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";s:4:"text";s:6132:"Tablets are supplied in the following strengths and package configurations (Table 33).Store LATUDA tablets at 25°C (77°F); excursions permitted to 15° -30°C (59° -86°F) [See USP Controlled Room Temperature].Manufactured for: Sunovion Pharmaceuticals Inc. Marlborough, MA 01752 USA. The long half-life (time it takes to metabolize 50% of the drug) has been referenced as the reason once daily dosing with levothyroxine … 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 In the uncontrolled, longer-term schizophrenia studies (primarily open-label extension studies), LATUDA was associated with a mean change in weight of -0.69 kg at week 24 (n=755), -0.59 kg at week 36 (n=443) and -0.73 kg at week 52 (n=377).Data from the short-term, placebo-controlled adolescent schizophrenia study are presented in Table 10. In the clinical studies, LATUDA was administered with food The effectiveness of LATUDA for longer-term use, that is, for more than 6 weeks, has not been established in controlled studies. However, there is substantial evidence from placebo-controlled maintenance studies in adults with MDD that Monitor all antidepressant-treated patients for clinical worsening and emergence of suicidal thoughts and behaviors, especially during the initial few months of drug therapy and at times of dosage changes. It is advisable that a total daily dose of more than 50 mg … Therefore, the physician who elects to use LATUDA for extended periods should periodically re-evaluate the long-term usefulness of the drug for the individual patient [see Dose adjustment is recommended in moderate (creatinine clearance: 30 to <50 mL/min) and severe renal impairment (creatinine clearance <30 mL/min) patients. LATUDA has been shown to be effective in a dose range of 40 mg per day to 80 mg per day [see The recommended starting dose of LATUDA in adults is 20 mg given once daily as monotherapy or as adjunctive therapy with lithium or valproate. The median change from baseline to endpoint for males was +1.5 ng/mL and for females was +3.1 ng/mL. Incidence of EPS is provided in Table 24.In the short-term, placebo-controlled schizophrenia and bipolar depression studies, data was objectively collected on the Simpson Angus Rating Scale (SAS) for extrapyramidal symptoms (EPS), the Barnes Akathisia Scale (BAS) for akathisia and the Abnormal The mean change from baseline for LATUDA-treated patients for the SAS, BAS and AIMS was comparable to placebo-treated patients, with the exception of the Barnes Akathisia Scale global score (LATUDA, 0.1; placebo, 0.0). It is unknown whether dose adjustment is necessary on the basis of age alone.Elderly patients with dementia-related psychosis treated with LATUDA are at an increased risk of death compared to placebo. Daily Dose Average Daily Drug Cost ($) Annual Drug Cost ($) Lurasidone (Latuda) 40 mg 80 mg 120 mg tab XXXXXXa 40 mg to 120 mg daily XXXXXX XXXXXX Asenapine (Saphris) 5 mg 10 mg tab 1.5516b 5 mg twice daily 3.10 1,133 Aripiprazole (Abilify) 2 mg 5 mg 10 mg 15 mg 20 mg 30 mg tab 3.0970 3.4867 4.1337 4.7827 5.4317 6.7277 10 mg to 15 mg daily In schizophrenia, dosing usually starts at 40 mg/daily, but for bipolar depression treatment, 20 mg/daily is recommended.

Caution patients about operating hazardous machinery, including motor vehicles, until they are reasonably certain that therapy with LATUDA does not affect them adversely.In clinical studies with LATUDA, somnolence included: hypersomnia, hypersomnolence, sedation and somnolence.In short-term, placebo-controlled schizophrenia studies, somnolence was reported by 17.0% (256/1508) of patients treated with LATUDA (15.5% LATUDA 20 mg, 15.6% LATUDA 40 mg, 15.2% LATUDA 80 mg, 26.5% LATUDA 120 mg and 8.3% LATUDA 160 mg/day) compared to 7.1% (50/708) of placebo patients.In the short-term, placebo-controlled adolescent schizophrenia study, somnolence was reported by 14.5% (31/214) of patients treated with LATUDA (15.5% LATUDA 40 mg and 13.5% LATUDA 80 mg,/day) compared to 7.1% (8/112) of placebo patients.In the adult short-term, flexible-dosed, placebo-controlled monotherapy bipolar depression study, somnolence was reported by 7.3% (12/164) and 13.8% (23/167) with LATUDA 20 to 60 mg and 80 to120 mg, respectively compared to 6.5% (11/168) of placebo patients.In the adult short-term, flexible-dosed, placebo-controlled adjunctive therapy bipolar depression studies, somnolence was reported by 11.4% (41/360) of patients treated with LATUDA 20-120 mg compared to 5.1% (17/334) of placebo patients.Disruption of the body’s ability to reduce core body temperature has been attributed to antipsychotic agents. Advise them to seek medical attention if they experience any of the following: amenorrhea or galactorrhea in females, Educate patients about the risk of orthostatic hypotension, particularly at the time of initiating treatment, re-initiating treatment, or increasing the dose [see Advise patients with a pre-existing low WBC or a history of drug-induced leukopenia/neutropenia that they should have their CBC monitored while taking LATUDA [see Caution patients about performing activities requiring mental alertness, such as operating hazardous machinery or operating a motor vehicle, until they are reasonably certain that LATUDA therapy does not affect them adversely [see Advise patients and their caregivers to observe for signs of activation of Advise patients that LATUDA may cause extrapyramidal and/or Advise patients to inform their physicians if they are taking, or plan to take, any prescription or over-the-counter drugs, because there is a potential for drug interactions [see Educate patients regarding appropriate care in avoiding overheating and dehydration [see Lurasidone increased incidences of malignant mammary Lurasidone increased the incidence of mammary gland carcinomas in female rats orally dosed at 12 and 36 mg/kg/day: the lowest dose; 3 mg/kg/day is the no-effect dose which produced plasma levels (AUC) 0.4 times those in humans receiving the MRHD. 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