Reported Reactions

Drugs › Atypical antipsychotic

Brand name · Cariprazine

Vraylar: adverse event reports filed with FDA

6,176 reports list it as a suspect or interacting product, 2016–2026. Class: Atypical antipsychotic.

6,176
reports as suspect product
0% of all reports · about 603 a year
822
reports, 12 months to June 2026
830 in the 12 months before
23.1%
marked serious by the reporter
70.7% across the class
2.3%
record death among outcomes, as reported
144 reports · not verified by FDA

6,176 adverse event reports received by FDA list the brand name Vraylar (cariprazine) as a suspect or interacting product, from April 2016 to June 2026. A further 1,984 reports list it only as a concomitant medication, and those are not counted in the figures on this page.

In the 12 months to June 2026, 822 reports listed it, close to the 830 of the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 603 reports a year and 0% of the 20,646,523 reports in the database, and 0.9% of the reports for the atypical antipsychotic class. How many people take it is not in the data, so a count is not a rate of occurrence.

The MedDRA terms listed most often are off label use (14.4%), akathisia (5.4%) and tardive dyskinesia (5.2%). A report can list several reactions, so shares add to more than 100%; 558 different terms appear across these reports. Off label use is recorded in 14.4% of these reports, a larger share than in the median atypical antipsychotic drug (6.9%).

23.1% of the reports are marked serious by the reporter (70.7% across the class); 2.3% record death among the outcomes and 7.3% record hospitalisation, as reported. 46.9% of the reports came from consumers, and the largest patient age group is 18 to 44 (14%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

Reports by month, five years

0250500Jul 2021: 4Aug 2021: 2Sep 2021: 9Oct 2021: 6Nov 2021: 500Dec 2021: 62022Jan 2022: 5Feb 2022: 9Mar 2022: 10Apr 2022: 6May 2022: 12Jun 2022: 7Jul 2022: 6Aug 2022: 19Sep 2022: 26Oct 2022: 424Nov 2022: 10Dec 2022: 62023Jan 2023: 5Feb 2023: 4Mar 2023: 239Apr 2023: 6May 2023: 21Jun 2023: 162Jul 2023: 61Aug 2023: 71Sep 2023: 83Oct 2023: 85Nov 2023: 55Dec 2023: 492024Jan 2024: 48Feb 2024: 65Mar 2024: 60Apr 2024: 64May 2024: 75Jun 2024: 66Jul 2024: 84Aug 2024: 68Sep 2024: 68Oct 2024: 83Nov 2024: 46Dec 2024: 482025Jan 2025: 52Feb 2025: 63Mar 2025: 82Apr 2025: 72May 2025: 98Jun 2025: 66Jul 2025: 72Aug 2025: 69Sep 2025: 79Oct 2025: 94Nov 2025: 70Dec 2025: 442026Jan 2026: 42Feb 2026: 84Mar 2026: 71Apr 2026: 73May 2026: 67Jun 2026: 57

Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

By year received

04318612016: 11420162017: 2662018: 31920182019: 7182020: 76720202021: 5812022: 54020222023: 8412024: 77520242025: 8612026: 3942026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Vraylar reports recording the termmedian drug in atypical antipsychotic

  1. Off label useused for a purpose or in a way not on the label14.4%888
  2. Akathisiainner restlessness and an urge to move5.4%332
  3. Tardive dyskinesiainvoluntary repetitive movements5.2%320
  4. Weight increasedweight gain5.1%315
  5. Tremorshaking4.2%258
  6. Anxietyanxiety3.8%236
  7. Drug ineffectivethe medicine did not work as expected3.8%232
  8. Insomniadifficulty sleeping3.7%229
  9. Nauseafeeling sick3.1%192
  10. Suicidal ideationthoughts of suicide3%186
  11. Fatiguetiredness2.7%167
  12. Dizzinesslight-headedness or unsteadiness2.7%164
  13. Restlessnessrestlessness2.5%156
  14. Depressionlow mood2.5%153
  15. Feeling abnormalfeeling odd or not right2.5%153
  16. Mania2.2%138
  17. Somnolencedrowsiness2.1%128
  18. Extrapyramidal disordermovement problems such as stiffness or tremor2%124
  19. Dyskinesiainvoluntary movements1.9%117
  20. Vomitingbeing sick1.8%110
  21. Headachehead pain1.7%108
  22. Vision blurredblurred vision1.7%102
  23. Rashskin rash1.6%101
  24. Agitationrestlessness1.4%86
  25. Deaththe patient died; cause not stated by this term1.3%83
  26. Seizurea fit or convulsion1.3%81
  27. Hallucinationseeing or hearing things that are not there1.3%78
  28. Psychotic disordera loss of contact with reality1.2%72
  29. Dyspnoeashortness of breath1.1%71
  30. Muscle spasmsmuscle cramps1.1%71

