Went to see a new doctor about my anxiety. I’ve tried many SSRI’s, SNRI’s etc. She wants to try me on Vraylar. I’ve been reading a lot online and I’m confused since I don’t have bipolar and seems Vraylar is for that. Anyone talking it for anxiety?
Anybody taking Vraylar for anxiety?
Question posted by Blessed1979 on 27 May 2021
Last updated on 3 February 2023
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4 Answers
There are many medications out there for other things than just what it says it’s for. Vraylar is a mood stabilizer not just for bipolar. It is for depression, anxiety, as well as other diagnoses. I have a lot of patients on this medication and are doing excellent without side effects. It is worth a try. Just because side effects are listed doesn’t mean you will have them. During trials if 1 person has a symptom, even if unrelated, it has to be listed as a side effect. A lot of my patients take it for anxiety and it helps them.
Just curious about what ended up happening with you. Did you take Vraylar and if so, was it by itself or added on to an SSRI or SNRI? Augmentation of an SSRI or SNRI with an antipsychotic is not uncommon; antipsychotic (e.g., Vraylar) monotherapy approach is less common for anxiety. I wanted to say, though, that even Vraylar by itself might've been a relevant option based on your psychiatrist's knowledge and experience.
A diagnosis is not the totality of your symptoms; it's not just possible - but probable - that you have symptoms which fall outside of the GAD diagnostic criteria/symptoms and your doctor may have seen Vraylar as a good treatment for your specific case.
For example, I was reviewing my medical records from years ago and in his notes, my doctor stated that my social anxiety had features of OCD and generalized anxiety and, therefore, a diagnosis of "Anxiety Disorder, NOS" (not otherwise specified) would be reasonable and he discussed the OCD-like nature of my anxiety with me. As an aside: I actually believed for a while that I had a diagnosis of OCD and told subsequent doctors that I had received such a diagnosis. Turns out, I did not. I'm sure the doctor didn't mislead me, it's just that doctors rarely explain the nuts and bolts of how they assess their patients (I learned this from supervisors in my own medical training). Nevertheless, his assessment that I had features of OCD warranted adjustment of my medication regimen in order to treat those symptoms. My doctor accomplished this by choosing a specific medication at a specific dose - Zoloft because it treats all three disorders, and a high dose of it because higher doses are needed when treating OCD.
In your case, on top of the generalized anxiety disorder, you might have features of other anxiety disorders (e.g., social anxiety, OCD, specific phobia) or mood disorder; features, but not all the criteria for a full diagnosis. Based on the totality of your symptoms, and their understanding of Vraylar's labeled and off-label uses, your doctor may have considered Vraylar a good fit for you.
P.S. Health organizations review the literature with varying frequency and issue guidelines for the treatment of conditions, which, along with their clinical experience, guides their decision-making. I Googled "generalized anxiety disorder guidelines" and the first result was from the American Academy of Family Physicians (likely because they released new guidelines this year).
I am shocked your doctor would want to subject you to such a potent drug with so many side effects for anxiety. It actually spiked my anxiety up so badly! I can not even drink caffeine anymore, still cant and I stopped taking Vraylar 11 days ago. It has a very long half life so it takes a long time to get out your system which means you can develop side effects even after you stop this medication. I take gabapentin for anxiety, it used to help me before I started the Vraylar. Good luck, and I hope you consider the side effects. Antipsychotics are potent drugs.
Thank you for sharing! I’m really scared to take it. I’m going to try Pristiq instead for now. What is gabapentin?
Oh you are so welcome and I am so glad to hear your not going on that! I have been off from Vraylar for a little over 4 months and I still can not drink caffeine! That drug was crazy, I know some people that it changed their lives for the best, but I wouldn't touch that drug with a ten foot pole especially for anxiety. Vraylar is meant for people who are schizophrenic and I feel like they have pushed it for other things because its a very expensive drug and we all know that BIG PHARMA is about money ultimately. Gabapentin is technically an anticonvulsant; however my psychiatrist has actually compared it to xanax as far as the calming effects. It helps me so much. I have lowered myself down to 400mg twice/day and 800mg at night, but at one point I was taking 1100mg 3x/day with minimal side effects other than feeling calm, maybe a tad tired but nothing that I couldn't cope with. Good luck and I hope that you can manage your anxiety, I used to have it so bad, gabapentin honestly did change my life... I know everyone is different but that is my experience :)
@Blessed, also Gabapentin is not a drug that you have to wait for weeks for it to work, it worked immediately!
It’s not any more potent than any other drug. As a matter of fact, it’s less potent than the older drugs. Old antipsychotics are potent, new ones are significantly better. Vraylar is also a mood stabilizer. It doesn’t work well with everyone but for many, it is excellent.
Hi, Blessed!
Many medications are prescribed off label for uses besides the standard ones. It doesn't mean that you're Bipolar or need to be.
There have been some recent studies that suggest that Vraylar may be helpful in treating anxiety disorders. I am Bipolar and Vraylar was prescribed for me for that reason but I've found that along with buspirone it's really helped with my anxiety.
It's probably worth a try since the standard medications haven't worked for you.
Best regards and good luck to you.
I've been taking Vraylar for nearly 4 years now without any significant short- or long-term side effects or adverse events. I'd highly recommend that you follow your doctor's advice and give it a try. It's not a horror show for most people and has been shown to be effective in many cases.
Related topics
bipolar disorder, anxiety, generalized anxiety disorder, fear, doctor, ssri, serotonin-norepinephrine reuptake inhibitors, vraylar
Further information
- Vraylar uses and safety info
- Vraylar prescribing info & package insert (for Health Professionals)
- Side effects of Vraylar (detailed)
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