{"id":58265,"date":"2024-02-27T18:25:56","date_gmt":"2024-02-27T18:25:56","guid":{"rendered":"https:\/\/medsname.com\/lurasid\/"},"modified":"2026-04-30T10:24:16","modified_gmt":"2026-04-30T10:24:16","slug":"lurasid","status":"publish","type":"product","link":"https:\/\/medsbase.com\/ro\/product\/lurasid\/","title":{"rendered":"Lurasid"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div class=\"medsbase-tldr-answer\" style=\"background:#fff8d6;border-left:4px solid #f5a623;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<h3 style=\"margin-top:0;\">\u26a1 R\u0103spuns rapid<\/h3>\n<p style=\"margin-bottom:0;\">Lurasid (Lurasidone 20 \/ 40 \/ 80 mg) este un antipsihotic atipic pentru schizofrenie \u0219i depresie bipolar\u0103. <strong>Trebuie administrat cu alimente (\u2265 350 kcal)<\/strong> \u2014 administrarea pe stomacul gol reduce absorb\u021bia la jum\u0103tate \u0219i duce la e\u0219ecul tratamentului. Printre cele mai neutre din punct de vedere metabolic atipice.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>Ce beneficii ofer\u0103 MedsBase:<\/strong> Produc\u0103tor certificat WHO-GMP \u00b7 Ambalaj discret \u00b7 Livrare la nivel mondial \u00b7 Peste 1.400 de recenzii verificate <a href=\"https:\/\/medsbase.com\/ro\/reviews\/\">ale clien\u021bilor<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Fiecare comand\u0103 este acoperit\u0103 de politica noastr\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\"><strong>Politica noastr\u0103 de Reexpediere Garantat\u0103<\/strong><\/a> \u2014 dac\u0103 coletul dumneavoastr\u0103 nu sose\u0219te \u00een 20 de zile lucr\u0103toare, \u00eel relivr\u0103m.<\/p>\n<h3>De ce s\u0103 comanzi de la MedsBase<\/h3>\n<p>Lurasid de la MedsBase este furnizat direct de la un produc\u0103tor certificat WHO-GMP \u00een ambalaj simplu \u0219i discret. Fiecare comand\u0103 este acoperit\u0103 de asigurarea noastr\u0103 <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\">Politica noastr\u0103 de Reexpediere Garantat\u0103<\/a> \u2014 perioad\u0103 de livrare de 20 de zile lucr\u0103toare sau retrimitem f\u0103r\u0103 costuri suplimentare \u2014 \u0219i se calific\u0103 pentru <a href=\"https:\/\/medsbase.com\/ro\/loyalty-points\/\">programul nostru de loialitate pentru clien\u021bi<\/a>. Livr\u0103rile sunt disponibile \u00een majoritatea destina\u021biilor la nivel mondial.<\/p>\n<h2>Ce este Lurasid \u0219i cum func\u021bioneaz\u0103<\/h2>\n<p>Lurasid este un comprimat de lurasidon furnizat de Sun Pharma. Doze disponibile: <strong>20 \/ 40 \/ 80 mg<\/strong>. Lurasidone este un antagonist D2\/5-HT2A cu antagonism suplimentar la nivelul 5-HT7 (componenta 5-HT7 reprezint\u0103 baza indica\u021biei sale \u00een depresia bipolar\u0103). Este unul dintre cele mai neutre atipice \u00een ceea ce prive\u0219te markerii metabolici \u2014 cre\u0219tere minim\u0103 \u00een greutate, efect minim asupra lipidelor, efect minim asupra glucozei.