I was prescribed Viibryd for depression that had worsened with menopause. It was a 2nd choice med, first tried Trintellix, which I liked for several reasons, but caused horrible stomach upset, that would not decrease over time. Viibryd also considered less likely to cause weight gain. I had an extremely hard time getting the right dosage. The “come-down” (that time right before your next scheduled dose) was usually met with stomach upset (reflux-ish) and negative thoughts. After years of taking reluctantly, a new doctor suggested Effexor, due to reports of helping with menopause symptoms. Much better fit for me.