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cariprazine Side Effects

Also known as: Vraylar

Analysis of 8,574 adverse event reports submitted to the FDA from 2011 to 2025.

Total Reports

8,574

Death-Related

225

2.6% of reports

Hospitalizations

1,156

13.5% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

OFF LABEL USE
1,017
DRUG INEFFECTIVE
502
WEIGHT INCREASED
441
AKATHISIA
395
ANXIETY
354
TARDIVE DYSKINESIA
347
NAUSEA
331
TREMOR
327
INSOMNIA
324
FATIGUE
321
SUICIDAL IDEATION
300
DIZZINESS
268
DEPRESSION
266
SOMNOLENCE
231
FEELING ABNORMAL
212
HEADACHE
196
DRUG INTERACTION
195
VOMITING
183
EXTRAPYRAMIDAL DISORDER
180
RESTLESSNESS
180

Who Reports Side Effects

Gender Distribution

Female 4,591 (67%)
Male 2,240 (33%)
Unknown 7

Age Distribution

0-17 457 (12%)
18-44 1,655 (45%)
45-64 1,220 (33%)
65-74 283 (8%)
75+ 99 (3%)

Reporting Trend by Year

11
15
16
17
18
19
20
21
22
23
24
25

Reactions in Death Reports

Top reactions reported in 225 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 95
COMPLETED SUICIDE 70
TOXICITY TO VARIOUS AGENTS 13
OFF LABEL USE 9
CARDIO-RESPIRATORY ARREST 8
FALL 6
CARDIAC ARREST 5
DRUG INEFFECTIVE 5
MYOCARDIAL INFARCTION 5
CEREBROVASCULAR ACCIDENT 4
PNEUMONIA ASPIRATION 4
AKATHISIA 3
FEELING ABNORMAL 3
HOSPITALISATION 3
MULTIPLE ORGAN DYSFUNCTION SYNDROME 3
NEOPLASM MALIGNANT 3
OVERDOSE 3
PRODUCT USE IN UNAPPROVED INDICATION 3
THERAPY CESSATION 3
ACCIDENTAL OVERDOSE 2

Reactions in Hospitalization Reports

Top reactions in 1,156 reports where hospitalization was an outcome.

Reaction Reports
DRUG INEFFECTIVE 92
SUICIDAL IDEATION 85
DRUG INTERACTION 83
OFF LABEL USE 78
HOSPITALISATION 70
INSOMNIA 56
SUICIDE ATTEMPT 56
TREMOR 56
AKATHISIA 55
WEIGHT INCREASED 55
ANXIETY 51
FALL 50
FATIGUE 49
INTENTIONAL OVERDOSE 49
TREATMENT NONCOMPLIANCE 48
CONDITION AGGRAVATED 47
DEPRESSION 47
EXTRAPYRAMIDAL DISORDER 46
MANIA 45
NAUSEA 43

Nearby — Related Medications

Compare cariprazine vs acamprosate →

What the FAERS Data Reveals About cariprazine Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 8,574 voluntary reports linked to cariprazine and its brand equivalents (Vraylar), spanning 2011 through 2025. Of those, 225 (2.6%) listed death as an outcome and 1,156 (13.5%) involved hospitalization. The most common indication reported alongside adverse events was Product Used For Unknown Indication.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 67% were female and 33% male; age distribution skews toward 18-44, with 1,655 reports in that bracket. The single most reported reaction is off label use with 1,017 submissions, followed by drug ineffective and weight increased.

FAERS is a signal-detection tool, not a scorecard. Reports are voluntary, and a single case may list multiple suspect drugs, so numbers above should not be read as incidence rates or per-patient risk. Widely prescribed drugs naturally accumulate more reports than niche therapies even when individual risk is low. These aggregates are useful for spotting patterns that merit further pharmacovigilance, not for choosing between medications. This page is for educational reference only and is not medical advice — speak with a licensed clinician about any side-effect concerns.