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Lurasidone side effects: what 20,799 FDA adverse event reports show

Lurasidone Hydrochloride · 1,071 reaction terms · 69,269 drug–reaction co-reports · data 2026-09-14
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Drug class

Atypical antipsychotic

FDA label, Indications wording of the closest related product

Label matched

Lurasidone Hydrochloride (Lurasidone Hydrochloride)

closest FDA label found for this product string; brand list suppressed because the label is a related product, not an exact match

Who reports

20,799 reports · 45% serious · 576 with death outcome · 70% female

openFDA FAERS counts, all years, deduplication not applied

Used for

Lurasidone hydrochloride tablet is indicated for: Treatment of adult and adolescent patients (13 to 17 years) with schizophrenia . Monotherapy treatment of adult and pediatric patients (10 to 17 years) with major depressive episode associated with bipolar I disorder (bipolar depression) .

FDA label, Indications and Usage

What it is

Lurasidone hydrochloride is an atypical antipsychotic belonging to the chemical class of benzisothiazol derivatives.

FDA label, Description section

Boxed warning

INCREASED MORTALITY IN ELDERLY PATIENTS WITH DEMENTIA‐RELATED PSYCHOSIS; and SUICIDAL THOUGHTS AND BEHAVIORS Increased Mortality in Elderly Patients with Dementia-Related Psychosis Elderly patients with dementia-related psychosis treated with antipsychotic drugs are at an increased risk of death.

FDA label
How to read this page. FAERS is a spontaneous-reporting system: counts are not incidence rates and a signal is not proof of causation. Each reaction below is run through an automated screen — is the term in the FDA label (known), in the indications (the disease being treated), an administrative/coding term, or none of these (unlabeled)? That screen is mechanical text matching, not a causality assessment. The 30 hand-written Bradford Hill assessments are on the causality assessment page. Not medical advice.

Causality screen of the 40 strongest signals

Labeled — boxed warning 2Labeled adverse reaction 9Labeled (related wording) 4Likely indication confounding 4Reporting / coding artifact 2Lab value / disease marker 2Not in label — unassessed 17
What the badges mean

Strongest disproportionality signals

Flagged terms (PRR ≥ 2, χ² ≥ 4, n ≥ 10), ranked by PRR; infinite PRRs (no comparator reports) excluded. The EBGM column is a second, shrinkage-based estimate (MGPS) with its 5th percentile EB05 and the BCPNN IC025; a pair flagged by PRR alone is marked PRR-only and should be read as fragile. The strata column recomputes the PRR on serious reports only and flags pairs whose reports are unusually skewed by sex or come mostly from consumers rather than clinicians. 1,031 further terms are in the interactive explorer. Reaction links open the term's cross-drug page.

