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Drug interactions

Lurasidone + Tetrabenazine

Severity: Moderate

Lurasidone and Tetrabenazine: 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 cause sedation, parkinsonism and akathisia, and tetrabenazine may cause depression and QT prolongation. Combined use may heighten somnolence and extrapyramidal effects, and antipsychotics may counteract tetrabenazine's benefit.

What this interaction means in plain words

Lurasidone and Tetrabenazine 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.

Lurasidone belongs to Central Nervous System; Tetrabenazine belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Additive CNS depression and dopaminergic antagonism or depletion (D2 blockade with VMAT2 inhibition).

What to do

Monitor for sedation, extrapyramidal symptoms, mood changes and QT-related symptoms. Use the lowest effective doses and review the need for both drugs.

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 Lurasidone with Tetrabenazine?

MediHelp rates the interaction as moderate. Lurasidone and Tetrabenazine 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 cause sedation, parkinsonism and akathisia, and tetrabenazine may cause depression and QT prolongation. Combined use may heighten somnolence and extrapyramidal effects, and antipsychotics may counteract tetrabenazine's benefit.

How serious is the interaction between Lurasidone and Tetrabenazine?

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 for sedation, extrapyramidal symptoms, mood changes and QT-related symptoms. Use the lowest effective doses and review the need for both drugs.

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.

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