The Medical Letter on Drugs and Therapeutics
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1493
Cariprazine (Vraylar) for Schizophrenia and Bipolar I Disorder
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The FDA has approved cariprazine (Vraylar – Actavis), an oral, once-daily, second-generation antipsychotic, for treatment of schizophrenia and for acute treatment of manic or mixed episodes associated with bipolar I disorder.

STANDARD TREATMENT — With the exception of clozapine (Clozaril, and others), second-generation antipsychotics are not clearly more effective than first-generation antipsychotics for treatment of schizophrenia, but in usual doses they are much less likely to cause tardive dyskinesia. Clozapine is usually reserved for refractory disease because of its potential for serious toxicity, including seizures and agranulocytosis. Olanzapine (Zyprexa, and generics) may be the most effective of the other second-generation antipsychotics, but it is also the most likely to cause metabolic adverse effects. Patients who do not respond to one antipsychotic may respond ... more      

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Title: Cariprazine (Vraylar) for Schizophrenia and Bipolar I Disorder
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