This is what I have learned (the hard way!) Don't take any medication or herb or oil unless you've researched the precautions and possibility that it may increase risk of bleeding, period. Even the best hematologists are not going to research each and every thing that you might want to take. Do it yourself. Save yourself alot of grief and you could die in the meantime from something very simple.
Cymbalta carries risk for bleeding, not familiar with Viibryd. I have a brain Cavernoma that bled. I've bled from vitamin E, primrose oil, fish oils, bromalain, nettle, topical anti inflamatory gel, ibuprofen, nsaids, toradol and more. Doctors say "oh it's just a little bit, it won't bother you" Wrong!!! I live between a rock and a hard place. Nothing I can do about that.
Like I told my one doctor the other day, when he wanted me to take flax oil, "what do you want me to do? I can't get born over again!!" I have von willebrands and I bleed from the stuff." Then he admitted that he didn't understand von willebrands.
I got tired of jumping through hoops for doctors who insist that I take something that makes me bleed. They don't understand Von Willebrands.
Have you tried to check for vitamin dificiencies. Some can cause depression, such as Vit D. There is one lab panel that Medicare pays for that's done by "Spectracell Laboratories". Also, hormonal changes in men can cause depression.
contact the lab and ask is your insurance pays for the test.....
This is just a suggestion. I know what it's like to be limited in what you can take. But I have gotten off all medication, except my thyroid med, and I'm better off for it. Remember, the anti-depressants only mask the symtoms of depression, they don't get to the source of the problem.
Good luck to you John. BTW, I took your advice about getting a standing order for the ddavp, and now I have one in my purse and carry it with me. Thanks, good advice.