Show:
ReactionReportsPRR 95% CI · ROR · χ²/pEBGM EB05 · IC025Label screenSerious-only & strataTrial cross-check
Anosognosia4331,307.8
1,133.9–1,508.4ROR 1,335.6 · χ² 243,569 / p <1e-300
551.4 EB05 509.1 · IC025 +8.3
3/3 methods agree
Not in label — unassessedserious n=428not reported in cached trials
Blood prolactin abnormal431996.0
872.1–1,137.6ROR 1,017.1 · χ² 213,472 / p <1e-300
487.1 EB05 449.7 · IC025 +8.1
3/3 methods agree
Lab value / disease markerserious n=427not reported in cached trials
Personality change due to a general medical condition25250.9
161.9–389.0ROR 251.2 · χ² 4,771 / p <1e-300
174.1 EB05 124.0 · IC025 +4.7
3/3 methods agree
Not in label — unassessedserious n=25 · ♀ 100% (drug 70%) · 100% cliniciannot reported in cached trials
Disturbance in social behaviour418216.4
194.9–240.4ROR 220.9 · χ² 73,439 / p <1e-300
176.5 EB05 162.7 · IC025 +7.0
3/3 methods agree
Reporting / coding artifactserious n=414not reported in cached trials
Tongue movement disturbance4961.0
45.7–81.4ROR 61.2 · χ² 2,669 / p <1e-300
56.3 EB05 44.3 · IC025 +4.7
3/3 methods agree
Not in label — unassessedserious n=18 · 94% consumernot reported in cached trials
Personality change41947.3
42.9–52.1ROR 48.2 · χ² 18,077 / p <1e-300
45.1 EB05 41.6 · IC025 +5.3
3/3 methods agree
Not in label — unassessedserious PRR 75.4not reported in cached trials
Akathisia (inner restlessness)57144.0
40.5–47.8ROR 45.2 · χ² 22,945 / p <1e-300
42.1 EB05 39.3 · IC025 +5.2
3/3 methods agree
Labeled adverse reaction
exact term
serious PRR 31.1 · 72% consumerNCT01358357: 9/246 (3.7%) on Lurasidone; 8/250 (3.2%) control
Sexual dysfunction48843.9
40.2–48.1ROR 45.0 · χ² 19,581 / p <1e-300
42.1 EB05 39.0 · IC025 +5.2
3/3 methods agree
Not in label — unassessedserious PRR 76.5not reported in cached trials
Time perception altered1543.7
26.1–73.3ROR 43.7 · χ² 559 / p 6e-124
40.0 EB05 25.7 · IC025 +3.3
3/3 methods agree
Not in label — unassessedserious n=11not reported in cached trials
Schizophrenia47440.9
37.3–44.7ROR 41.8 · χ² 17,673 / p <1e-300
39.2 EB05 36.3 · IC025 +5.1
3/3 methods agree
Likely indication confounding
term in indications; also in warnings
serious PRR 49.9not reported in cached trials
Bipolar ii disorder1337.8
21.7–65.7ROR 37.8 · χ² 414 / p 3e-92
34.7 EB05 21.6 · IC025 +3.0
3/3 methods agree
Likely indication confounding
term in indications; also in warnings
serious n=9NCT01358357: 1/246 (0.4%) on Lurasidone; 2/250 (0.8%) control (serious AE)
Aversion1036.4
19.4–68.4ROR 36.4 · χ² 299 / p 3e-67
33.1 EB05 19.2 · IC025 +2.7
3/3 methods agree
Not in label — unassessedserious n=9not reported in cached trials
Mania57136.3
33.4–39.4ROR 37.3 · χ² 18,871 / p <1e-300
35.0 EB05 32.6 · IC025 +4.9
3/3 methods agree
Labeled adverse reaction
exact term
serious PRR 24.2 · 79% consumerNCT01358357: 2/246 (0.8%) on Lurasidone; 3/250 (1.2%) control (serious AE)
Emotional poverty5935.1
27.1–45.4ROR 35.2 · χ² 1,853 / p <1e-300
33.6 EB05 27.0 · IC025 +4.3
3/3 methods agree
Not in label — unassessedserious n=28 · ♀ 50% (drug 70%) · 92% consumernot reported in cached trials
Bipolar disorder33732.0
28.7–35.6ROR 32.5 · χ² 9,776 / p <1e-300
31.0 EB05 28.3 · IC025 +4.7
3/3 methods agree
Labeled adverse reaction
exact term
serious PRR 36.6 · 75% consumerNCT01358357: 1/246 (0.4%) on Lurasidone; 2/250 (0.8%) control (serious AE)
Dystonia57330.6
28.1–33.2ROR 31.4 · χ² 15,877 / p <1e-300
29.6 EB05 27.7 · IC025 +4.7
3/3 methods agree
Labeled adverse reaction
exact term
serious PRR 38.3not reported in cached trials
Oromandibular dystonia2130.2
19.6–46.6ROR 30.2 · χ² 547 / p 2e-121
28.7 EB05 19.8 · IC025 +3.4
3/3 methods agree
Labeled adverse reaction
exact term