Top 30 of 558 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 37 drugs in the atypical antipsychotic class; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Outcomes recorded

Death2.3%144
Life-threatening0.7%45
Hospitalisation (initial or prolonged)7.3%451
Disability1.5%94
Congenital anomaly0.1%4
Other serious15.5%955
Not serious76.9%4,749

Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 683,680 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."

Patients and reporters

Patient age

Under 20%2
2 to 110.4%27
12 to 173.6%225
18 to 4414%867
45 to 649.9%611
65 to 742.9%177
75 and over1.1%71
Age not given67.9%4,196

Patient sex

Female49.8%3,074
Male23.8%1,469
Not given26.4%1,633

Who reported

Physician18.7%1,152
Pharmacist1.5%92
Other health professional32.6%2,013
Lawyer0%1
Consumer or non-health professional46.9%2,897
Not given0.3%21

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 98.8% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Bipolar disorder94415.3%
Bipolar i disorder75312.2%
Major depression61710%
Depression2694.4%
Schizophrenia2093.4%
Anxiety580.9%

The indication field is filled in by the reporter and is often blank; shares are of all 6,176 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Vraylar reports
Lamictal1863%
Seroquel1432.3%
Lithium1272.1%
Abilify1201.9%
Latuda1101.8%
Bupropion hydrochloride1011.6%
Trazodone1001.6%
Gabapentin951.5%
Lexapro921.5%
Adderall861.4%

Other products listed in reports where Vraylar is a suspect product, whatever their own role. Co-listing means the two were recorded together; it says nothing about either product's part in the event. Only the 2,500 most-reported names are counted here.

In context

MeasureVraylarAtypical antipsychoticAll reports
Reports as suspect product6,176683,68020,646,523
Share of that pool—0.9%0%
Reports, latest 12 months822—1,332,454
Marked serious23.1%70.7%57.4%
Death recorded among outcomes, per 1,000 reports2312191
Hospitalisation recorded, per 1,000 reports73304213
Consumer-filed share46.9%34%45.8%
Top term, share of reportsOff label use 14.4%median 6.9%4.1%

Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Other drugs in the atypical antipsychotic class

DrugName typeReportsLatest 12 monthsMarked serious
Clozapinegeneric73,0233,25293.4%
Abilifybrand54,64562558%
Risperdalgeneric54,45488248.4%
Nuplazidbrand53,7539,60250.6%
Quetiapinegeneric52,3884,19097.6%
Seroquelbrand52,27226562.9%
Clozarilbrand47,9143,08898.4%
Olanzapinegeneric46,8374,08795.3%
Risperidonegeneric44,9622,51176.9%
Aripiprazolegeneric30,1453,10287.8%
Zyprexabrand26,46912178.4%
Invega Sustennabrand23,6481,51335.8%
Quetiapine fumarategeneric19,5681,69790.7%
Invegabrand16,67223835.5%
Latudabrand16,08518340.7%

Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." A brand and its generic are separate rows because reporters name them separately.

Questions about Vraylar reports

How many adverse event reports has FDA received for Vraylar?

6,176 reports list Vraylar as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 822 of them arrived in the latest 12 months. Another 1,984 list it only as a concomitant medication.

What reactions are recorded in Vraylar reports?

off label use (14.4%), akathisia (5.4%), tardive dyskinesia (5.2%), weight increased (5.1%) and tremor (4.2%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Vraylar was responsible.

How serious are the reports?

23.1% are marked serious by the reporter. Among the outcomes recorded, 2.3% of reports include death and 7.3% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.

Who files these reports?

consumer or non-health professional (46.9%), other health professional (32.6%) and physician (18.7%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Vraylar rising?

822 reports in the 12 months to June 2026, close to the 830 of the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.

Do these reports show that Vraylar was responsible for these reactions?

No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.

Is this a list of the side effects of Vraylar?

No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.

How do I report an adverse event?

Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Vraylar as a suspect or interacting product; reports listing it only as a concomitant medication (1,984) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.