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vilazodone vs warfarin

Side-by-side comparison of vilazodone and warfarin. Data from FDA drug databases (Orange Book, NDC Directory, recalls, shortages) covering 20,000+ approved drugs, plus CMS pricing; see our methodology.

moderate Known Drug Interaction

Table 3: Drugs that Can Increase the Risk of Bleeding Drug Class Specific Drugs Anticoagulants argatroban, dabigatran, bivalirudin, desirudin, heparin, lepirudin Antiplatelet Agents aspirin, cilostazol, clopidogrel, dipyridamole, prasugrel, ticlopidine Non-steroidal Anti-Inflammatory Agents celecoxib, diclofenac, diflunisal, fenoprofen, ibuprofen, indomethacin, ketoprofen, ketorolac, mefenamic acid, naproxen, oxaprozin, piroxicam, sulindac Serotonin Reuptake Inhibitors citalopram, desvenlafaxine, duloxetine, escitalopram, fluoxetine, fluvoxamine, milnacipran, paroxetine, sertraline,...

Recommendation: Use this combination with caution and under a doctor's supervision. Monitor yourself for signs of bleeding, such as nosebleeds or bleeding gums.

Drug Class
vilazodone SSRI / 5-HT1A Partial Agonist
warfarin Vitamin K Antagonist (Anticoagulant)
Type
vilazodone Prescription
warfarin Prescription
Summary
vilazodone

Vilazodone (Viibryd) is a medicine used to treat depression in adults. It helps to improve your mood.

warfarin

Warfarin is a medicine that helps prevent blood clots. It is used to treat and prevent dangerous clots from forming in your body.

What It Treats
vilazodone

Vilazodone is used to treat major depressive disorder (MDD) in adults. MDD can cause you to feel sad, lose interest in activities, and have trouble with daily life. This medicine can help improve these symptoms.

warfarin

Warfarin is used to prevent and treat blood clots in your veins and lungs. It can also prevent clots if you have atrial fibrillation (irregular heartbeat) or a replacement heart valve. After a heart attack, it can lower the risk of death, another heart attack, or a stroke.

How It Works
vilazodone

Vilazodone works by affecting certain chemicals in the brain. It increases the amount of serotonin available. Serotonin helps to regulate mood and emotions.

warfarin

Warfarin works by blocking your body's use of vitamin K. Vitamin K is needed to make blood clotting factors. By blocking vitamin K, warfarin makes your blood less likely to clot.

Common Side Effects
vilazodone
  • Diarrhea
  • Nausea
  • Vomiting
  • Trouble sleeping (insomnia)
warfarin
  • Bleeding from any tissue or organ
FAERS Reports
vilazodone
  • Diarrhea 808
  • Nausea 808
  • Anxiety 662
  • Trouble sleeping 634
  • Headache 565
warfarin
  • INR increased 10,275
  • Shortness of breath 8,408
  • Interaction with another medicine 6,289
  • Tiredness 6,141
  • Feeling sick to your stomach 5,921
Serious Warnings
vilazodone

Antidepressants may increase the risk of suicidal thoughts and behaviors in young adults. Your doctor should closely monitor you for worsening depression or suicidal thoughts, especially when you first start taking this medicine or when your dose is changed. Vilazodone is not approved for use in children.

warfarin

Warfarin can cause major or fatal bleeding. You must have your blood tested regularly (INR) while taking warfarin. Many things, like other medicines and diet changes, can affect your INR. Tell your doctor about any bleeding and follow their instructions to prevent bleeding.

Pregnancy
vilazodone

Tell your doctor if you are pregnant or plan to become pregnant. Taking vilazodone late in pregnancy may cause problems for the newborn. There is a pregnancy registry to monitor outcomes in women exposed to antidepressants during pregnancy. You can call 1-844-405-6185 to register.

warfarin

Warfarin can harm your unborn baby, especially during the first three months of pregnancy. Do not take warfarin if you are pregnant, unless you have a mechanical heart valve and your doctor says the benefits outweigh the risks. Talk to your doctor if you are breastfeeding, and watch your baby for bruising or bleeding.

How to Read This vilazodone vs warfarin Comparison

vilazodone is classified in the SSRI / 5-HT1A Partial Agonist drug class, while warfarin sits within the Vitamin K Antagonist (Anticoagulant) class. Drugs from different classes work through distinct mechanisms, so a head-to-head comparison illustrates trade-offs rather than equivalence. Both drugs are prescription-only, so a licensed provider must authorize use.

Adverse event totals above are pulled from the FDA's Adverse Event Reporting System (FAERS). For these top-ranked reactions alone, vilazodone has 3,477 submissions while warfarin has 37,034. Those figures reflect cumulative reporting volume, not per-patient risk, so older, widely dispensed drugs typically look worse on count alone. These two drugs have a known moderate interaction flagged in FDA labeling, attributed to vilazodone is a type of antidepressant that can increase the risk of bleeding when taken with blood thinners. this happens because the drug can interfere with the normal clotting process.. Serious warnings, pregnancy guidance, and contraindications can differ even when indications overlap.

A table cannot substitute for clinical judgment. Effectiveness, tolerability, drug-drug interactions with your other medications, kidney and liver function, pregnancy status, insurance formulary, and price all feed into a decision that only a licensed prescriber can make responsibly. Data here is sourced from FDA Structured Product Labels (SPL) and FAERS, both of which update as manufacturers and clinicians submit new information. This page is for educational purposes only, is not medical advice, and should not be used to self-switch between vilazodone and warfarin - always consult your physician or pharmacist first.

Important: This comparison is for informational purposes only. Drug effects vary between individuals. Always consult your doctor or pharmacist for personalized medical advice.