The starting dose of Vraylar is 1.5 mg once daily. Vraylar may interact with CYP3A4 inducers and inhibitors. Tell your doctor all medications and supplements you use. There is a pregnancy exposure registry that monitors pregnancy outcomes in women exposed to Vraylar during pregnancy. Talk to your doctor about the National Pregnancy Registry for Atypical Antipsychotics. Vraylar causes extrapyramidal and/or withdrawal symptoms in neonates with third trimester exposure. It is unknown if Vraylar passes into breast milk. Consult your doctor before breastfeeding.