What are the side effects of Vraylar (cariprazine)?

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Last updated: March 3, 2025 • View editorial policy

From the FDA Drug Label

Stroke (cerebrovascular problems) in elderly people with dementia-related psychosis that can lead to death. Neuroleptic malignant syndrome (NMS) is a serious condition that can lead to death Uncontrolled body movements (tardive dyskinesia) Problems with your metabolism such as: ā—‹ high blood sugar (hyperglycemia) and diabetes increased fat levels (cholesterol and triglycerides) in your blood weight gain Low white blood cell count Decreased blood pressure (orthostatic hypotension) Falls Seizures (convulsions) Sleepiness, drowsiness, feeling tired, difficulty thinking and doing normal activities Problems controlling your body temperature so that you feel too warm Difficulty swallowing that can cause food or liquid to get into your lungs The most common side effects of VRAYLAR include: difficulty moving or slow movements, tremors, uncontrolled body movements, restlessness and feeling like you need to move around, sleepiness, nausea, vomiting, indigestion, constipation, feeling tired, trouble sleeping, increased appetite, and dizziness

The side effects of Vraylar (cariprazine) include stroke, neuroleptic malignant syndrome (NMS), tardive dyskinesia, metabolic problems such as high blood sugar and diabetes, increased fat levels in the blood, weight gain, low white blood cell count, decreased blood pressure, falls, seizures, sleepiness, and difficulty swallowing. Common side effects include difficulty moving, tremors, uncontrolled body movements, restlessness, sleepiness, nausea, vomiting, indigestion, constipation, feeling tired, trouble sleeping, increased appetite, and dizziness 1.

From the Research

Vraylar (cariprazine) can cause several side effects, including akathisia, fatigue, and nausea, as reported in the most recent study 2. The side effects of Vraylar (cariprazine) are an essential consideration for patients and healthcare providers.

  • Common side effects include: + Akathisia or restlessness + Fatigue + Nausea
  • Less common side effects may include: + Extrapyramidal symptoms like tremors, muscle stiffness, and abnormal movements + Increased blood sugar levels + Elevated cholesterol + Changes in blood pressure + Insomnia + Anxiety + Headaches Vraylar works by affecting dopamine and serotonin receptors in the brain, which explains many of these side effects, as described in a study on its pharmacology and efficacy 3. It is crucial for patients to be aware of these potential side effects and to contact their healthcare provider immediately if they experience severe side effects, particularly unusual movements, significant weight gain, or changes in mood. Never stop taking Vraylar suddenly without medical supervision, as this can lead to withdrawal symptoms or worsening of the condition, as noted in a review of its safety and efficacy 4. The most recent and highest-quality study 2 provides the most up-to-date information on the side effects of Vraylar, and healthcare providers should consult this study when making treatment decisions. In addition to the side effects, Vraylar has been shown to be effective in treating schizophrenia and bipolar disorder, with a unique pharmacological profile that offers potential advantages against negative symptoms and cognitive impairment, as discussed in a comprehensive review of its pharmacology and clinical trial evidence 3. Overall, Vraylar is a valuable treatment option for patients with schizophrenia and bipolar disorder, but its potential side effects must be carefully considered and monitored.

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This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.