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Real Life Pharmacology - Pharmacology Education for Health Care Professionals

Lurasidone Pharmacology

Real Life Pharmacology - Pharmacology Education for Health Care Professionals

Eric Christianson, PharmD; Pharmacology Expert and Clinical Pharmacist

Education, Health & Fitness, Medicine

4.9773 Ratings

🗓️ 18 August 2022

⏱️ 18 minutes

🧾️ Download transcript

Summary

On this podcast episode, I discuss lurasidone pharmacology, adverse effects, and drug interactions.

CYP3A4 is an important enzyme in the breakdown of lurasidone. I discuss this further on this episode.

Lurasidone is best taken with food as this enhances absorption and helps improve drug concentrations.

Lurasidone tends to have a lower risk for metabolic syndrome compared to other antipsychotics which is a nice advantage.

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Transcript

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0:00.0

Hey all, welcome back to the Real Life Pharmacology podcast. I am your host, pharmacist, Eric Christensen.

0:05.2

Thank you so much for listening today. Go check out Real Life Pharmacology.com. Get your free 31-page

0:12.7

PDF on the top 200 drugs. Great study guide, great refresher, great preparation if you're taking

0:19.8

pharmacology classes or board exams for any

0:24.0

healthcare professionals. So get that absolutely for free. Simply an email will get you that

0:29.2

for subscribing to the podcast. We'll let you know when we've got new content, new episodes

0:34.5

available. And obviously we'll get that top 200 study guide out to you as well.

0:41.4

So again, go check that out. Real Life Pharmacology.com. The drug of the day today is Larazadone.

0:49.3

Brand name of this medication is Latuda. This medication is an antipsychotic.

0:56.7

And more specifically, it's a second generation antipsychotic.

1:02.3

Mechanistically, how this drug primarily works,

1:06.1

and most antipsychotics work is they antagonize the D2 receptors or dopamine 2 receptors.

1:15.9

And if you remember the yin and the yang between, you know, induced movement disorders,

1:23.0

so things like Parkinson's disease, that's generally caused by a deficiency of dopamine.

1:29.5

So we supplement with dopamine to treat that.

1:32.8

So on the flip side, you can imagine antipsychotics, they block dopamine.

1:37.2

They can cause Parkinson's-like symptoms, which often we refer to as extraparaminal symptoms,

1:43.3

which I'll get to a little more in depth

1:45.2

in the adverse effect profile. But that's one of the major ways that I remember mechanistically

1:51.4

how this works. If you have too much dopamine action in the brain, it can lead to psychotic symptoms.

2:00.7

If you have too little dopamine action in certain brain, it can lead to psychotic symptoms. If you have too little dopamine action in certain

2:04.6

parts of the brain, it can lead to movement disorders and things of that nature. In addition to

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