Vraylar

Older adults who also have dementia sometimes have some of the symptoms of schizophrenia, like hallucinations and delusions. This is called dementia-related psychosis, and it should not be treated with Vraylar (cariprazine). If Vraylar (cariprazine) is used for dementia-related psychosis, it can cause death. The cause of death is typically from heart problems, stroke, or infections. Let your provider know if you or your loved one has dementia before starting Vraylar (cariprazine).

Taking Vraylar (cariprazine) can put you at risk for suicidal thoughts and behavior. Your risk is higher if you're 24 years old or younger, or taking other antidepressants like sertraline (Zoloft) or fluoxetine (Prozac). Look out for worsening depression or any unusual changes in your mood, behavior, thoughts, or feelings, especially during the first few months of treatment or when your dose changes. Talk to your provider if you have any concerns about this side effect.

Vraylar (cariprazine) can cause neuroleptic malignant syndrome (NMS), which is a rare but serious condition that can lead to death. Be careful using Vraylar (cariprazine) if you're also on other medications that might cause NMS. Stop this medication and get medical attention right away if you notice symptoms of NMS, such as high fever, fast heart rate, full body stiffness, and confusion.

Vraylar (cariprazine) can raise your blood sugar, sometimes to dangerous levels resulting in coma or death. Let your provider know if you have symptoms of high blood sugar, such as feeling very hungry or thirsty, urinating more often, stomach pain, weakness, or fruity-smelling breath.

Vraylar (cariprazine) can cause uncontrolled and possibly permanent muscle movements in the tongue, face, mouth, lips, neck, hands, arms, legs, and feet (tardive dyskinesia). This side effect can happen weeks after you first start or even after you've stopped this medication. To lower your risk of tardive dyskinesia, use the lowest dose for your symptoms. Get medical help right away if you notice any unusual movements you can't control.

Vraylar (cariprazine) can lower the amount of white blood cells in your body and put you at higher risk for serious infection. You might need to get lab work done regularly to make sure your white blood cell count is healthy. If the levels are too low, your provider might stop your medication. Talk to your provider right away if you experience symptoms of an infection, including fever, weakness, or sore throat, while taking Vraylar (cariprazine).

Vraylar (cariprazine) can cause sleepiness, dizziness, difficulties keeping your balance, and drops in blood pressure when you sit up or stand too quickly. This can result in fainting and falling. Sit up or stand up slowly, especially during the first few days after you start Vraylar (cariprazine) or when your provider raises your dose. Your risk of falls is higher if you have heart problems or if you don't have enough fluids in your body. Talk to your healthcare provider if you continue to experience dizziness while taking Vraylar (cariprazine).

Vraylar (cariprazine) can make it harder for your body to control its own temperature. Your body might have a difficult time cooling down after being in hot weather or extreme exercise. Drink water to stay hydrated, especially if you're out in the sun or exercising. Be careful to find shade or wear clothing to protect yourself if you're traveling to a place that is very hot.

Rarely, Vraylar (cariprazine) can cause the muscles in your throat to not work well and make it hard for you to swallow food. This can be dangerous because it might cause you to choke. Make sure to chew your food completely and swallow carefully while taking this medication.