acute manic and mixed episodes of bipolar i. full-spectrum relief of all symptoms. with just one pill, once a day. elderly patients with dementia-related psychosis have an increased risk of death or stroke. call your doctor about unusual changes in behavior or suicidal thoughts. antidepressants can increase these in children and young adults. report fever, stiff muscles, or confusion, which may mean a life-threatening reaction, or uncontrollable muscle movements, may be permanent. side effects may not appear for several weeks. metabolic changes may occur. movement dysfunction, restlessness, sleepiness, stomach issues are common side effects. when bipolar i overwhelms, vraylar helps smooth the ups and downs. when bipolar i overwhelms, wwithout it, i cannot write myl tremors wouldname.xtreme. i was diagnosed with parkinson's. i had to retire from law enforcement. it was devastating. one of my medications is three thousand dollars per month. prescription drugs do not work if you cannot afford them. for sixty years, aarp has been fighting for people like larry.