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>CRITIC \u2014 trebuie luat cu m\u00e2ncare (\u2265 350 kcal)<\/strong><\/p>\n<p style=\"margin-bottom:0;\">Biodisponibilitatea lurasidonului \u00een stare de post este aproximativ <strong>jum\u0103tate<\/strong> din biodisponibilitatea \u00een stare de nutri\u021bie. Pacien\u021bii care omit o mas\u0103 sau iau doza cu o gustare mic\u0103 ating niveluri plasmatice inadecvate \u0219i par frecvent s\u0103 \u201ce\u0219ueze\u201d terapia. <strong>Lua\u021bi cu cea mai mare mas\u0103 a zilei, \u00een fiecare zi, la aceea\u0219i or\u0103.<\/strong> Un pahar de lapte sau un mic biscuit nu sunt suficiente \u2014 \u021bine\u021bi cont de cel pu\u021bin 350 kcal de alimente cu macronutrien\u021bi amesteca\u021bi.<\/p>\n<\/div>\n<h2>Indica\u021bii \u0219i dozaj<\/h2>\n<table>\n<thead>\n<tr>\n<th>Indica\u021bie<\/th>\n<th>Doza ini\u021bial\u0103<\/th>\n<th>\u021aint\u0103<\/th>\n<th>Maxim<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Schizofrenie (adul\u021bi)<\/td>\n<td>40 mg OD cu m\u00e2ncare<\/td>\n<td>40\u201380 mg OD<\/td>\n<td>160 mg<\/td>\n<\/tr>\n<tr>\n<td>Schizofrenie (adolescent \u2265 13 ani)<\/td>\n<td>40 mg OD cu m\u00e2ncare<\/td>\n<td>40\u201380 mg OD<\/td>\n<td>80 mg<\/td>\n<\/tr>\n<tr>\n<td>Depresie bipolar\u0103 (adult, monoterapie sau adjunct)<\/td>\n<td>20 mg OD cu m\u00e2ncare<\/td>\n<td>20\u201360 mg OD<\/td>\n<td>120 mg<\/td>\n<\/tr>\n<tr>\n<td>Depresie bipolar\u0103 (pediatric \u2265 10 ani)<\/td>\n<td>20 mg OD cu m\u00e2ncare<\/td>\n<td>20\u201380 mg OD<\/td>\n<td>80 mg<\/td>\n<\/tr>\n<tr>\n<td>Insuficien\u021b\u0103 renal\u0103 (CrCl &lt; 50)<\/td>\n<td>20 mg OD cu m\u00e2ncare<\/td>\n<td>p\u00e2n\u0103 la 80 mg<\/td>\n<td>80 mg<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Considera\u021bii importante de siguran\u021b\u0103<\/h2>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>FDA black-box \u2014 psihoz\u0103 asociat\u0103 demen\u021bei<\/strong><\/p>\n<p style=\"margin-bottom:0;\">Toate antipsihoticele atipice poart\u0103 un avertisment FDA black-box pentru mortalitate crescut\u0103 (\u00een principal cardiovascular\u0103 \u0219i infec\u021bioas\u0103) atunci c\u00e2nd sunt utilizate pentru tratarea tulbur\u0103rilor de comportament la adul\u021bii \u00een v\u00e2rst\u0103 cu demen\u021b\u0103. <strong>Antipsihoticele atipice nu sunt aprobate pentru psihoza sau agita\u021bia asociat\u0103 demen\u021bei<\/strong>. Utilizarea \u00een aceast\u0103 popula\u021bie este off-label, de ultim\u0103 instan\u021b\u0103, limitat\u0103 \u00een timp \u0219i necesit\u0103 o discu\u021bie explicit\u0103 despre raportul risc-beneficiu.<\/p>\n<\/div>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>Acatisie \u0219i EPS<\/strong><\/p>\n<p style=\"margin-bottom:0;\">Acatisia este frecvent\u0103 la doze mai mari. EPS (rigiditate, tremor, distonie) mai pu\u021bin frecvente dec\u00e2t la antipsihoticele de prima genera\u021bie, dar pot ap\u0103rea. Pot fi gestionate prin reducerea dozei sau prin ad\u0103ugarea unui adjunct anticolinergic.