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How long does it take for Vraylar (cariprazine) to work?

Medically reviewed by Kristianne Hannemann, PharmD. Last updated on March 25, 2025.

Official answer

by Drugs.com

Vraylar (cariprazine) works gradually, with symptom improvement occurring over several weeks. While some effects may be noticeable early on, full benefits typically take longer to develop. Individual responses vary, and some symptoms may not completely resolve.

Vraylar is an atypical antipsychotic used in the treatment of schizophrenia, the acute treatment of manic or mixed episodes associated with bipolar I disorder, the treatment of depressive episodes associated with bipolar I disorder, and as an adjunctive therapy to antidepressants for the treatment of major depressive disorder (MDD).

How Long Does Vraylar Take To Work For Schizophrenia?

  • 1–2 weeks: Possible improvements in hallucinations, disorganized thinking, and delusions. Increased motivation and social engagement may also occur.
  • After 2 weeks: patients may feel more motivated and have a greater desire to be around other people.
  • 6 weeks: Clinical trials show a significant reduction in schizophrenia symptoms compared to placebo.
  • 8–12 weeks: Patients typically experience the full therapeutic effect.

Related questions

How Long Does Vraylar Take To Work For Manic or Mixed Episodes (Bipolar I Disorder)?

  • 3 weeks: Patients in clinical trials reported significant symptom reduction compared to placebo.

How Long Does Vraylar Take To Work For Depressive Episodes (Bipolar Depression)?

  • 4–6 weeks: Clinical trials found that patients taking 1.5 mg Vraylar experienced notable symptom relief compared to placebo.

How Long Does Vraylar Take To Work As An Add-On Treatment for Major Depressive Disorder (MDD)?

  • 6–8 weeks: Patients using Vraylar alongside an antidepressant showed greater improvement in depression symptoms than those taking an antidepressant alone.

Since individual responses may vary, consult your healthcare provider if you have concerns about your progress on Vraylar.

References

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How does Vraylar compare with Seroquel?

Vraylar and Seroquel are both oral prescription medicines known as atypical antipsychotics. They treat the mental health conditions schizophrenia and bipolar disorder. Vraylar is also approved to treat Major Depressive Disorder (MDD). They work by changing the actions of chemicals in your brain to help stabilize thoughts, actions and moods. Continue reading

Do Vraylar (cariprazine) side effects go away?

Most side effects with Vraylar will subside with time after your body has become used to the medicine. However, some side effects can be serious, have long-lasting effects or be irreversible. Speak to your doctor for medical advice if you have side effects that concern you with Vraylar or any other medication. Continue reading

Does Vraylar (cariprazine) cause weight gain?

Vraylar (cariprazine), like other atypical antipsychotic drugs, can cause metabolic changes that cause weight gain. However, weight gain is less of a troublesome side effect of Vraylar than it is of some other antipsychotics. Continue reading

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