@Moose72
Sorry about the lip puckering/tongue movements thing. I hope it doesn't get worse for you. I have tongue movements and mouth twitches on Seroquel, but luckily for me that's as bad as it's gotten, but yeah, the tongue movements I have are pretty much constant, the twitches every 20-30 sec, but I've taken Seroquel for most of the past 10-15 yrs, I don't really pay much attention to it now. The mouth twitches are minor, so that if you're not really looking for it you might not notice. There have been periods I've been off Seroquel, and the tongue & mouth movements have gone away. I don't really love it but since Seroquel seems to work best for my manic symptoms (and not to mention sleep), I put up with it. At this point, I'm so used to it, I don't notice it most of the time.

I hope things keep manageable/tolerable for you. Has the Vraylar helped your hypomania any?