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Vraylar vs. Seroquel

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

Key takeaways

Vraylar (cariprazine) and quetiapine (Seroquel) are both atypical antipsychotics used to treat mental health conditions, but they have some key differences. Vraylar is used for schizophrenia, bipolar I disorder, and as an add-on for major depressive disorder (MDD) in adults. 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, but it causes minimal weight gain compared to other antipsychotics. On the other hand, quetiapine is used for schizophrenia and bipolar disorder in both adults and children, and its extended-release form can also treat depression when combined with another antidepressant. Quetiapine is available in both immediate-release and extended-release forms, and it has a generic version. It can cause weight gain, high blood sugar, and high cholesterol levels. While both medications can cause drowsiness and dizziness, quetiapine is more likely to cause sleepiness and difficulty concentrating. Additionally, Vraylar is less likely to cause weight gain but has a higher risk of uncontrolled muscle movements.

Vraylar

(cariprazine)

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Quetiapine

(Seroquel)

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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 Seroquel

Prescription only

Quetiapine (Seroquel) is an atypical antipsychotic. It's used to treat mental health problems like schizophrenia and bipolar disorder. This medication comes as an immediate-release tablet (Seroquel) that's taken by mouth usually twice a day. There's also an extended-release tablet (Seroquel XR) that's taken once a day. The specific dosage depends on how well it's helping your mood, thoughts, and behaviors. Side effects can include sleepiness, headache, and possible weight gain. There are brand-name and generic versions of this medication.

Indications for Seroquel

Pros and Cons for Seroquel

Pros

  • Taken by mouth
  • Might notice an improvement in your symptoms in as early as a week of starting the medication
  • Available in both short-acting and long-acting tablets

Cons

  • Might cause weight gain
  • Can raise your blood sugar and cholesterol levels
  • Not recommended for older adults who have dementia-related psychosis

Common Side Effects for Seroquel

Immediate-release tablets:

  • Headache (21%)
  • Agitation (20%)
  • Sleepiness (18%)
  • Dizziness (11%)
  • Dry mouth (9%)
  • Constipation (8%)
  • Pain (7%)
  • Fast heart rate (6%)
  • Vomiting (6%)

Extended-release tablets:

Warnings for Seroquel

  • Higher risk of death and stroke in older people with dementia-related psychosis
  • Risk of suicidal thoughts and behavior
  • Neuroleptic malignant syndrome
  • High blood sugar, high cholesterol, and weight gain
  • Trouble controlling muscle movements (tardive dyskinesia)
  • Changes in blood pressure
  • Risk of falls
  • Risk of infection (due to low white blood cell counts)
  • Possible changes in heart rhythm
  • Seizures
  • Hypothyroidism (low thyroid hormone)
  • High prolactin levels
  • Feeling very sleepy and having trouble concentrating

Prices with our coupons for Vraylar vs. Seroquel

Price Card Drug Icon
Vraylar30 capsules / 1.5mg
$1,479.84$1,898.84
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Price Card Drug Icon
Quetiapine30 tablets / 25mg
$9.00$9.00
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