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Drug interactions

Anagrelide + Lurasidone

Severity: Moderate

Anagrelide and Lurasidone: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Both drugs can lower blood pressure, lurasidone through alpha-1 adrenergic blockade and anagrelide through vasodilation. Together they may produce additive hypotension and orthostatic symptoms, particularly at initiation or after dose increases.

What this interaction means in plain words

Anagrelide and Lurasidone can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Anagrelide belongs to Cardiovascular; Lurasidone belongs to Central Nervous System.

Evidence level: Low

Why it happens

Additive vasodilatory and alpha-1 blocking pharmacodynamic effects on blood pressure.

What to do

Monitor blood pressure and orthostatic symptoms when starting or adjusting either drug. Counsel the patient to rise slowly and reduce doses if symptomatic hypotension occurs.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Anagrelide with Lurasidone?

MediHelp rates the interaction as moderate. Anagrelide and Lurasidone can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Both drugs can lower blood pressure, lurasidone through alpha-1 adrenergic blockade and anagrelide through vasodilation. Together they may produce additive hypotension and orthostatic symptoms, particularly at initiation or after dose increases.

How serious is the interaction between Anagrelide and Lurasidone?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood pressure and orthostatic symptoms when starting or adjusting either drug. Counsel the patient to rise slowly and reduce doses if symptomatic hypotension occurs.

What other medicines interact with Lurasidone?

MediHelp also lists interactions of Lurasidone with, for example, Apalutamide, Atazanavir, Carbamazepine. The full list is on the Lurasidone page.

Full monographs, dosing and an interaction checker in the MediHelp app

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