Hello and thank you very much for allowing me to ask a question!... Can you tell me if it is safe to combine the drugs Effexor XR 150 mgs. and Viibryd? I am quite nervous about beginning the Viibryd, because my new Dr. (yesterday was my first appt. with him) was very side-tracked and extremely rushed!! To be honest, I don t think he heard a word I said and he only spent about 2 minutes with me. I have extreme circumstantial anxiety and depression, I also experience panic attacks that come out of nowhere and a very high heart rate... May I ask your professional opinion regarding the combination of these two medications? Thank you so much, Amy Andersen I JUST WASTED 20 MINUTES OF MY TIME!!!!!!!!!!.... WHY DO YOU WAIT UNTIL SOMEONE TAKES THE TIME TO MESSAGE THE DR AND FILL OUT ALL THE NEEDED INFORMATION BEFORE YOU LET US KNOW THAT THERE IS A CHARGE!!!! THAT IS EXTREMELY UNPROFESSIONAL AND WHAT IS CONSIDERED TO BE A SCAM ... IF THERE IS A CHARGE FOR ASKING A QUESTION IT SHOULD BE THE FIRST INFORMATION TO BE POSTED!!!! BUT INSTEAD OF DOING THAT YOU WAIT UNTIL SOMEONE HAS TAKEN THE TIME TO WRITE A MESSAGE, FILL OUT INFO. ETC. BEFORE YOU SPRING THE FACT THAT YOU MUST PAY FOR THIS SERVICE!!!... AS A BUSINESS PROFESSIONAL MYSELF, I FIND THAT VERY SNEAKY AND VERY UNPROFESSIONAL! I NO LONGER CONSIDER YOU A REPUTABLE COMPANY, AND I AM HIGHLY DISAPPOINTED! REGARDS, MRS. AMY E. ANDERSEN