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Lumateperone (Oral)

Oral route(Capsule)

Elderly patients with dementia-related psychosis treated with antipsychotic drugs are at an increased risk of death. Lumateperone is not approved for the treatment of patients with dementia-related psychosis .

Commonly used brand name(s)

In the U.S.

  • Caplyta

Available Dosage Forms:

  • Capsule

Therapeutic Class: Antipsychotic

Uses for lumateperone

Lumateperone is used to treat symptoms of psychotic (mental) disorders, such as schizophrenia. Lumateperone should not be used to treat behavioral problems in elderly patients who have dementia.

Lumateperone is available only with your doctor's prescription.

Before using lumateperone

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For lumateperone, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to lumateperone or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Appropriate studies have not been performed on the relationship of age to the effects of lumateperone in the pediatric population. Safety and efficacy have not been established.

Geriatric

Appropriate studies have not been performed on the relationship of age to the effects of lumateperone in the geriatric population. Safety and efficacy have not been established. However, lumateperone should not be used for behavioral problems in older adults with dementia.

Breastfeeding

There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

Interactions with medicines

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking lumateperone, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using lumateperone with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

  • Abametapir
  • Amprenavir
  • Apalutamide
  • Aprepitant
  • Armodafinil
  • Atazanavir
  • Boceprevir
  • Bosentan
  • Carbamazepine
  • Ciprofloxacin
  • Clarithromycin
  • Cobicistat
  • Conivaptan
  • Crizotinib
  • Cyclosporine
  • Dexamethasone
  • Diltiazem
  • Divalproex Sodium
  • Dronedarone
  • Efavirenz
  • Enzalutamide
  • Erythromycin
  • Eslicarbazepine Acetate
  • Etravirine
  • Fluconazole
  • Fluvoxamine
  • Fosamprenavir
  • Fosnetupitant
  • Fosphenytoin
  • Idelalisib
  • Imatinib
  • Indinavir
  • Itraconazole
  • Ketoconazole
  • Letermovir
  • Lopinavir
  • Lorlatinib
  • Lumacaftor
  • Mitotane
  • Modafinil
  • Nafcillin
  • Nefazodone
  • Nelfinavir
  • Netupitant
  • Nevirapine
  • Nilotinib
  • Oxcarbazepine
  • Phenobarbital
  • Phenytoin
  • Pioglitazone
  • Posaconazole
  • Prednisone
  • Primidone
  • Probenecid
  • Rifabutin
  • Rifampin
  • Rifapentine
  • Ritonavir
  • Saquinavir
  • St John's Wort
  • Telaprevir
  • Telithromycin
  • Valproate Sodium
  • Valproic Acid
  • Verapamil
  • Voriconazole

Interactions with food/tobacco/alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using lumateperone with any of the following is usually not recommended, but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use lumateperone, or give you special instructions about the use of food, alcohol, or tobacco.

  • Grapefruit Juice

Other medical problems

The presence of other medical problems may affect the use of lumateperone. Make sure you tell your doctor if you have any other medical problems, especially:

  • Alzheimer's disease or dementia or
  • Dehydration or
  • Heart attack, history of or
  • Heart failure or
  • Heart or blood vessel disease or
  • Heart rhythm problems or
  • Hypotension (low blood pressure) or
  • Hypovolemia (low amount of blood) or
  • Neuroleptic malignant syndrome, history of or
  • Stroke, history of or
  • Trouble swallowing—May cause side effects to become worse.
  • Diabetes or
  • Dyslipidemia (high cholesterol or fats in the blood) or
  • Hyperglycemia (high blood sugar) or
  • Seizures, history of—Use with caution. May make these conditions worse.
  • Liver disease, moderate to severe—You may need a dose adjustment. Talk with your doctor if you have concerns about this.

Proper use of lumateperone

Take lumateperone only as directed by your doctor. Do not take more of lumateperone and do not take it more often than your doctor ordered.

Take lumateperone with food.

Do not eat grapefruit or drink grapefruit juice while you are using lumateperone. Grapefruit and grapefruit juice may change the amount of lumateperone that is absorbed in the body.

Dosing

The dose of lumateperone will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of lumateperone. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

  • For oral dosage form (capsules):
    • For schizophrenia:
      • Adults—42 milligrams (mg) once a day with food.
      • Children—Use and dose must be determined by your doctor.

