How long have you been on this dose ? Sometimes those side effects wear off if you give it a bit of time. Maybe you just need to stay at a lower dose. I personally couldn't handle rexulti at anything but a very low dose, every time I tired to go up I went right back down to the lower dose. I would definitely call your pdoc as soon as you can ! Good luck I know how discouraging it can be to find a medication that finally helps and then experience bad side effects from it.