{"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\/sv\/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 Snabbt svar<\/h3>\n<p style=\"margin-bottom:0;\">Lurasid (Lurasidone 20 \/ 40 \/ 80 mg) is an atypical antipsychotic for schizophrenia and bipolar depression. <strong>Must be taken with food (\u2265 350 kcal)<\/strong> \u2014 fasting halves absorption and produces treatment failure. Metabolically among the cleanest atypicals.<\/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>Vad du f\u00e5r med MedsBase:<\/strong> WHO-GMP-certifierad tillverkare \u00b7 Diskret f\u00f6rpackning \u00b7 V\u00e4rldsvid leverans \u00b7 1 400+ verifierade <a href=\"https:\/\/medsbase.com\/sv\/reviews\/\">kundrecensioner<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Varje best\u00e4llning omfattas av v\u00e5r <a href=\"https:\/\/medsbase.com\/sv\/medsbase-re-shipment-assurance-policy\/\"><strong>Reshipment Assurance Policy<\/strong><\/a> \u2014 om din f\u00f6rs\u00e4ndelse inte anl\u00e4nder inom 20 arbetsdagar, skickar vi om den.<\/p>\n<h3>Varf\u00f6r best\u00e4lla fr\u00e5n MedsBase<\/h3>\n<p>Lurasid at MedsBase is supplied directly from a WHO-GMP certified manufacturer in plain, discreet packaging. Every order is covered by our <a href=\"https:\/\/medsbase.com\/sv\/medsbase-re-shipment-assurance-policy\/\">Reshipment Assurance Policy<\/a> \u2014 20 arbetsdagar leveranstid eller vi skickar om utan extra kostnad \u2014 och kvalificerar sig f\u00f6r v\u00e5rt <a href=\"https:\/\/medsbase.com\/sv\/loyalty-points\/\">kundlojalitetsprogram<\/a>. V\u00e4rldsomsp\u00e4nnande leverans \u00e4r tillg\u00e4nglig till de flesta destinationer.<\/p>\n<h2>What Lurasid is and how it works<\/h2>\n<p>Lurasid is a lurasidone tablet supplied by Sun Pharma. Available strengths: <strong>20 \/ 40 \/ 80 mg<\/strong>. Lurasidone is a D2\/5-HT2A antagonist with additional 5-HT7 antagonism (the 5-HT7 component is the basis for its bipolar-depression indication). It is one of the cleanest atypicals on metabolic markers \u2014 minimal weight gain, minimal lipid effect, minimal glucose effect.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>CRITICAL \u2014 must be taken with food (\u2265 350 kcal)<\/strong><\/p>\n<p style=\"margin-bottom:0;\">Fasting bioavailability of lurasidone is approximately <strong>half<\/strong> the fed bioavailability. Patients who skip a meal or take the dose at a small snack reach inadequate plasma levels and frequently appear to &#8220;fail&#8221; therapy. <strong>Take with the largest meal of the day, every day, at the same time.<\/strong> A glass of milk or a small biscuit is not enough \u2014 aim for at least 350 kcal of mixed-macronutrient food.<\/p>\n<\/div>\n<h2>Indikationer och dosering<\/h2>\n<table>\n<thead>\n<tr>\n<th>Indikation<\/th>\n<th>Startdos<\/th>\n<th>M\u00e5lgrupp<\/th>\n<th>Max<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Schizofreni (vuxen)<\/td>\n<td>40 mg OD with food<\/td>\n<td>40\u201380 mg OD<\/td>\n<td>160 mg<\/td>\n<\/tr>\n<tr>\n<td>Schizofreni (ungdomar \u2265 13 \u00e5r)<\/td>\n<td>40 mg OD with food<\/td>\n<td>40\u201380 mg OD<\/td>\n<td>80 mg<\/td>\n<\/tr>\n<tr>\n<td>Bipolar depression (adult, monotherapy or adjunct)<\/td>\n<td>20 mg OD with food<\/td>\n<td>20\u201360 mg OD<\/td>\n<td>120 mg<\/td>\n<\/tr>\n<tr>\n<td>Bipolar depression (paediatric \u2265 10 y)<\/td>\n<td>20 mg OD with food<\/td>\n<td>20\u201380 mg OD<\/td>\n<td>80 mg<\/td>\n<\/tr>\n<tr>\n<td>Nedsatt njurfunktion (CrCl &lt; 50)<\/td>\n<td>20 mg OD with food<\/td>\n<td>up to 80 mg<\/td>\n<td>80 mg<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Viktiga s\u00e4kerhets\u00f6verv\u00e4ganden<\/h2>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>FDA svart l\u00e5da \u2013 demensrelaterad psykos<\/strong><\/p>\n<p style=\"margin-bottom:0;\">Alla atypiska antipsykotiska l\u00e4kemedel b\u00e4r en FDA svart l\u00e5da-varning f\u00f6r \u00f6kad d\u00f6dlighet (fr\u00e4mst kardiovaskul\u00e4r och infektionsrelaterad) n\u00e4r de anv\u00e4nds f\u00f6r att behandla beteendest\u00f6rningar hos \u00e4ldre med demens. <strong>Atypiska antipsykotika \u00e4r inte godk\u00e4nda f\u00f6r demensrelaterad psykos eller agitation<\/strong>. Anv\u00e4ndning i denna population \u00e4r off-label, sista utv\u00e4g, tidsbegr\u00e4nsad och kr\u00e4ver explicit risk-nyttosamtal.