Shipping with this method takes 3-5 days
Order Rexulti Online for Depression Adjunct or Schizophrenia
$155.99
Secure Encrypted Payments
What Rexulti Is and How It Works
Rexulti (brexpiprazole) is an oral atypical antipsychotic. It is used in adults for schizophrenia and as add-on therapy for major depressive disorder (MDD). In the United States, it is also approved for agitation associated with dementia due to Alzheimer’s disease. Rexulti is taken once daily, with or without food.
Brexpiprazole modulates dopamine and serotonin. It is a dopamine D2 and serotonin 5-HT1A partial agonist and a 5-HT2A antagonist. This balanced activity can help stabilize mood, reduce psychotic symptoms, and improve depressive symptoms when combined with an antidepressant.
YouDrugstore is a licensed Canadian pharmacy in Manitoba that meets Canadian pharmacy standards. We coordinate sourcing and shipment through vetted partner pharmacies, and prescriptions are checked by licensed pharmacists before dispensing. You can order brand medicines at Canadian prices and also shop OTC products online or by phone.
We partner only with licensed, audited international pharmacies and distributors so you receive authentic brand medications, ample selection, and fair pricing.
Dosage and Usage
Dosing is individualized by the prescriber. Typical schedules include:
- Adjunctive MDD: start 0.5 mg to 1 mg once daily. Increase by 0.5 mg to 1 mg at weekly intervals to 2 mg once daily. Some patients may use up to 3 mg once daily.
- Schizophrenia: start 1 mg once daily. Increase to 2 mg on day 4, then 4 mg on day 8 as tolerated. Usual range is 2 mg to 4 mg once daily; maximum 4 mg once daily.
- CYP interactions: reduce dose with strong CYP2D6 or CYP3A4 inhibitors; increase dose may be needed with strong CYP3A4 inducers. Poor CYP2D6 metabolizers may need lower doses.
- Missed dose: take when remembered unless the next dose is near. Do not double doses. Discuss repeated misses with the prescriber.
Storage and travel:
- Store at 20-25 C (68-77 F) in a dry place. Keep tablets in the original bottle with the label.
- When you travel, carry your medication in hand luggage. Avoid heat and direct sunlight.
- Keep out of reach of children and pets.
Benefits and Savings
Rexulti can reduce positive and negative symptoms of schizophrenia and support functioning. As an add-on in MDD, it may improve response when antidepressant benefit is incomplete. Many people find once-daily dosing simple, and it does not require food.
Compared with some antipsychotics, brexpiprazole may cause less akathisia than aripiprazole for some patients, and it is generally weight neutral to moderate. Individual responses vary.
Buying through YouDrugstore often means paying Canadian prices, with typical savings of 60-80 percent versus many US retail prices. You can choose multi-month supplies when appropriate, which can lower the per-month cost. We also offer friendly customer-service chat during posted office hours, and reorder reminders are available on request.
Side Effects and Safety
Common side effects:
- Headache, dizziness, fatigue, or sleepiness
- Nausea, constipation, dry mouth, or upset stomach
- Akathisia (restlessness) or tremor
- Weight gain and increased appetite
Metabolic changes can occur with atypical antipsychotics:
- Increased blood sugar, cholesterol, or triglycerides
- Increased weight over time
Serious effects are less common but require urgent care:
- Neuroleptic malignant syndrome (fever, muscle rigidity, confusion, fast heartbeat)
- Tardive dyskinesia (uncontrolled facial or body movements)
- Severe allergic reaction, severe rash, or swelling
- Orthostatic hypotension, fainting, or seizures
- Stroke risk in elderly patients with dementia-related psychosis
Boxed warnings apply to this class. Antidepressants increase the risk of suicidal thoughts and behaviors in children, adolescents, and young adults. Antipsychotics increase mortality in elderly patients with dementia-related psychosis. Rexulti is not approved for dementia-related psychosis in many regions; in the US it is approved only for agitation associated with Alzheimer’s dementia, with warnings.
Use caution with alcohol or sedating medicines. Tell the prescriber about all medicines, including fluoxetine, paroxetine, quinidine, ketoconazole, rifampin, carbamazepine, and St. John’s wort, as dose changes may be needed. Discuss pregnancy, plans to become pregnant, and breastfeeding with the prescriber.
Onset Time
Some patients with schizophrenia notice early symptom relief within one to two weeks, with steadier improvements over several weeks. As add-on therapy in MDD, partial benefit may appear within one to two weeks, while fuller effect can build over four to six weeks or longer. Individual timelines vary.
Compare With Alternatives
Rexulti is often compared with other second-generation antipsychotics. Abilify (aripiprazole) is also a D2 partial agonist. It can be more activating for some people and may have a higher rate of akathisia. Dosing ranges differ, and many patients tolerate both well.
