Lurasidone and Olanzapine interaction

Lurasidone and Olanzapine: the Lurasidone prescribing label flag this combination with the strongest language, such as a contraindication, a boxed warning, or an instruction to avoid it.

Major

Do not combine without a prescriber's guidance. The label language below is the strongest FDA uses.

What the FDA labels say

From the Lurasidone (Latuda) label · effective 2025-01-31

Major

Cerebrovascular Adverse Reactions, Including Stroke in Elderly Patients with Dementia-Related Psychosis In placebo-controlled trials with risperidone, aripiprazole, and olanzapine in elderly subjects with dementia, there was a higher incidence of cerebrovascular adverse reactions (cerebrovascular accidents and transient ischemic attacks), including fatalities,…

Warnings and precautionsnames OlanzapineView label on DailyMed
Moderate

LATUDA and other antipsychotic drugs should be used cautiously in patients at risk for aspiration pneumonia.

Warnings and precautionsby drug classView label on DailyMed
Minor

Change in weight from baseline for olanzapine was +4.15 kg and for quetiapine extended-release was +2.09 kg in Studies 3 and 5 [see Clinical Studies ( 14.1 )] , respectively.

Warnings and precautionsnames OlanzapineView label on DailyMed
Minor

Seizures As with other antipsychotic drugs, LATUDA should be used cautiously in patients with a history of seizures or with conditions that lower the seizure threshold, e.g., Alzheimer's dementia.

Warnings and precautionsby drug classView label on DailyMed
Minor

Potential for Cognitive and Motor Impairment LATUDA, like other antipsychotics, has the potential to impair judgment, thinking or motor skills.

Warnings and precautionsby drug classView label on DailyMed

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.