<\/p>\n<\/div>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>Substrat puternic al CYP3A4<\/strong><\/p>\n<p style=\"margin-bottom:0;\">Evita\u021bi inhibitorii puternici ai CYP3A4 (azole, claritromicin\u0103, ritonavir, suc de grapefruit) \u2014 cresc nivelurile de lurasidon de mai multe ori. Evita\u021bi inductorii puternici (rifampicin\u0103, carbamazepin\u0103, fenitoin\u0103, iarba Sf\u00e2ntului Ioan) \u2014 reduc nivelurile sub limita eficacit\u0103\u021bii.<\/p>\n<\/div>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>Tendin\u021be suicidare (sub 25 de ani, indica\u021bie pentru depresie bipolar\u0103)<\/strong><\/p>\n<p style=\"margin-bottom:0;\">Toate indica\u021biile din clasa antidepresivelor poart\u0103 avertismentul privind tendin\u021bele suicidare la persoanele sub 25 de ani.<\/p>\n<\/div>\n<h2>Efecte secundare frecvente<\/h2>\n<ul>\n<li><strong>Somnolen\u021b\u0103 \u0219i sedare<\/strong> \u2014 frecvente; de obicei se atenueaz\u0103.<\/li>\n<li><strong>Acatisie<\/strong> \u2014 dependent de doz\u0103.<\/li>\n<li><strong>Grea\u021b\u0103<\/strong> \u2014 primele 1\u20132 s\u0103pt\u0103m\u00e2ni; atenuat prin administrare cu alimente (obligatoriu oricum).<\/li>\n<li><strong>EPS<\/strong> \u2014 neobi\u0219nuit dar posibil.<\/li>\n<li><strong>Cre\u0219terea \u00een greutate<\/strong> \u2014 moderat, \u00een general mai pu\u021bin dec\u00e2t olanzapina\/quetiapina.<\/li>\n<li><strong>Prolactina<\/strong> \u2014 cre\u0219tere mic\u0103 dependent\u0103 de doz\u0103.<\/li>\n<li><strong>Negative distinctive:<\/strong> efect minim asupra lipidelor, glucozei, intervalului QT.<\/li>\n<\/ul>\n<h2>Interac\u021biuni medicamentoase<\/h2>\n<ul>\n<li><strong>Inhibitori puternici ai CYP3A4<\/strong> \u2014 contraindicate.<\/li>\n<li><strong>Inductori puternici ai CYP3A4<\/strong> \u2014 contraindicate.<\/li>\n<li><strong>Inhibitori moderati ai CYP3A4<\/strong> (diltiazem, verapamil, fluconazol, eritromicin\u0103) \u2014 \u00eenjum\u0103t\u0103\u021bi\u021bi doza de lurasidon; maxim 40 mg.<\/li>\n<li><strong>Alte depresante ale SNC<\/strong> \u2014 sedare aditiv\u0103.<\/li>\n<li><strong>Alte antipsihotice<\/strong> \u2014 risc crescut de EPS, prolactin\u0103 \u0219i NMS.<\/li>\n<\/ul>\n<h2>Sarcina, al\u0103ptare, pediatric<\/h2>\n<p>Sarcina: date limitate; evalua\u021bi raportul beneficiu-risc fa\u021b\u0103 de boala netratat\u0103. Al\u0103ptare: date insuficiente; de obicei evitat. Pediatric: autorizat de la 13 ani (schizofrenie), 10 ani (depresie bipolar\u0103).<\/p>\n<h2>Depozitare<\/h2>\n<p>P\u0103strare la 15\u201330 \u00b0C \u00een ambalajul original.<\/p>\n<h2 id=\"faqs\">\u00centreb\u0103ri frecvente<\/h2>\n<h3>De ce trebuie Lurasid luat cu m\u00e2ncare?<\/h3>\n<p>Absorb\u021bia \u00een stare de post este aproximativ jum\u0103tate din cea dup\u0103 mas\u0103. Administrarea cu m\u00e2ncare nu este op\u021bional\u0103 \u2014 pacien\u021bii care iau Lurasid pe stomac gol par adesea c\u0103 nu r\u0103spund la terapie, c\u00e2nd de fapt pur \u0219i simplu primesc o doz\u0103 insuficient\u0103. Pragul minim pentru absorb\u021bie adecvat\u0103 este de aproximativ 350 kcal de m\u00e2ncare mixt\u0103 (o mas\u0103 normal\u0103, nu o gustare).<\/p>\n<h3>De ce este Lurasid preferat pentru depresia bipolar\u0103?