serious n=8not reported in cached trials
Bipolar i disorder6329.8
23.2–38.3ROR 29.9 · χ² 1,677 / p <1e-300
28.8 EB05 23.3 · IC025 +4.2
3/3 methods agree
Likely indication confounding
term in indications; also in warnings
serious n=42 · 73% consumerNCT01358357: 1/246 (0.4%) on Lurasidone; 2/250 (0.8%) control (serious AE)
Blood prolactin increased13128.7
24.2–34.1ROR 28.9 · χ² 3,380 / p <1e-300
27.8 EB05 24.1 · IC025 +4.4
3/3 methods agree
Lab value / disease markerserious n=54not reported in cached trials
Grandiosity1028.5
15.2–53.4ROR 28.5 · χ² 232 / p 1e-52
26.3 EB05 15.0 · IC025 +2.5
3/3 methods agree
Not in label — unassessedserious n=9not reported in cached trials
Soliloquy2327.7
18.3–41.9ROR 27.7 · χ² 550 / p 6e-122
26.5 EB05 18.6 · IC025 +3.4
3/3 methods agree
Not in label — unassessedserious n=13 · 87% consumernot reported in cached trials
Tachyphrenia9227.5
22.3–33.8ROR 27.6 · χ² 2,259 / p <1e-300
26.6 EB05 22.4 · IC025 +4.2
3/3 methods agree
Not in label — unassessedserious n=35 · 83% consumernot reported in cached trials
Therapeutic product effect increased3027.2
18.9–39.1ROR 27.2 · χ² 712 / p 4e-157
26.1 EB05 19.2 · IC025 +3.6
3/3 methods agree
Reporting / coding artifact80% consumernot reported in cached trials
Hypometabolism1027.2
14.5–50.9ROR 27.2 · χ² 220 / p 4e-50
25.2 EB05 14.3 · IC025 +2.5
3/3 methods agree
Not in label — unassessedserious n=10not reported in cached trials
Oculogyric crisis5527.0
20.7–35.3ROR 27.1 · χ² 1,316 / p 2e-288
26.1 EB05 20.8 · IC025 +4.0
3/3 methods agree
Labeled adverse reaction
exact term
serious n=54not reported in cached trials
Sedation62424.7
22.8–26.7ROR 25.4 · χ² 13,840 / p <1e-300
24.1 EB05 22.6 · IC025 +4.4
3/3 methods agree
Labeled adverse reaction
exact term
serious PRR 34.8NCT01358357: 34/962 (3.5%) on Lurasidone
Hypomania8724.3
19.7–30.1ROR 24.4 · χ² 1,878 / p <1e-300
23.7 EB05 19.8 · IC025 +4.0
3/3 methods agree
Labeled adverse reaction
exact term
serious n=32not reported in cached trials
Schizoaffective disorder4224.2
17.8–32.8ROR 24.2 · χ² 888 / p 2e-195
23.4 EB05 18.0 · IC025 +3.7
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=36not reported in cached trials
Belligerence1023.8
12.7–44.6ROR 23.8 · χ² 192 / p 6e-44
22.1 EB05 12.3 · IC025 +2.4
3/3 methods agree
Not in label — unassessedserious n=8not reported in cached trials
Nail bed bleeding1323.7
13.7–41.0ROR 23.7 · χ² 254 / p 2e-57
22.3 EB05 13.6 · IC025 +2.7
3/3 methods agree
Not in label — unassessedserious n=13not reported in cached trials
Flat affect4821.7
16.3–28.9ROR 21.7 · χ² 908 / p 1e-199
21.1 EB05 16.5 · IC025 +3.7
3/3 methods agree
Not in label — unassessedserious n=24 · 70% consumernot reported in cached trials
Dyskinesia (involuntary movements)82921.0
19.6–22.5ROR 21.8 · χ² 15,487 / p <1e-300
20.6 EB05 19.4 · IC025 +4.2
3/3 methods agree
Labeled — boxed warning
exact term
serious PRR 26.6not reported in cached trials
Bruxism10820.6
17.0–24.9ROR 20.7 · χ² 1,951 / p <1e-300
20.1 EB05 17.1 · IC025 +3.9
3/3 methods agree
Not in label — unassessedserious n=43 · 73% consumernot reported in cached trials
Borderline personality disorder1420.3
11.9–34.4ROR 20.3 · χ² 233 / p 7e-53
19.2 EB05 11.8 · IC025 +2.7
3/3 methods agree
Not in label — unassessedserious n=8not reported in cached trials
Tardive dyskinesia (persistent involuntary movements)56220.3
18.7–22.0ROR 20.8 · χ² 10,084 / p <1e-300
19.9 EB05 18.5 · IC025 +4.2
3/3 methods agree
Labeled — boxed warning
exact term
serious PRR 17.5 · 72% consumernot reported in cached trials
Cogwheel rigidity2019.5
12.5–30.3ROR 19.5 · χ² 326 / p 3e-73
18.7 EB05 12.6 · IC025 +3.0
3/3 methods agree
Labeled adverse reaction
exact term
serious n=17not reported in cached trials