<\/p>\n<\/div>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>Akathisia and EPS<\/strong><\/p>\n<p style=\"margin-bottom:0;\">Akathisia is common at higher doses. EPS (rigidity, tremor, dystonia) less common than first-generation antipsychotics but can occur. Manageable with dose reduction or anticholinergic adjunct.<\/p>\n<\/div>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>Strong CYP3A4 substrate<\/strong><\/p>\n<p style=\"margin-bottom:0;\">Avoid concurrent strong CYP3A4 inhibitors (azoles, clarithromycin, ritonavir, grapefruit juice) \u2014 they raise lurasidone levels several-fold. Avoid strong inducers (rifampicin, carbamazepine, phenytoin, St John&rsquo;s wort) \u2014 they reduce levels into the ineffective range.<\/p>\n<\/div>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>Suicidality (under-25, bipolar depression indication)<\/strong><\/p>\n<p style=\"margin-bottom:0;\">All antidepressant-class indications carry the under-25 suicidality warning.<\/p>\n<\/div>\n<h2>Vanliga biverkningar<\/h2>\n<ul>\n<li><strong>Somnolence and sedation<\/strong> \u2014 common; usually settles.<\/li>\n<li><strong>Akathisi<\/strong> \u2014 dosberoende.<\/li>\n<li><strong>Illam\u00e5ende<\/strong> \u2014 first 1\u20132 weeks; mitigated by food (which is mandatory anyway).<\/li>\n<li><strong>EPS<\/strong> \u2014 uncommon but possible.<\/li>\n<li><strong>Viktuppg\u00e5ng<\/strong> \u2014 modest, generally less than olanzapine\/quetiapine.<\/li>\n<li><strong>Prolaktin<\/strong> \u2014 small dose-dependent rise.<\/li>\n<li><strong>Karakteristiska negativa:<\/strong> minimal effect on lipids, glucose, QT.<\/li>\n<\/ul>\n<h2>L\u00e4kemedelsinteraktioner<\/h2>\n<ul>\n<li><strong>Starka CYP3A4-h\u00e4mmare<\/strong> \u2014 contraindicated.<\/li>\n<li><strong>Starka CYP3A4-inducerare<\/strong> \u2014 contraindicated.<\/li>\n<li><strong>Moderate CYP3A4 inhibitors<\/strong> (diltiazem, verapamil, fluconazole, erythromycin) \u2014 halve lurasidone dose; max 40 mg.<\/li>\n<li><strong>Andra CNS-depressiva medel<\/strong> \u2014 additiv sedering.<\/li>\n<li><strong>Other antipsychotics<\/strong> \u2014 additive EPS, prolactin, NMS risk.<\/li>\n<\/ul>\n<h2>Graviditet, amning, pediatrisk anv\u00e4ndning<\/h2>\n<p>Pregnancy: limited data; weigh against untreated illness. Breastfeeding: insufficient data; generally avoided. Paediatric: licensed from 13 (schizophrenia), 10 (bipolar depression).<\/p>\n<h2>F\u00f6rvaring<\/h2>\n<p>F\u00f6rvara vid 15\u201330 \u00b0C i originalf\u00f6rpackning.<\/p>\n<h2 id=\"faqs\">Vanliga fr\u00e5gor<\/h2>\n<h3>Why does Lurasid need to be taken with food?<\/h3>\n<p>Fasting absorption is approximately half of fed absorption. The food requirement is not optional \u2014 patients who take Lurasid on an empty stomach often appear to fail therapy when in fact they are simply under-dosed. The minimum threshold for adequate absorption is approximately 350 kcal of mixed food (a normal meal, not a snack).<\/p>\n<h3>Why is Lurasid preferred for bipolar depression?<\/h3>\n<p>Lurasidone has FDA approval for bipolar depression as monotherapy or adjunct (PREVAIL-2 trial) \u2014 one of only three atypicals with this indication (others are quetiapine and olanzapine-fluoxetine). The 5-HT7 antagonism is thought to underlie the antidepressant effect. Lurasidone is a metabolically cleaner choice than quetiapine or olanzapine for bipolar depression.<\/p>\n<h3>Will Lurasid make me gain weight?<\/h3>\n<p>Less than olanzapine, clozapine, quetiapine, or risperidone \u2014 typically 1\u20132 kg over 6 months in monotherapy. One of the better metabolic profiles among atypicals.<\/p>\n<h3>How long until Lurasid works?