Practical Guidance on the Use of Lurasidone for the Treatment of Adults with Schizophrenia
Abstract Introduction Lurasidone is an atypical antipsychotic that was approved in Europe in 2014 for the treatment of schizophrenia in adults aged ≥ 18 years. Clinical experience with lurasidone in Europe is currently limited, and there is therefore a need to provide practical guidance on using lur...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Adis, Springer Healthcare
2019-05-01
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| Series: | Neurology and Therapy |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1007/s40120-019-0138-z |
| _version_ | 1818490427523727360 |
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| author | Afzal Javed Holger Arthur Logos Curtis Lars Hansen Sofia Pappa |
| author_facet | Afzal Javed Holger Arthur Logos Curtis Lars Hansen Sofia Pappa |
| author_sort | Afzal Javed |
| collection | DOAJ |
| description | Abstract Introduction Lurasidone is an atypical antipsychotic that was approved in Europe in 2014 for the treatment of schizophrenia in adults aged ≥ 18 years. Clinical experience with lurasidone in Europe is currently limited, and there is therefore a need to provide practical guidance on using lurasidone for the treatment of adults with schizophrenia. Methods A panel of European psychiatrists with extensive experience of prescribing lurasidone was convened to provide recommendations on using lurasidone to treat adults with schizophrenia. Results Extensive evidence from clinical trials and the panel’s clinical experience suggest that lurasidone is as effective as other atypical agents, with the possible exception of clozapine. Lurasidone is associated with a lower propensity for metabolic side effects (in particular, weight gain) and hyperprolactinaemia than most other atypical antipsychotics and has a relatively benign neurocognitive side effect profile. Patients switching to lurasidone from another antipsychotic may experience weight reduction and/or improvements in the ability to focus/concentrate. Most side effects with lurasidone (such as somnolence) are transitory, easily managed and/or ameliorated by dose adjustment. Akathisia and extrapyramidal symptoms may occur in a minority of patients, but these can be managed effectively with dose adjustment, adjunctive therapy and/or psychosocial intervention. Conclusions Given the crucial importance of addressing the physical as well as mental healthcare needs of patients, lurasidone is a rational therapeutic choice for adults with schizophrenia, both in the acute setting and over the long term. Funding Sunovion Pharmaceuticals Europe Ltd. |
| first_indexed | 2024-12-10T17:16:54Z |
| format | Article |
| id | doaj.art-6501cb831b134fa388a1ae968ed29715 |
| institution | Directory Open Access Journal |
| issn | 2193-8253 2193-6536 |
| language | English |
| last_indexed | 2024-12-10T17:16:54Z |
| publishDate | 2019-05-01 |
| publisher | Adis, Springer Healthcare |
| record_format | Article |
| series | Neurology and Therapy |
| spelling | doaj.art-6501cb831b134fa388a1ae968ed297152022-12-22T01:40:06ZengAdis, Springer HealthcareNeurology and Therapy2193-82532193-65362019-05-018221523010.1007/s40120-019-0138-zPractical Guidance on the Use of Lurasidone for the Treatment of Adults with SchizophreniaAfzal Javed0Holger Arthur1Logos Curtis2Lars Hansen3Sofia Pappa4Jepson House, Coventry and Warwickshire Partnership NHS TrustNorthern Stockholm Psychiatry, Stockholm Health Care ServicesYoung Adult Psychiatry Unit, Geneva University HospitalsEarly Intervention in Psychosis Team, Southern Health NHS Foundation TrustWest London Mental Health TrustAbstract Introduction Lurasidone is an atypical antipsychotic that was approved in Europe in 2014 for the treatment of schizophrenia in adults aged ≥ 18 years. Clinical experience with lurasidone in Europe is currently limited, and there is therefore a need to provide practical guidance on using lurasidone for the treatment of adults with schizophrenia. Methods A panel of European psychiatrists with extensive experience of prescribing lurasidone was convened to provide recommendations on using lurasidone to treat adults with schizophrenia. Results Extensive evidence from clinical trials and the panel’s clinical experience suggest that lurasidone is as effective as other atypical agents, with the possible exception of clozapine. Lurasidone is associated with a lower propensity for metabolic side effects (in particular, weight gain) and hyperprolactinaemia than most other atypical antipsychotics and has a relatively benign neurocognitive side effect profile. Patients switching to lurasidone from another antipsychotic may experience weight reduction and/or improvements in the ability to focus/concentrate. Most side effects with lurasidone (such as somnolence) are transitory, easily managed and/or ameliorated by dose adjustment. Akathisia and extrapyramidal symptoms may occur in a minority of patients, but these can be managed effectively with dose adjustment, adjunctive therapy and/or psychosocial intervention. Conclusions Given the crucial importance of addressing the physical as well as mental healthcare needs of patients, lurasidone is a rational therapeutic choice for adults with schizophrenia, both in the acute setting and over the long term. Funding Sunovion Pharmaceuticals Europe Ltd.http://link.springer.com/article/10.1007/s40120-019-0138-zAntipsychoticCardiometabolic side effectsLurasidoneSchizophreniaWeight gain |
| spellingShingle | Afzal Javed Holger Arthur Logos Curtis Lars Hansen Sofia Pappa Practical Guidance on the Use of Lurasidone for the Treatment of Adults with Schizophrenia Neurology and Therapy Antipsychotic Cardiometabolic side effects Lurasidone Schizophrenia Weight gain |
| title | Practical Guidance on the Use of Lurasidone for the Treatment of Adults with Schizophrenia |
| title_full | Practical Guidance on the Use of Lurasidone for the Treatment of Adults with Schizophrenia |
| title_fullStr | Practical Guidance on the Use of Lurasidone for the Treatment of Adults with Schizophrenia |
| title_full_unstemmed | Practical Guidance on the Use of Lurasidone for the Treatment of Adults with Schizophrenia |
| title_short | Practical Guidance on the Use of Lurasidone for the Treatment of Adults with Schizophrenia |
| title_sort | practical guidance on the use of lurasidone for the treatment of adults with schizophrenia |
| topic | Antipsychotic Cardiometabolic side effects Lurasidone Schizophrenia Weight gain |
| url | http://link.springer.com/article/10.1007/s40120-019-0138-z |
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