<\/h3>\n<p>Lurasidona are aprobare FDA pentru depresia bipolar\u0103 ca monoterapie sau tratament adjunct (studiu PREVAIL-2) \u2014 fiind unul dintre cele trei atipice cu aceast\u0103 indica\u021bie (altele sunt quetiapina \u0219i olanzapina-fluoxetina). Se crede c\u0103 antagonismul 5-HT7 st\u0103 la baza efectului antidepresiv. Lurasidona este o alegere metabolic\u0103 mai sigur\u0103 dec\u00e2t quetiapina sau olanzapina pentru depresia bipolar\u0103.<\/p>\n<h3>Lurasid poate cauza cre\u0219tere \u00een greutate?<\/h3>\n<p>Mai pu\u021bin dec\u00e2t olanzapina, clozapina, quetiapina sau risperidona \u2014 de obicei 1\u20132 kg \u00een 6 luni de monoterapie. Unul dintre cele mai bune profile metabolice dintre atipice.<\/p>\n<h3>C\u00e2t dureaz\u0103 p\u00e2n\u0103 \u00eencepe s\u0103 actioneze Lurasid?<\/h3>\n<p>Schizofrenie: simptomele pozitive se \u00eembun\u0103t\u0103\u021besc de obicei \u00een 2\u20134 s\u0103pt\u0103m\u00e2ni; efect complet la 4\u20136 s\u0103pt\u0103m\u00e2ni. Depresie bipolar\u0103: 2\u20136 s\u0103pt\u0103m\u00e2ni pentru efect complet. Respectarea cerin\u021bei de administrare cu m\u00e2ncare conteaz\u0103 \u2014 dac\u0103 r\u0103spunsul este slab, verifica\u021bi c\u0103 dozele sunt luate cu mese adecvate.<\/p>\n<h3>Poate fi Lurasid combinat cu stabilizatori de dispozi\u021bie?<\/h3>\n<p>Da \u2014 lurasidona este aprobat\u0103 de FDA ca adjunct la litiu sau valproat \u00een depresia bipolar\u0103. Combina\u021bia este comun\u0103 \u0219i bine tolerat\u0103.<\/p>\n<h3>Cum stau lucrurile cu condusul sub influen\u021ba Lurasid?<\/h3>\n<p>Sedarea este dependent\u0103 de doz\u0103. Majoritatea pacien\u021bilor la doze stabile conduc normal; primele 1-2 s\u0103pt\u0103m\u00e2ni de titrare pot afecta timpul de reac\u021bie.<\/p>\n<h3>Cum difer\u0103 Lurasid de olanzapin\u0103?<\/h3>\n<p>Lurasidona are un profil metabolic semnificativ mai bun (mai pu\u021bin\u0103 cre\u0219tere \u00een greutate, mai pu\u021bine tulbur\u0103ri de glucoz\u0103, mai pu\u021bine tulbur\u0103ri lipidice), dar o rat\u0103 u\u0219or mai mare de acatisie \u0219i somnolen\u021b\u0103. Olanzapina este mai sedativ\u0103 \u0219i are un efect antipsihotic acut mai puternic; lurasidona este preferat\u0103 pentru siguran\u021ba metabolic\u0103 pe termen lung.<\/p>\n<h3>Se poate \u00eentrerupe brusc tratamentul cu Lurasid?<\/h3>\n<p>\u00cen general, se recomand\u0103 reducerea treptat\u0103 pe 1-2 s\u0103pt\u0103m\u00e2ni, de\u0219i sindromul de sevraj este u\u0219or. Riscul de recidiv\u0103 \u00een schizofrenie \u0219i boala bipolar\u0103 este principalul motiv de precau\u021bie \u2014 nu opri\u021bi niciodat\u0103 f\u0103r\u0103 acordul medicului prescriptor.<\/p>\n<h3>De ce este sucul de grapefruit o problem\u0103?<\/h3>\n<p>Sucul de grapefruit este un puternic inhibitor al CYP3A4. Lurasidona este un substrat al CYP3A4; grapefruitul cre\u0219te nivelurile de mai multe ori, cresc\u00e2nd sedarea, acatisia \u0219i riscul de EPS. Evita\u021bi grapefruitul \u0219i sucul de grapefruit \u00een timpul terapiei cu Lurasid.<\/p>\n<h3>Lurasid prelunge\u0219te intervalul QT?