Can Vraylar (cariprazine) cause diarrhea?

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Last updated: December 16, 2025View editorial policy

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Can Vraylar (Cariprazine) Cause Diarrhea?

No, diarrhea is not a recognized adverse effect of Vraylar (cariprazine) based on available clinical trial data and drug approval information. The provided evidence does not identify gastrointestinal disturbances, including diarrhea, as a notable side effect of this atypical antipsychotic medication.

Evidence Review

  • Cariprazine is a dopamine D3-preferring D2/D3 receptor partial agonist approved for schizophrenia and bipolar I disorder (manic or mixed episodes) 1

  • In clinical trials spanning 6-week acute treatment studies and long-term relapse prevention trials, cariprazine demonstrated a favorable tolerability profile with most adverse events being mild to moderate in severity 2

  • The available clinical data does not list diarrhea among the common or significant adverse effects of cariprazine 1, 2

  • Metabolic changes observed with cariprazine were generally not clinically significant, and gastrointestinal side effects were not highlighted as concerns in the drug's development or approval process 2

Clinical Context

While the evidence provided extensively discusses drug-induced diarrhea from various medication classes—including chemotherapy agents 3, 4, immunosuppressants 3, antibiotics 4, 5, and other medications 5, 6, 7cariprazine is not mentioned among the medications known to cause diarrhea.

Important Caveat

If a patient taking Vraylar develops diarrhea, consider alternative causes such as:

  • Concurrent medications (antibiotics account for 25% of drug-induced diarrhea) 4, 5
  • Infectious etiologies (particularly C. difficile if recent antibiotic exposure) 4
  • Other medical conditions unrelated to cariprazine therapy 4, 5

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Guideline

Medication-Induced Diarrhea

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Research

Drug-induced diarrhoea.

Drug safety, 2000

Research

Diarrhoea and constipation.

Bailliere's clinical gastroenterology, 1988

Research

Drug-induced diarrhea.

Current gastroenterology reports, 2007

Professional Medical Disclaimer

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.

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