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Drug interactions

Fentanyl intranasal + Lurasidone

Severity: Moderate

Fentanyl intranasal 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

Opioids and antipsychotics both depress the CNS. Together they can cause deeper sedation, hypotension and respiratory depression.

What this interaction means in plain words

Fentanyl intranasal 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.

Evidence level: Moderate

Why it happens

Additive CNS and respiratory depression (pharmacodynamic).

What to do

Use the lowest effective opioid dose and monitor sedation and respiratory rate, especially at initiation and dose changes.

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 Fentanyl intranasal with Lurasidone?

MediHelp rates the interaction as moderate. Fentanyl intranasal 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. Opioids and antipsychotics both depress the CNS. Together they can cause deeper sedation, hypotension and respiratory depression.

How serious is the interaction between Fentanyl intranasal 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: Use the lowest effective opioid dose and monitor sedation and respiratory rate, especially at initiation and dose changes.

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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