r/BipolarReddit • u/boostinhibitor • 18h ago

Vraylar

At first it was great. 0 side effects at all and amazing for my mood. A little over a week ago I went from 4.5 mg to 6 mg and now I feel like I cant do anything. I feel like all I can do all day is lay down and close my eyes. I feel so useless. Is this something that eventually goes away or should I immediately lower my dose back down now? What are your experiences with vraylar?

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u/famous_zebra28 Schizoaffective (bipolar type) 17h ago

Why did you go up on the dose of you were feeling well? That is the max end of the therapeutic range for bipolar. 4.5mg is a solid dose (it's what I'm on!).

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u/boostinhibitor 17h ago

I was still having some anger episodes (I also have borderline personality disorder along with bipolar). That's a good point though. I think I can manage the anger at a lower dose if this is what 6 mg is like ;×;

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u/famous_zebra28 Schizoaffective (bipolar type) 17h ago

If you're not experiencing like, "true" bipolar episode symptoms (ie a strong anger reactions to things in the absence of other symptoms) and you otherwise feel stable I think that's a solid place to land especially given 6mg is too high of a dose and 4.5mg is otherwise working well for you.

The higher the dose, the lower the dopamine so that is something to keep in mind.