Lurasidone belongs to a class of medications known as atypical (second-generation) antipsychotics. It is used to treat and prevent the return of symptoms in Schizophrenia and other mental health related conditions such as:

• Hearing, seeing or sensing things that are real
• Having mistaken beliefs 
• Being overly suspicious
• Uncontrolled anger

Lurasidone may also be used to treat symptoms of depression (low mood) in bipolar disorder and other conditions. Check with your healthcare professional if you are unsure why you are given this medication.

• Take your medication according to the instructions stated on the medication label.
• Lurasidone should be taken with or after food, to improve its absorption by the body.
• Do not stop taking or adjust the dose of this medication without checking with your doctor.
• Lurasidone needs to be taken regularly for a few weeks before you can feel its full benefits. You should not stop taking this medication even if you do not feel better at the beginning. Continue to take this medication even after you feel better to prevent your symptoms from returning.
• Do check with your doctor on how long you will have to be on this medication

• If you forget to take a dose, take it as soon as you remember. However, if more than half of the time to the next dose has passed, skip the missed dose and take the next dose at your usual timing.
• For example, for a medication to be taken two times daily at 8am and 8pm, and you missed your first dose at 8am, skip the first dose if it is after 2pm, and take your second dose at the usual timing at 8pm. Do not take two doses to make up for the missed dose.

Inform your healthcare professional if: 

• You are allergic to this medication or any of the other ingredients of this medication.
• You are pregnant, planning to become pregnant, or breastfeeding. If you are pregnant and/or breastfeeding, your doctor would have discussed the potential benefits and side effects with you and should you have further questions or concerns, do consult your doctor.
• You are taking any other medications (including those that can be bought without a prescription), supplements, traditional Chinese medicine and herbal products. Some of them may affect how this medication works or cause serious drug interactions.
• You have diabetes. Lurasidone may sometimes worsen blood sugar control in diabetes. Maintain regular check-ups with your doctor.
• You have or have ever had:
  • Other drug allergies
  • Medical conditions such as:
    • Blood disorders, kidney or liver disease, irregular heartbeat or other heart problems, stroke, history of blood clots
    • High or low blood pressure, high cholesterol/fats in the blood, seizures (fits), dementia, Parkinson’s disease, swallowing difficulties

The mentioned side effects generally affect up to 10% of patients. 

• Difficulty sleeping
  • Discuss with your doctor if you can take your medication at a different time of the day
  • Listen to relaxing music at bedtime
  • Avoid eating or drinking too much before bedtime
  • Limit your caffeine intake (such as coffee, tea or energy drinks) at least 8 hours before bedtime
• Drowsiness or feeling tired
• Avoid driving or taking part in activities that require concentration
• Discuss with your doctor if you can take your medication at a different time of the day
• Nausea, vomiting
  • Take the medication with or after food
  • Take small but more frequent meals, and avoid fatty or spicy food
• Dizziness
  • Get up slowly from a sitting or lying down position
• Dry mouth
  • Chew sugar-free gum, suck on sugar-free hard candies or ice chips, sip water regularly
• Increase in appetite, weight gain
  • Exercise regularly and eat a healthy and balanced diet
• Muscle movement side effects (extrapyramidal side effects) – do speak to your doctor for further management. Examples include:
  • Muscle stiffness and spasms (such as in the face, neck and back), difficulty in speaking or swallowing, twitching, or upward rolling of eyes (symptoms of dystonia)
  • Restlessness or need to keep moving constantly (akathisia)
  • Uncontrollable shaking of limbs (tremors)
  • Excess saliva production or drooling (sialorrhea)
    • Raising your pillows while sleeping may help with drooling

Most of the side effects listed here will improve with time. Speak with your doctor if any of them continues, worsens or affects your daily life.

The symptoms of a drug allergy include one or more of the following: 

• Swollen face/eyes/lips/tongue
• Difficulty in breathing
• Itchy skin rashes over your whole body

Rarely this medication may cause:

• Seizures (fits)
• Confusion, high fever, severe muscle stiffness, irregular blood pressure (signs and symptoms of neuroleptic malignant syndrome)
• Uncontrollable movements such as in the face, tongue, jaw or other parts of the body (tardive dyskinesia)
• Blurred vision
• Sudden weakness or numbness in the face, arms or legs, and speech or vision problems (signs and symptoms of stroke)
• Excessive hunger, unusual increase in thirst or passing large amount of urine (symptoms of high blood sugar)
• Fast or irregular heartbeat, fainting episodes (signs and symptoms of an abnormal heart beating rhythm (prolonged QTc interval))
• Fever, chills, sore throat and/or mouth ulcers that do not go away (symptoms of blood dyscrasias)
• Severe chest pain, difficulty breathing, or swelling in either of the legs (symptoms of venous thromboembolism)
• Increased prolactin hormone in the body (hyperprolactinemia):
  • This may result in changes in menstrual cycle in females (irregular or stopping of menstrual periods) and/or abnormal breast swelling, soreness or discharge (in both men and women)
  • This condition can be managed by speaking to your doctor

If you experience any of these symptoms, you should stop your medication and see your healthcare professional immediately.

IMPORTANT:

In some cases, particularly in young people below the age of 25 years, this medication may cause the following changes to a person’s mental condition, especially in the first few weeks of treatment or during dose changes:

• New or worsening thoughts of harming yourself or ending your life
• Worsening agitation, restlessness, violent behaviour, or
• Other changes in mood or behaviour

Please inform your doctor as soon as possible, or for your family or caregiver to inform your doctor if you are unable to seek treatment on your own.

Do not stop taking this medication on your own without discussing with your doctor.

It is important to note that your doctor has prescribed this medication as he/she feels you will benefit more from taking this medication over the possible risks that it may cause. Most people will have taken this medication without having any of such problems.

Avoid drinking alcohol while taking Lurasidone as it can cause excessive sleepiness. 

Avoid grapefruit juice/products while taking Lurasidone, as the amount of Lurasidone in the body may be increased, and this may increase risk of side effects.

Store in a cool and dry place, away from direct sunlight. Keep this medication away from children. 

Pack this medication into a trash bag and seal it tightly before throwing into the rubbish chute or bin.

Please take note that the above is not a complete list of all possible side effects. If you have any concerns about your medication or if you have other side effects that you think are caused by this medication, please consult your doctor or pharmacist.

If you take more than the recommended dose, please seek medical advice immediately. The information provided on this page does not replace information from your healthcare professional. Please consult your healthcare professional for more information.

This article is jointly developed by members of the National Medication Information workgroup. The workgroup consists of cluster partners (National Healthcare Group, National University Health System and SingHealth), community pharmacies (Guardian, Unity and Watsons) and Pharmaceutical Society of Singapore. The content does not reflect drug availability and supply information in pharmacies and healthcare institutions. You are advised to check with the respective institutions for such information.

Last updated on Aug 2023