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Rexulti® Tablets for Schizophrenia and Depression
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Rexulti contains brexpiprazole, an atypical antipsychotic for adults with schizophrenia or as an add-on for major depression. This page explains how it works, who it may suit, and key safety points. We also show rexulti price without insurance so you can compare options with US delivery from Canada.
What Rexulti Is and How It Works
Rexulti® is an atypical antipsychotic. It helps balance brain signaling by partially stimulating dopamine D2 and serotonin 5-HT1A receptors while blocking certain serotonin 5-HT2A receptors. This combined activity may reduce hallucinations, delusions, and disorganized thinking in schizophrenia, and it can enhance response to antidepressants in major depressive disorder.
YouDrugstore is a licensed Canadian pharmacy in Manitoba. Pharmacists review prescriptions before dispensing.
This medicine is taken by mouth once daily. It can be used alone for schizophrenia or alongside an antidepressant for adults with persistent depressive symptoms. Effects can vary by person, and dosing is individualized by your prescriber based on response and tolerability.
Who It’s For
This treatment is approved for adults with schizophrenia. It is also approved as adjunctive therapy to an antidepressant for adults with major depressive disorder who need additional symptom control. It is not approved for behavioral problems in older adults with dementia-related psychosis.
People with a known allergy to brexpiprazole should not take it. Tell your clinician about a history of seizures, diabetes, high cholesterol, weight gain, low white blood cell counts, liver or kidney issues, or fainting. If you live with Schizophrenia or Depression, your prescriber will decide if this therapy fits your plan.
Dosage and Usage
Brexpiprazole is taken once daily, with or without food. Your prescriber usually starts low and adjusts gradually. Follow the exact directions on your prescription label. Do not change your dose or stop suddenly without medical guidance.
Take it at the same time each day to build a routine. Swallow tablets whole with water. If you miss a few days, contact your healthcare professional before restarting.
Some people ask about rexulti cost when discussing therapy. Pricing concerns are understandable, but dosing decisions should always follow the official label and your prescriber’s judgment.
Strengths and Forms
Tablets are typically available in several strengths for flexible dosing: 0.25 mg, 0.5 mg, 1 mg, 2 mg, 3 mg, and 4 mg. Color and imprint vary by strength and manufacturer. Availability may differ by supply and jurisdiction.
Many compare strengths when budgeting, and searches for rexulti 1 mg price are common. Actual amounts depend on brand or generic selection and the quantity dispensed.
Missed Dose and Timing
If you miss a dose, take it when you remember the same day. If it is almost time for the next dose, skip the missed dose and return to your normal schedule. Do not double up. Setting a reminder on your phone or a weekly pill organizer can help maintain your routine.
Storage and Travel Basics
Store tablets at room temperature in the original bottle, away from moisture and direct light. Keep the cap tightly closed. Place medicines out of reach of children and pets. For travel, pack your prescription in your carry-on with the label intact. Bring a copy of your prescription and your prescriber’s contact details. If you cross time zones, keep your once-daily schedule consistent using your home clock until you can transition safely under medical advice.
Pen Handling and Sharps Disposal
This product is an oral tablet. No pens, needles, or sharps containers are required.
Benefits
This medicine can help reduce positive and negative symptoms of schizophrenia when used as directed. As an add-on to an antidepressant, it may improve mood, energy, and overall functioning in major depressive disorder. Once-daily dosing supports adherence. The treatment offers multiple strengths, giving prescribers flexibility to tailor therapy.
Side Effects and Safety
- Common effects: restlessness or akathisia, sleepiness or fatigue, headache
- Digestive changes: nausea, constipation, indigestion
- Metabolic effects: appetite changes or weight gain
- Dizziness or lightheadedness, especially when standing up
Serious but less common risks include high blood sugar, increased cholesterol or triglycerides, low white blood cell counts, seizures, trouble controlling body temperature, and difficulty swallowing. Tardive dyskinesia and neuroleptic malignant syndrome can occur and require urgent care. There is a boxed warning for increased risk of suicidal thoughts and behaviors in younger patients taking antidepressants. There is also an increased risk of death in older adults with dementia-related psychosis treated with antipsychotics. If you develop fever, muscle stiffness, severe confusion, or uncontrollable movements, seek immediate medical attention.
Drug Interactions and Cautions
Brexpiprazole is metabolized mainly by CYP3A4 and CYP2D6 enzymes. Strong inhibitors (such as ketoconazole, clarithromycin, or some HIV medicines) and strong inducers (such as rifampin or certain seizure medicines) can affect levels. Some antidepressants, including fluoxetine or paroxetine, may also interact. Alcohol and sedatives can increase drowsiness and impair judgment. Always tell your prescriber and pharmacist about all medicines, vitamins, and herbal products you use.
Stand up slowly to reduce dizziness. Monitor blood sugar if you have diabetes or risk factors. Report any new or worsening mood changes, agitation, or unusual urges. Decisions about dose changes or monitoring should follow the official label and your clinician’s advice.
What to Expect Over Time
Some people notice early changes in sleep, energy, or agitation before broader symptom improvements. Mood and thought symptoms often improve gradually with steady use. Keep regular follow-ups so your healthcare professional can evaluate benefits and side effects and adjust your plan if needed. If you prefer to pay cash for rexulti, budget for refills so adherence stays consistent.
Healthy routines can support your treatment plan: consistent sleep, regular meals, light exercise if approved, and a structured daily schedule. If doses are missed, you may feel less stable. A pillbox, calendar, or phone alert can help maintain continuity.