Missed dose

If you miss a dose of lumateperone, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Precautions while using lumateperone

It is very important that your doctor check your progress at regular visits to make sure that lumateperone is working properly. Blood tests may be needed to check for unwanted effects.

Lumateperone may increase risk of transient ischemic attack or stroke in elderly patients. Tell your doctor right away if you have confusion, double vision, headache, inability to move the arms, legs, or facial muscles, slow speech, or trouble speaking, thinking, or walking while using lumateperone.

Check with your doctor right away if you have any of the following symptoms while taking lumateperone: convulsions (seizures), difficulty with breathing, a fast heartbeat, a high fever, high or low blood pressure, increased sweating, loss of bladder control, severe muscle stiffness, unusually pale skin, or tiredness. These could be symptoms of a serious condition called neuroleptic malignant syndrome (NMS).

Lumateperone may cause tardive dyskinesia (a movement disorder). Check with your doctor right away if you have any of the following symptoms while taking lumateperone: lip smacking or puckering, puffing of the cheeks, rapid or worm-like movements of the tongue, uncontrolled chewing movements, or uncontrolled movements of the arms and legs.

Lumateperone may increase the amount of sugar in your blood. Check with your doctor right away if you have increased thirst or increased urination. If you have diabetes, you may notice a change in the results of your urine or blood sugar tests. If you have any questions, check with your doctor.

Lumateperone may increase your weight. Your doctor may need to check your weight on a regular basis while you are using lumateperone. Talk to your doctor about ways to prevent weight gain.

Lumateperone can temporarily lower the number of white blood cells in your blood, increasing the chance of getting an infection. If you can, avoid people with infections. Check with your doctor right away if you think you are getting an infection, or if you have a fever or chills, a cough or hoarseness, lower back or side pain, or painful or difficult urination.

Dizziness, lightheadedness, or fainting may occur, especially when you get up suddenly from a lying or sitting position. Getting up slowly may help. If this problem continues or gets worse, check with your doctor.

Lumateperone may cause some people to become dizzy, drowsy, or may cause trouble with thinking or controlling body movements, which may lead to falls, fractures or other injuries. Do not drive or do anything else that could be dangerous until you know how lumateperone affects you.

Avoid activities involving high temperature or humidity. Lumateperone may reduce your body's ability to adjust to the heat.

Tell your doctor if you are pregnant or planning to become pregnant during treatment with lumateperone. Lumateperone may cause extrapyramidal or withdrawal symptoms (eg, agitation, feeding disorder, tremor, unusual drowsiness) in the baby during the third trimester.

If you plan to have children, talk with your doctor before using lumateperone. Some men and women using lumateperone have become infertile (unable to have children).

Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal (eg, St. John's wort) or vitamin supplements.

Lumateperone side effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

Incidence not known

  • Abdominal or stomach pain
  • black, tarry stools
  • blurred vision
  • chest pain
  • confusion
  • convulsions
  • cough or hoarseness
  • double vision
  • dry mouth
  • fast heartbeat
  • fever with or without chills
  • flushed, dry skin
  • fruit-like breath odor
  • general feeling of tiredness or weakness
  • headache
  • high fever
  • inability to move the arms, legs, or facial muscles
  • inability to move the eyes
  • inability to speak
  • increased blinking or spasms of the eyelid
  • increased hunger
  • increased sweating
  • increased thirst
  • increased urination
  • lip smacking or puckering
  • loss of bladder control
  • lower back or side pain
  • nausea
  • numbness or tingling in the face, arms, or legs
  • painful or difficult urination
  • puffing of the cheeks
  • rapid or worm-like movements of the tongue
  • severe muscle stiffness
  • slow speech
  • sore throat
  • sores, ulcers, or white spots on the lips or in the mouth
  • sticking out of the tongue
  • sweating
  • swollen glands
  • tiredness
  • trouble in breathing, speaking, or swallowing
  • trouble thinking or walking
  • uncontrolled chewing movements
  • uncontrolled movements of the arms and legs
  • uncontrolled twisting movements of the neck, trunk, arms, or legs
  • unexplained weight loss
  • unusual bleeding or bruising
  • unusual facial expressions
  • unusual tiredness or weakness
  • unusually pale skin
  • vomiting

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

  • Dizziness
  • dry mouth
  • sleepiness or unusual drowsiness
  • weight gain

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.