Generic Name: lurasidone (loo RAS i done)
Brand Names: Latuda

What is Latuda?

Latuda (lurasidone) is an antipsychotic medication. It works by changing the effects of chemicals in the brain.

Latuda is used to treat schizophrenia in adults. It is also used to treat depression associated with bipolar I disorder.

Latuda may also be used for purposes not listed in this medication guide.

Important information

Latuda is not for use in psychotic conditions related to dementia. Latuda may cause heart failure, sudden death, or pneumonia in older adults with dementia-related conditions. You should not use Latuda if you are allergic to lurasidone, or if you are also using ketoconazole (Extina, Ketozole, Nizoral, Xolegal) or rifampin (Rifater, Rifadin, Rifamate).

Before you take Latuda, tell your doctor if you have liver disease, kidney disease, heart disease, high blood pressure, heart rhythm problems, a history of heart attack or stroke, high cholesterol or triglycerides, low white blood cell (WBC) counts, seizures, diabetes, Parkinson's disease, trouble swallowing, or a history of breast cancer or suicidal thoughts.

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While you are taking Latuda, you may be more sensitive to temperature extremes such as very hot or cold conditions. Avoid getting too cold, or becoming overheated or dehydrated. Drink plenty of fluids, especially in hot weather and during exercise. It is easier to become dangerously overheated and dehydrated while you are taking Latuda.

Latuda may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert. Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Get up slowly and steady yourself to prevent a fall.

Drinking alcohol can increase certain side effects of Latuda. Stop using Latuda and call your doctor at once if you have very stiff (rigid) muscles, high fever, sweating, confusion, fast or pounding heartbeats, feeling like you might pass out, tremors, or twitching or uncontrollable movements of your eyes, lips, tongue, face, arms, or legs.

There are many other drugs that can interact with Latuda. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor. Keep a list of all your medicines and show it to any healthcare provider who treats you.

Before taking this medicine

Latuda is not for use in psychotic conditions related to dementia. Latuda may cause heart failure, sudden death, or pneumonia in older adults with dementia-related conditions. You should not use Latuda if you are allergic to lurasidone, or if you are also using ketoconazole (Extina, Ketozole, Nizoral, Xolegal) or rifampin (Rifater, Rifadin, Rifamate).

To make sure you can safely take Latuda, tell your doctor if you have any of these other conditions:

  • liver disease;
  • kidney disease;

  • heart disease, high blood pressure, heart rhythm problems;

  • a history of heart attack or stroke;

  • high cholesterol or triglycerides (a type of fat in the blood);

  • low white blood cell (WBC) counts;

  • a history of breast cancer;

  • seizures or epilepsy;

  • personal or family history of diabetes (lurasidone may raise your blood sugar);

  • a history of suicidal thoughts or actions;

  • Parkinson's disease; or

  • trouble swallowing.

Latuda may cause you to have high blood sugar (hyperglycemia). Talk to your doctor if you have any signs of hyperglycemia such as increased thirst or urination, excessive hunger, or weakness. If you are diabetic, check your blood sugar levels on a regular basis while you are taking Latuda.

FDA pregnancy category B. Latuda is not expected to harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether lurasidone passes into breast milk or if it could harm a nursing baby. You should not breast-feed while using Latuda.

See also: Pregnancy and breastfeeding warnings (in more detail)

Do not give this medication to a child without medical advice.

How should I take Latuda?

Take Latuda exactly as prescribed by your doctor. Do not take in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.

Latuda should be taken with food (at least 350 calories).

Use Latuda regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely.

It may take several weeks before your symptoms improve. Keep using the medication as directed and tell your doctor if your symptoms do not improve.

Store Latuda at room temperature away from moisture and heat.

What happens if I miss a dose?

Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include some of the serious side effects listed in this medication guide.

What should I avoid?

While you are taking Latuda, you may be more sensitive to temperature extremes such as very hot or cold conditions. Avoid getting too cold, or becoming overheated or dehydrated. Drink plenty of fluids, especially in hot weather and during exercise. It is easier to become dangerously overheated and dehydrated while you are taking Latuda.

Latuda may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.

Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Get up slowly and steady yourself to prevent a fall.

Drinking alcohol can increase certain side effects of Latuda.

Latuda side effects

Get emergency medical help if you have any of these signs of an allergic reaction to Latuda: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop taking Latuda and call your doctor at once if you have a serious side effect such as:

  • dizziness, fainting, fast or pounding heartbeats;

  • agitation, hostility, confusion, thoughts about hurting yourself;

  • seizure (convulsions);

  • fever, chills, body aches, flu symptoms, sores in your mouth and throat;

  • high blood sugar (increased thirst, increased urination, hunger, dry mouth, fruity breath odor, drowsiness, dry skin, blurred vision, weight loss);

  • very stiff (rigid) muscles, high fever, sweating, confusion, fast or uneven heartbeats, tremors, feeling like you might pass out;

  • trouble swallowing; or

  • twitching or uncontrollable movements of your eyes, lips, tongue, face, arms, or legs.

Less serious Latuda side effects may include:

  • drowsiness;

  • feeling restless;

  • nausea, diarrhea, stomach pain, loss of appetite;

  • blurred vision;

  • weight gain;

  • breast swelling or discharge;

  • missed menstrual periods; or

  • decreased sex drive, impotence, or difficulty having an orgasm.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

See also: Side effects (in more detail)

What other drugs will affect Latuda?

Before you take Latuda, tell your doctor if you regularly use other medicines that make you sleepy (such as cold or allergy medicine, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression, or anxiety). They can add to sleepiness caused by Latuda.

Many drugs can interact with Latuda. Below is just a partial list. Tell your doctor if you are using:

  • bosentan (Tracleer);

  • conivaptan (Vaprisol);

  • dexamethasone (Decadron, Hexadrol);

  • imatinib (Gleevec);

  • isoniazid (for treating tuberculosis);

  • St. John's wort;

  • an antibiotic such as clarithromycin (Biaxin), erythromycin (E.E.S., EryPed, Ery-Tab, Erythrocin), rifapentine (Priftin), or telithromycin (Ketek);

  • antifungal medication such as fluconazole (Diflucan), itraconazole (Sporanox), ketoconazole (Extina, Ketozole, Nizoral, Xolegal), or voriconazole (Vfend);

  • an antidepressant such as nefazodone;

  • heart or blood pressure medication such as diltiazem (Cartia, Cardizem), nicardipine (Cardene), quinidine(Quin-G), verapamil (Calan, Covera, Isoptin, Verelan), and others;

  • HIV/AIDS medicine such as atazanavir (Reyataz), delavirdine (Rescriptor), efavirenz (Sustiva, Atripla), etravirine (Intelence), fosamprenavir (Lexiva), indinavir (Crixivan), nelfinavir (Viracept), nevirapine (Viramune), saquinavir (Invirase), or ritonavir (Norvir, Kaletra);

  • medicines to treat narcolepsy, such as armodafinil (Nuvigil) or modafinil (Progivil); or

  • seizure medication such as carbamazepine (Carbatrol, Tegretol), felbamate (Felbatol), oxcarbazepine (Trileptal), phenobarbital (Solfoton), phenytoin (Dilantin), or primidone (Mysoline).

This list is not complete and other drugs may interact with Latuda. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

Where can I get more information?

  • Your pharmacist can provide more information about Latuda.
  • Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Latuda only for the indication prescribed.
  • Disclaimer: Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2014 Cerner Multum, Inc. Version: 3.04. Revision Date: 2013-10-14, 11:38:23 AM.

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