Trial evidence (ClinicalTrials.gov)

✓ Trial adverse-event data found on ClinicalTrials.gov

Largest completed trials with posted results that list Lurasidone as a study intervention. The right-hand column of the signal table shows whether each FAERS term was also recorded in these trials, with a real denominator (6 of 40 signal terms matched).

Caveats: trial populations, doses and follow-up differ from the reporting population; AE terms are sponsor-coded and matched here by wording; absence from a trial list means the term was not reported above the sponsor's frequency threshold, not that it cannot occur.

Most frequently reported reactions

By raw co-report count, regardless of disproportionality. Common terms here are often the illness itself or generic outcomes.

ReactionReportsPRR 95% CI · ROR · χ²/pEBGM EB05 · IC025Label screenSerious-only & strataTrial cross-check
Off label use (used outside approved label)2,0782.4
2.3–2.5ROR 2.6 · χ² 1,795 / p <1e-300
2.4 EB05 2.3 · IC025 +1.2
3/3 methods agree
Reporting / coding artifactserious PRR 2.7 · 76% consumernot reported in cached trials
Drug ineffective (drug did not work)1,8641.4
1.4–1.5ROR 1.5 · χ² 254 / p 2e-57
1.4 EB05 1.4 · IC025 +0.4Reporting / coding artifactserious PRR 2.7not reported in cached trials
Anxiety1,2364.4
4.2–4.6ROR 4.6 · χ² 3,253 / p <1e-300
4.4 EB05 4.2 · IC025 +2.0
3/3 methods agree
Labeled adverse reaction
exact term
serious PRR 3.5 · 83% consumerNCT01358357: 1/962 (0.1%) on Lurasidone (serious AE)
Feeling abnormal1,1704.9
4.7–5.2ROR 5.2 · χ² 3,677 / p <1e-300
4.9 EB05 4.7 · IC025 +2.2
3/3 methods agree
Not in label — unassessedserious PRR 4.2 · 91% consumernot reported in cached trials
Depression1,1425.1
4.8–5.4ROR 5.3 · χ² 3,736 / p <1e-300
5.0 EB05 4.8 · IC025 +2.2
3/3 methods agree
Labeled — boxed warning
synonym match
serious PRR 4.7 · 80% consumerNCT01358357: 2/246 (0.8%) on Lurasidone; 1/250 (0.4%) control (serious AE)
Weight increased (weight gain)1,0955.0
4.7–5.3ROR 5.2 · χ² 3,493 / p <1e-300
4.9 EB05 4.7 · IC025 +2.2
3/3 methods agree
Labeled — boxed warning
synonym match
serious PRR 5.3 · 81% consumerNCT01358357: 24/246 (9.8%) on Lurasidone; 13/250 (5.2%) control
Somnolence (drowsiness)1,0765.4
5.1–5.7ROR 5.7 · χ² 3,889 / p <1e-300
5.4 EB05 5.1 · IC025 +2.3
3/3 methods agree
Labeled adverse reaction
exact term
serious PRR 3.1 · 87% consumerNCT01358357: 69/962 (7.2%) on Lurasidone; 4/250 (1.6%) control
Nausea1,0511.3
1.3–1.4ROR 1.4 · χ² 95 / p 8e-23
1.3 EB05 1.3 · IC025 +0.3Labeled adverse reaction
exact term
serious PRR 1.2 · 78% consumerNCT01358357: 111/962 (11.5%) on Lurasidone
Insomnia (trouble sleeping)1,0143.8
3.6–4.1ROR 4.0 · χ² 2,148 / p <1e-300
3.8 EB05 3.6 · IC025 +1.8
3/3 methods agree
Labeled adverse reaction
exact term
serious PRR 3.7 · 87% consumerNCT01358357: 1/962 (0.1%) on Lurasidone (serious AE)
Suicidal ideation (thoughts of suicide)97910.9
10.2–11.6ROR 11.4 · χ² 8,710 / p <1e-300
10.8 EB05 10.2 · IC025 +3.3
3/3 methods agree
Labeled — boxed warning
synonym match
serious PRR 14.2 · 72% consumerNCT01358357: 2/246 (0.8%) on Lurasidone (serious AE)
Fatigue (tiredness)9511.2
1.2–1.3ROR 1.2 · χ² 44 / p 2e-11
1.2 EB05 1.2 · IC025 +0.2Labeled adverse reaction
exact term
serious PRR 1.1 · 80% consumerNCT01358357: 29/962 (3.0%) on Lurasidone
Dyskinesia (involuntary movements)82921.0
19.6–22.5ROR 21.8 · χ² 15,487 / p <1e-300
20.6 EB05 19.4 · IC025 +4.2
3/3 methods agree
Labeled — boxed warning
exact term
serious PRR 26.6not reported in cached trials
Suicide attempt77213.0
12.1–13.9ROR 13.4 · χ² 8,423 / p <1e-300
12.8 EB05 12.1 · IC025 +3.5
3/3 methods agree
Labeled — boxed warning
synonym match
serious PRR 16.6NCT01358357: 1/246 (0.4%) on Lurasidone (serious AE)
Tremor (shaking)7134.3
4.0–4.7ROR 4.5 · χ² 1,834 / p <1e-300
4.3 EB05 4.1 · IC025 +2.0
3/3 methods agree
Labeled adverse reaction
exact term
serious PRR 4.0 · 77% consumerNCT01358357: 15/246 (6.1%) on Lurasidone; 11/250 (4.4%) control
Vomiting6771.5
1.4–1.6ROR 1.5 · χ² 98 / p 2e-23
1.5 EB05 1.4 · IC025 +0.4Labeled adverse reaction
exact term
serious PRR 1.1 · 78% consumerNCT01358357: 59/962 (6.1%) on Lurasidone

