.

Please help!!
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Mary Jane Minkin, MD responded:
Dear DawninUS,
My guess is more likely perimenopause. Although blood tests are notoriously unreliable (presuming this is perimenopause) one that would give you a ballpark guesstimate is an FSH test on the third day of your period. If it is high, it will reaffirm that there is at least some component of perimenopause. Also anxiety can increase perimenopausally, and family history is relevant-so all of these certainly can go along with that state. The only possible link that I can think to the Viibryd is that some mood medications can increase the level of prolactin in the body, which can affect periods. So one other test besides investigating the FSH, would be to check a prolactin level.
Good luck,
Mary Jane


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