hi. vraylar is very new, so there isn't a whole lot of data out there on it, and what is available is (predictably...) funded by the drug maker.

have you tried any of the older tranquilizers? not an ideal solution, but in big studies w/ people diagnosed with Schizophrenia, perphenazine (Trilafon, I think) was almost as effective as zyprexa w/o the metabolic problems. I also think the perphenazine caused less sedation, and the cost is very low (perphenazine has been around since the 50s). loxapine is another older tranquilizer that many people tolerate well, as long as the dose is kept low(ish). EPS, TD, akathisia, etc. can be more of an issue with the older drugs, but it seems that --all-- tranquilizers cause these adverse effects, and a lot of it has to do with the individual drug (probably a good idea to avoid Haldol or Prolixin, for instance) and individual susceptibility.

I hope things get better for you.