Compare With Alternatives
Several atypical antipsychotics are used for similar conditions. Lurasidone may be chosen for specific metabolic considerations; see Latuda. Another option is the long-standing second-generation agent Risperidone. Each has unique profiles for sedation, movement effects, and metabolic changes. Your prescriber will weigh your history, current medicines, and goals when selecting therapy.
Pricing and Access
We list Canadian pricing for both brand and selected generics when available. You can review options with US shipping from Canada and choose the quantity that fits your plan. If you use coupons, see our current Promotions. Checkout is secure with encrypted processing.
Many people compare brexpiprazole price against other atypical antipsychotics. Actual amounts vary by strength, manufacturer, and quantity. After your prescriber sends a valid prescription, you can buy rexulti tablets through YouDrugstore and track your order from your account. For budget planning, consider multi-bottle quantities when appropriate and confirm your prescriber’s refills.
Availability and Substitutions
Supply can vary by strength and manufacturer. If a specific tablet is unavailable, your prescriber may recommend an alternative strength, a different manufacturer, or a comparable antipsychotic. Pharmacists may dispense an approved generic when appropriate, based on your prescription and local regulations. We cannot guarantee restock dates, but we will show current availability on the product page.
Patient Suitability and Cost-Saving Tips
This medicine may suit adults who need once-daily treatment with a flexible dosing range and who can attend regular monitoring. It may not be right for people with certain medical conditions or those taking interacting medicines. Ask your prescriber about metabolic monitoring, movement side effects, and mood checks during treatment.
To help with costs, ask about generics when available, review per-month supply options, and schedule refills before you run out. Some patients look up rexulti monthly cost to plan budgets. You can also set refill reminders in your account. If you use insurance, confirm plan coverage and any prior authorization requirements with your provider.
Questions to Ask Your Clinician
- How could this medicine help my current symptoms and daily functioning?
- What signs should I watch for that mean I need a check-in?
- Do my other medicines interact with brexpiprazole or increase side effect risks?
- What monitoring is recommended for weight, glucose, or cholesterol?
- If I miss a dose, what’s the safest way to get back on track?
- Could an alternative antipsychotic better fit my health history?
Authoritative Sources
US Prescribing Information (Rexulti)
Health Canada Drug Product Database
Storage and Travel Extras
Keep the bottle dry and tightly closed. Do not store in a bathroom. If traveling, pack extra doses in case of delays and keep a simple medication list. Bring emergency contacts and your pharmacy details. If temperatures may be high, use a small insulated pouch to avoid heat exposure.
Learn More
For broader education, see Mental Health resources and articles such as What Is Schizophrenia and Psychosis And Antipsychotics to better understand conditions, therapies, and support.
When you are ready, add your prescription and proceed to checkout. Choose prompt, express shipping with temperature-controlled handling when required. Ships from Canada to US. This information is not a substitute for medical advice; always follow your prescriber and the official label.
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How does Rexulti work in the brain?
Rexulti is an atypical antipsychotic that modulates dopamine and serotonin activity. It partially stimulates dopamine D2 and serotonin 5‑HT1A receptors while blocking 5‑HT2A receptors. This balance can help reduce hallucinations, delusions, and disorganized thinking in schizophrenia. As an adjunct to antidepressants, it may enhance mood response in major depressive disorder. Effects vary by person, and dose adjustments are guided by your prescriber based on response and tolerability.
Can Rexulti be used with an antidepressant?
Yes. For adults with major depressive disorder who have an inadequate response to an antidepressant, Rexulti can be added as adjunctive therapy. Your clinician will consider your current antidepressant, other medicines, and health history before recommending it. Monitoring for side effects and mood changes is important, especially during dose changes. Report agitation, restlessness, or worsening depression promptly to your healthcare professional.
What are common side effects of Rexulti?
Common effects include akathisia or restlessness, sleepiness, headache, dizziness, and digestive changes such as nausea or constipation. Appetite changes and weight gain can also occur. Less common but more serious risks include high blood sugar, movement disorders like tardive dyskinesia, and neuroleptic malignant syndrome. If you notice severe stiffness, fever, confusion, or uncontrollable movements, seek urgent medical attention and contact your prescriber.
How long does it take to notice benefits?
Responses vary. Some people notice early changes in sleep or energy first. Thought disturbances and mood symptoms often improve gradually with consistent daily use. Your prescriber will assess progress during follow-ups, which may lead to dose adjustments. Keep taking your medicine as directed and do not stop suddenly without medical advice. If side effects are troublesome, discuss options to manage them with your clinician.
What should I do if I miss a dose?
If you miss a dose, take it when you remember that same day. If it’s close to your next scheduled dose, skip the missed dose and return to your usual time. Do not take two doses at once. Setting phone reminders or using a weekly pill organizer can help prevent future missed doses. If you miss several days, contact your prescriber for guidance before restarting.
Is there a generic for Rexulti?
Brexpiprazole is the active ingredient in Rexulti. In some markets, generic brexpiprazole tablets may be available. Availability can vary by strength and manufacturer. Your pharmacist can tell you whether a generic is in stock and whether it can be substituted based on your prescription and local regulations. Ask your prescriber if a generic option is appropriate for you.
Can I drink alcohol while taking Rexulti?
Alcohol can increase sleepiness and impair judgment when combined with antipsychotics, including Rexulti. This combination may also worsen dizziness or orthostatic hypotension. Many clinicians recommend avoiding alcohol or limiting intake. If you choose to drink, discuss a safe plan with your healthcare professional, considering your medicines, health history, and any sedation you experience.
