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Lurasidone Hydrochloride

An atypical antipsychotic for schizophrenia and bipolar depression.

Clinical information

Common uses

  • schizophrenia in adults and adolescents 13-17
  • bipolar depression on its own
  • bipolar depression with lithium or valproate

Common side effects

  • sleepiness
  • restlessness (akathisia)
  • movement problems (extrapyramidal symptoms)
  • nausea
  • weight gain and insomnia (children)

Cautions

  • boxed warning: raised death risk in elderly dementia psychosis
  • boxed warning: suicidal thoughts in young people — monitor closely
  • monitor blood sugar, cholesterol and weight
  • neuroleptic malignant syndrome and tardive dyskinesia can occur

Interactions

  • strong CYP3A4 inhibitors (ketoconazole, clarithromycin, ritonavir) — do not combine
  • strong CYP3A4 inducers (rifampin, phenytoin, carbamazepine) — do not combine
  • St John's wort — do not combine
  • grapefruit and grapefruit juice — avoid
  • moderate inhibitors (diltiazem, erythromycin, fluconazole) — halve the dose

Pregnancy: third-trimester use may cause withdrawal symptoms in newborns

Reference information, not medical advice — always follow your doctor or pharmacist. Source: DailyMed, dailymed.nlm.nih.gov, lurasidone hydrochloride label, setid bceb350e-4b88-4de1-9629-9629365a27a7 (accessed 2026-08-16)

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