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Vraylar vs. Lithium

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Vraylar (cariprazine) and lithium are both used to treat bipolar disorder, but they have some key differences. Vraylar is an atypical antipsychotic that also treats schizophrenia and can be an add-on for major depressive disorder (MDD). It is taken once a day and is only available as a brand-name medication. Common side effects include uncontrolled muscle movements, headache, and restlessness. Lithium, on the other hand, is a mood stabilizer used specifically for bipolar disorder and manic episodes. It is available in both generic and brand-name forms (Lithobid) and is typically taken 2 to 3 times a day. Lithium requires regular blood tests to monitor levels and prevent toxicity, with common side effects like shakiness, thirst, and nausea. While Vraylar has a lower risk of weight gain compared to other antipsychotics, lithium does not commonly cause weight gain but can lead to serious side effects if not monitored properly.

Vraylar

(cariprazine)

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Lithium

 

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Summary for Vraylar

Prescription only

Vraylar (cariprazine) is an atypical antipsychotic used to treat schizophrenia and bipolar I disorder in teens and adults. It can also be added to other medications to help treat depression in adults. You take a dose by mouth once a day. Common side effects include uncontrolled body movements and restlessness. Compared to some other antipsychotic medications, Vraylar (cariprazine) usually causes little to no weight gain.

Indications for Vraylar

Pros and Cons for Vraylar

Pros

Cons

  • Might take several weeks to fully work
  • Risk of uncontrolled body movements
  • Can cause restlessness or feeling like you can't sit still
  • Not safe during pregnancy

Common Side Effects for Vraylar

  • Uncontrolled muscle movements (up to 19%)
  • Trouble sleeping (up to 13%)
  • Headache (up to 11%)
  • Drowsiness (up to 8%)
  • Constipation (up to 7%)
  • Nausea (up to 7%)
  • Restlessness (up to 6%)

*Note: Side effects listed were reported by people in studies who took Vraylar (cariprazine) for schizophrenia.

Warnings for Vraylar

  • Higher risk of death in older adults with dementia-related psychosis
  • Suicidal thoughts and behavior
  • Neuroleptic malignant syndrome
  • Difficulty controlling movements (tardive dyskinesia)
  • High blood sugar, high cholesterol, and weight gain
  • Low white blood cell count
  • Higher risk of falls and fainting
  • Seizures
  • Trouble controlling body temperature
  • Difficulty swallowing

Summary for Lithium

Prescription only

Lithium carbonate (or lithium) is a medication used to treat bipolar disorder and manic episodes. It's taken by mouth, typically 2 to 3 times a day. Lithium is available as instant-release pills and oral liquid as well as an extended-release tablet (brand name Lithobid). All lithium products are available as lower-cost generics. Lithium works well for treating bipolar disorder, but it can also cause side effects, such as shakiness, thirst, and nausea. To prevent lithium toxicity, your provider will check your blood lithium levels to make sure you're on a safe dose of the medication.

Indications for Lithium

  • Treatment of manic episodes of bipolar disorder
  • Long-term maintenance treatment of bipolar disorder

Pros and Cons for Lithium

Pros

  • Works well for bipolar disorder
  • Starts to work in about 1 to 3 weeks
  • Available as a lower-cost generic
  • Available as oral pills and oral liquid for those having trouble swallowing pills

Cons

Common Side Effects for Lithium

Adults:

  • Hand trembling
  • Excessive urination
  • More thirst
  • Nausea
  • General discomfort when you start treatment

Children (7 to 17 years of age):

  • Nausea or vomiting (57%)
  • Urinating more often (38%)
  • Tremor (32%)
  • Feeling more thirsty (28%)
  • Tiredness (26%)
  • Higher thyroid hormone levels (25%)
  • Dizziness (23%)

Warnings for Lithium

  • Lithium toxicity
  • Kidney problems
  • Serotonin syndrome
  • Thyroid problems
  • Heart problems (Brugada syndrome)
  • Low blood sodium levels
  • High blood calcium levels and high parathyroid hormone levels
  • Brain-related side effects

Prices with our coupons for Vraylar vs. Lithium

Price Card Drug Icon
Vraylar30 capsules / 1.5mg
$1,535.20$1,992.32
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Price Card Drug Icon
Lithium150 ml / 8meq/5ml
$30.57$112.54
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