<\/h3>\n<p>Schizophrenia: positive symptoms typically improve over 2\u20134 weeks; full effect at 4\u20136 weeks. Bipolar depression: 2\u20136 weeks for full effect. Compliance with the food requirement matters \u2014 if response is poor, check that doses are being taken with adequate meals.<\/p>\n<h3>Can Lurasid be combined with mood stabilisers?<\/h3>\n<p>Yes \u2014 lurasidone is FDA-approved as an adjunct to lithium or valproate in bipolar depression. Combination is common and well-tolerated.<\/p>\n<h3>What about driving on Lurasid?<\/h3>\n<p>Sedation is dose-dependent. Most patients on stable doses drive normally; the first 1\u20132 weeks of titration can impair reaction time.<\/p>\n<h3>How is Lurasid different from olanzapine?<\/h3>\n<p>Lurasidone has a substantially better metabolic profile (less weight gain, less glucose disturbance, less lipid disturbance) but a slightly higher rate of akathisia and somnolence. Olanzapine is more sedating and has stronger acute antipsychotic effect; lurasidone is preferred for long-term metabolic safety.<\/p>\n<h3>Can Lurasid be stopped abruptly?<\/h3>\n<p>Generally taper over 1\u20132 weeks, although withdrawal is mild. The relapse risk in schizophrenia and bipolar disease is the main reason for caution \u2014 never stop without prescriber agreement.<\/p>\n<h3>Why is grapefruit juice a problem?<\/h3>\n<p>Grapefruit juice is a strong CYP3A4 inhibitor. Lurasidone is a CYP3A4 substrate; grapefruit raises levels several-fold, increasing sedation, akathisia, and EPS risk. Avoid grapefruit and grapefruit juice during Lurasid therapy.<\/p>\n<h3>Does Lurasid prolong the QT interval?<\/h3>\n<p>Less than ziprasidone, less than thioridazine. Lurasidone has a small QT signal but is generally regarded as one of the cleaner atypicals for QT. Pre-treatment ECG is not routinely required but is reasonable in patients with cardiac risk factors.<\/p>\n<h2>Andra l\u00e4kemedel f\u00f6r psykisk h\u00e4lsa<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/sv\/aripicon\/\">Aripicon (Aripiprazol \u2014 D2-partiell agonist)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/sv\/olanzap\/\">Olanzap (Olanzapin \u2014 kraftfull antipsykotikum)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/sv\/risdone\/\">Risdone (Risperidon)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/sv\/seroquit\/\">Seroquit (Kvetiapin \u2014 bipol\u00e4r depression)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/sv\/atlura\/\">Atlura (Lurasidon \u2014 metaboliskt s\u00e4kert)<\/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>Medicinsk ansvarsfriskrivning.<\/strong> Denna sida \u00e4r informativ och ers\u00e4tter inte individuell medicinsk r\u00e5dgivning. Farmakoterapi f\u00f6r psykisk h\u00e4lsa b\u00f6r inledas, \u00f6vervakas och justeras under ledning av en kvalificerad l\u00e4kare. Om du eller n\u00e5gon du k\u00e4nner befinner sig i en suicidkris, kontakta omedelbart lokal akuthj\u00e4lp eller ring din lands sj\u00e4lvmordsf\u00f6rebyggande hj\u00e4lplinje (USA\/Kanada: 988; Storbritannien: Samaritans 116 123; internationell lista: <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 5-HT7-active atypical for schizophrenia and bipolar depression. food-rule mandatory \u2014 fasting halves bioavailability.<\/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\/sv\/wp-json\/wp\/v2\/product\/58265","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/sv\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/sv\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/sv\/wp-json\/wp\/v2\/comments?post=58265"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/sv\/wp-json\/wp\/v2\/media\/58266"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/sv\/wp-json\/wp\/v2\/media?parent=58265"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/sv\/wp-json\/wp\/v2\/product_brand?post=58265"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/sv\/wp-json\/wp\/v2\/product_cat?post=58265"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/sv\/wp-json\/wp\/v2\/product_tag?post=58265"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}