Latuda (lurasidone) is another option for schizophrenia and bipolar depression. It must be taken with food (at least 350 calories) for proper absorption. Latuda tends to be weight neutral but can cause akathisia or nausea.
Choice depends on diagnosis, prior response, side effect profile, drug interactions, and cost. The prescriber will determine the best option for each patient.
Combination Therapy
For MDD, Rexulti is used with an antidepressant such as an SSRI or SNRI. It may also be combined with mood stabilizers for certain cases, based on the prescriber’s plan. For agitation in Alzheimer’s dementia (US), treatment should be as short as needed, with close monitoring.
Drug interactions matter. Strong CYP2D6 or CYP3A4 inhibitors raise brexpiprazole levels, while strong CYP3A4 inducers lower them. Dose adjustments are often required. Caution is advised with benzodiazepines, opioids, and other sedatives due to additive drowsiness. Avoid unnecessary overlap with other dopamine-blocking drugs to reduce the risk of extrapyramidal symptoms.
Patient Suitability and Cost-Saving Tips
Rexulti may suit adults with schizophrenia who need once-daily dosing and a balanced side effect profile, or adults with MDD who need adjunctive therapy after a partial antidepressant response. Weight gain can occur, but it is often modest. Those sensitive to akathisia should be monitored during dose increases. There is no widely available true generic in many markets; the active ingredient is brexpiprazole.
Save on costs by choosing longer fills when appropriate and by using reorder reminders so refills stay on track. For current deals and bulk options, see our rexulti coupon information. You can explore condition pages such as Major Depressive Disorder and Schizophrenia to learn more about related therapies and support topics.
For background on class effects and practical tips, you may find these articles helpful: Abilify Side Effects What To Watch For And How To Manage and Abilify Medication Uses Dosage And Safety Tips. While they focus on a different drug, many safety themes apply across atypical antipsychotics.
Authoritative Sources
See the manufacturer’s site for the latest details: Rexulti US Product Website.
Official prescribing information is available here: FDA Prescribing Information for Brexpiprazole.
For Canadian information, consult Health Canada’s database: Health Canada Drug Product Database: Rexulti.
When you are ready, place your order on YouDrugstore. We coordinate fulfillment through licensed partner pharmacies and provide prompt, express, cold-chain shipping as needed. Our team is here to help with ordering and follow-up questions about your shipment.
This content is for general information only and does not replace advice from a qualified healthcare professional. Always follow the prescriber’s directions and the current product information for your region.
Express Shipping - from $25.00
Prices:
- Dry-Packed Products $25.00
- Cold-Packed Products $35.00
Shipping Countries:
- United States (all contiguous states**)
- Worldwide (excludes some countries***)
Standard Shipping - $15.00
Shipping with this method takes 5-10 days
Prices:
- Dry-Packed Products $15.00
- Not available for Cold-Packed products
Shipping Countries:
- United States (all contiguous states**)
- Worldwide (excludes some countries***)
What is Rexulti used for?
Rexulti (brexpiprazole) is used in adults for schizophrenia and as an add-on treatment for major depressive disorder when an antidepressant alone is not enough. In the US, it is also approved for agitation associated with dementia due to Alzheimer’s disease. Uses may vary by country, so follow local product information.
How long does Rexulti take to work?
Some people notice early improvements within one to two weeks. More consistent benefits often build over several weeks. As an add-on for depression, fuller effects may take four to six weeks. Timelines vary by dose, diagnosis, and individual factors. Continue only under a prescriber’s guidance and do not change doses without approval.
What is the usual Rexulti dosage?
For adjunctive MDD, many start at 0.5 to 1 mg daily and titrate to 2 mg, with some using up to 3 mg daily. For schizophrenia, typical dosing ranges from 2 to 4 mg once daily, with 4 mg as the usual maximum. The prescriber sets the exact dose based on response and tolerability.
Does Rexulti cause weight gain or akathisia?
Weight gain can occur and is often modest, but some may gain more. Akathisia (restlessness) can also happen, especially during titration. Report troubling symptoms to the prescriber. Lifestyle measures and dose adjustments may help. Regular monitoring of weight and metabolic labs is recommended with atypical antipsychotics.
Is there a generic for Rexulti?
The active ingredient is brexpiprazole. In many markets, a true generic is not widely available yet. Availability may change after patent and exclusivity periods end. Check current options when you buy Rexulti online, and consider multi-month supplies to reduce per-month costs if approved by the prescriber.
Can I buy Rexulti online without insurance?
Yes. Many people order Rexulti online without insurance to access Canadian pricing. YouDrugstore coordinates fulfillment through licensed partner pharmacies and offers discreet delivery. A valid prescription is required. Ask about longer fills to lower the monthly cost, and check the promotions page for current deals.