Unlabeled candidate signals

These flagged terms were not found in the FDA label text and do not match an artifact pattern. They are the pairs that would merit a structured assessment (temporality, dose-response, biological plausibility, consistency across databases, trial or cohort evidence). The screen has not done that; string-matching misses label wording, and a strong PRR can still be stimulated reporting, co-medication, or the disease itself.

Want to assess one of these properly? The runbook describes the Bradford Hill / trial-evidence workflow used on the assessment page, and handoff_top1000_signals.csv lists the strongest unassessed pairs across all drugs.

Common questions

What are the most reported side effects of Lurasidone?

In FDA FAERS, the most frequently co-reported reaction terms for Lurasidone are anxiety, feeling abnormal, depression, weight increased, somnolence, nausea. These are report counts, not rates: FAERS has no denominator, reporting is voluntary and uneven, and a term can be reported because of the illness being treated rather than the drug.

Does Lurasidone have an FDA boxed warning?

Yes. The current FDA label carries a boxed warning: INCREASED MORTALITY IN ELDERLY PATIENTS WITH DEMENTIA‐RELATED PSYCHOSIS; and SUICIDAL THOUGHTS AND BEHAVIORS Increased Mortality in Elderly Patients with Dementia-Related Psychosis Elderly patients with dementia-related psychosis treated with antipsychotic drugs are at an increased risk of death.

Do FAERS signals prove that Lurasidone causes these side effects?

No. A disproportionality signal (PRR, ROR) means a reaction is reported more often with this drug than with others in the database. That can reflect a real effect, but also the disease being treated, stimulated reporting after news or litigation, co-medications, or how reports are coded. Causality needs temporality, dose-response, biological plausibility, consistency across data sources and, ideally, trial or cohort evidence. This page screens each term against the FDA label and ClinicalTrials.gov results; it does not establish causation.

Sources & methods

Page generated 2026-10-08. Label and PubChem text are retrieved automatically and may lag the current label; always check the current prescribing information. OpenPV is a beta research tool of the Open Source Medicine Foundation.