<\/h3>\n<p>Mai pu\u021bin dec\u00e2t ziprasidona, mai pu\u021bin dec\u00e2t tioridazina. Lurasidona are un mic semnal QT, dar este \u00een general considerat\u0103 una dintre atipicele mai sigure pentru QT. ECG-ul pre-tratament nu este necesar \u00een mod obi\u0219nuit, dar este rezonabil la pacien\u021bii cu factori de risc cardiac.<\/p>\n<h2>Alte Medicamente pentru S\u0103n\u0103tatea Mintal\u0103<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/aripicon\/\">Aripicon (Aripiprazol \u2014 agonist par\u021bial D2)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/olanzap\/\">Olanzap (Olanzapin\u0103 \u2014 antipsihotic puternic)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/risdone\/\">Risdone (Risperidon\u0103)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/seroquit\/\">Seroquit (Quetiapin\u0103 \u2014 depresie bipolar\u0103)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/atlura\/\">Atlura (Lurasidon\u0103 \u2014 metabolic neutru)<\/a><\/li>\n<\/ul>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;font-size:0.9em;\">\n<strong>Not\u0103 medical\u0103.<\/strong> Aceast\u0103 pagin\u0103 are scop educa\u021bional \u0219i nu \u00eenlocuie\u0219te sfatul medical personalizat. Farmacoterapia pentru s\u0103n\u0103tatea mintal\u0103 ar trebui ini\u021biat\u0103, monitorizat\u0103 \u0219i ajustat\u0103 de c\u0103tre un clinician calificat. Dac\u0103 tu sau cineva cunoscut se afl\u0103 \u00eentr-o criz\u0103 suicidal\u0103, contacteaz\u0103 imediat serviciile de urgen\u021b\u0103 locale sau sun\u0103 la linia de preven\u021bie a suicidului din \u021bara ta (SUA\/Canada: 988; UK: Samaritans 116 123; list\u0103 interna\u021bional\u0103: <a href=\"https:\/\/findahelpline.com\/\" rel=\"nofollow noopener\" target=\"_blank\">findahelpline.com<\/a>).\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Lurasid (Lurasidone 20\/40\/80 mg) \u2014 antipsihotic atipic activ pe receptorul 5-HT7 pentru schizofrenie \u0219i depresie bipolar\u0103. administrarea cu m\u00e2ncare este obligatorie \u2014 postul \u00eenjum\u0103t\u0103\u021be\u0219te biodisponibilitatea.<\/p>","protected":false},"featured_media":58266,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3342,3906],"product_tag":[4456,4454],"class_list":{"0":"post-58265","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-general-health","8":"product_cat-mental-health-and-psychiatric-medications","9":"product_tag-lurasid","10":"product_tag-lurasidone","12":"first","13":"instock","14":"shipping-taxable","15":"purchasable","16":"product-type-variable","17":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product\/58265","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/comments?post=58265"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media\/58266"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media?parent=58265"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_brand?post=58265"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat?post=58265"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_tag?post=58265"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}