Latuda Warnings and Precautions
If you have diabetes, your blood sugar should be monitored carefully during treatment with Latuda. This medication is not suitable for everyone, so it's important to be aware of the safety issues that apply to you. Warnings and precautions with Latuda also extend to those with heart disease, as well as those who are allergic to any components used to make the medication.
What Should I Tell My Healthcare Provider?
You should talk with your healthcare provider prior to taking Latuda® (lurasidone hydrochloride) if you have:
- Kidney disease, including kidney failure (renal failure)
- Liver disease, such as liver failure, cirrhosis, or hepatitis
- High cholesterol or triglycerides
- Alzheimer's disease or other forms of dementia
- Low blood pressure (orthostatic hypotension)
- Heart disease, congestive heart failure (CHF), or other heart problems
- Any allergies, including to food, dyes, or preservatives.
Also, let your healthcare provider know if you:
- Are pregnant or thinking of becoming pregnant
- Are breastfeeding
- Drink alcohol.
You should also be sure to tell your healthcare provider about all of the medications you take, including prescription and nonprescription medicines, vitamins, and herbal supplements.
Specific Precautions and Warnings for Latuda
Some warnings and precautions to be aware of prior to taking Latuda include the following:
- The U.S. Food and Drug Administration (FDA) has issued a special warning (a "black box warning") about the use of atypical antipsychotic medications, including Latuda, in elderly people with dementia, such as Alzheimer's disease. Elderly people with dementia who are treated with atypical antipsychotics are more likely to die of various causes than those who are not treated with those medications.
- Latuda can cause a life-threatening condition called neuroleptic malignant syndrome (NMS). Some symptoms of NMS include:
- High fever
- Stiff muscles
- Irregular pulse or blood pressure
- Fast heart rate (tachycardia)
- Irregular heart rhythms (arrhythmias).
Tell your healthcare provider right away if think you might have NMS.
- Latuda can cause tardive dyskinesia. This is a condition involving unusual, uncontrollable body or facial movements. The condition can become permanent, even if Latuda is stopped. The best way to prevent it from becoming permanent is to tell your healthcare provider right away if you notice any abnormal movements (including abnormal movements of the tongue) while taking this drug.
- Antipsychotics can cause an increase in blood sugar levels and can increase the risk of developing diabetes. Tell your healthcare provider if you develop signs of this condition while taking Latuda, such as increased thirst, increased urination, or hunger.
If you have diabetes, your blood sugar should be monitored carefully and regularly during treatment with Latuda to make sure your condition is not becoming more severe.
- Latuda can increase the level of the hormone prolactin. Tell your healthcare provider if you have signs of high prolactin levels, such as breast enlargement, breast pain, or breast discharge.
- Antipsychotics have been reported to cause undesirable changes in cholesterol or triglyceride levels. Weight gain has also been reported (see Latuda and Weight Gain).
- Even though Latuda is not classified as an antidepressant, the U.S. Food and Drug Administration (FDA) has required Latuda to carry the special antidepressant and suicide warning, since it is used to treat bipolar depression. Antidepressants may increase the risk of suicidal thinking or behavior in children, teenagers, and adults (see Depression and Suicide for more information). Therefore, if you notice any changes in symptoms or new symptoms, talk to your healthcare provider right away.
- Extreme hyperactivity
- Suicidal thinking or behavior.
- Antipsychotic medications may sometimes cause low white blood cells, a problem that can lead to dangerous infections or other serious problems.
- Latuda can cause a drop in blood pressure when going from a sitting or lying-down position to standing (known medically as orthostatic hypotension). This can cause a person to have lightheadedness or dizziness, or to faint.
- Like all antipsychotic medications, Latuda should be used with caution in people with epilepsy or a history of seizures, or with other medical conditions, such as Alzheimer's disease, which may increase the risk of seizures.
- People who take Latuda may be more likely to develop heat stroke. Be careful to stay hydrated and avoid overheating.
- Latuda can cause difficultly swallowing, which can lead to the inhalation of food and can cause pneumonia. Tell your healthcare provider if you notice any problems swallowing.
- Make sure you know how Latuda affects you before driving or operating heavy machinery, as the medication may cause drowsiness or other problems.
- Latuda is considered a pregnancy Category B medication. This means that it is probably safe to take during pregnancy, although the full risks are currently unknown. Talk with your healthcare provider about the risks and benefits of using Latuda when pregnant (see Latuda and Pregnancy).
- It is unknown if Latuda passes through breast milk. Therefore, if you are breastfeeding or plan to start, talk with your healthcare provider before using this drug (see Latuda and Breastfeeding for more information).