Managing Side Effects of Lurasidone: What to Do When You Feel Unwell - Psychiatry

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Lipid-lowering medication


Hello Doctor: Yesterday I was prescribed Propranolol, but this morning I was completely unable to function due to dizziness.
In the afternoon, I took Ritalin, and by the evening, I felt very fatigued.
It seems that the effects of yesterday's medication are wearing off.
I need to continue taking the medication, but I'm starting to feel anxious (I had no emotions at all today).
Taking the medication makes me feel uncomfortable, and I don't want to eat.
If I don't take it, I won't feel uncomfortable from the medication, but I currently can't reach my doctor.

Zhang, 20~29 year old female. Ask Date: 2020/12/10

Dr. Lin Mianzhang reply Psychiatry


Hello Ms.
Chang: Thank you for your hard work! Many people experience fatigue and drowsiness as side effects from taking Lipitor, which usually improve after a few days to a few weeks of medication.
If the discomfort persists, I recommend that you try reducing the dosage by half or schedule an earlier appointment with your physician to discuss it.
Wishing you a speedy recovery!

Reply Date: 2020/12/10

More Info


Managing side effects from medications like Lurasidone can be challenging, especially when you experience symptoms such as dizziness, fatigue, and emotional instability. It’s important to understand that while Lurasidone is effective for treating conditions like schizophrenia and bipolar disorder, it can also lead to side effects that may affect your daily life.

First, let’s address the dizziness and fatigue you’re experiencing. These are common side effects associated with Lurasidone, particularly when you first start taking the medication or when your dosage is adjusted. Dizziness can occur due to the medication’s impact on your central nervous system, and fatigue may be a result of your body adjusting to the drug. If these symptoms are severe or persistent, it’s crucial to communicate this to your healthcare provider as soon as possible. They may need to adjust your dosage or consider an alternative medication.

Regarding the feelings of agitation and emotional numbness, these can also be side effects of Lurasidone. Some individuals may experience a paradoxical reaction, where the medication causes increased anxiety or agitation instead of alleviating it. This can be particularly distressing, especially if you’re already dealing with mood-related issues. It’s essential to monitor these symptoms closely and report them to your doctor. They may suggest strategies to manage these feelings, such as adjusting your medication regimen or incorporating therapy to help you cope with emotional fluctuations.

If you find it difficult to contact your doctor, consider reaching out to a pharmacist for advice. Pharmacists can provide valuable information about managing side effects and may suggest over-the-counter remedies that could help alleviate some of your discomfort. However, it’s important to avoid making any changes to your medication regimen without consulting a healthcare professional.

In the meantime, there are several self-care strategies you can implement to help manage your symptoms:
1. Stay Hydrated: Dehydration can exacerbate dizziness and fatigue. Ensure you’re drinking enough water throughout the day.

2. Rest: If you’re feeling fatigued, allow yourself time to rest. Short naps or simply lying down in a quiet space can help recharge your energy levels.

3. Monitor Your Diet: Eating balanced meals can help stabilize your energy levels. Avoid excessive caffeine or sugar, as these can lead to crashes in energy and increased anxiety.

4. Practice Relaxation Techniques: Techniques such as deep breathing, meditation, or gentle yoga can help reduce feelings of agitation and promote a sense of calm.

5. Keep a Symptom Diary: Documenting your symptoms, including when they occur and their severity, can provide valuable information for your healthcare provider when you’re able to see them.

6. Avoid Alcohol and Recreational Drugs: These substances can interact negatively with Lurasidone and exacerbate side effects.

7. Engage in Light Physical Activity: If you feel up to it, gentle exercise like walking can help improve your mood and energy levels.

If your symptoms worsen or you experience severe side effects such as suicidal thoughts, severe agitation, or any other alarming symptoms, seek immediate medical attention. It’s crucial to prioritize your safety and well-being.

In conclusion, while managing the side effects of Lurasidone can be difficult, it’s important to stay proactive about your health. Communicate openly with your healthcare providers, utilize self-care strategies, and don’t hesitate to seek help when needed. Your mental health is paramount, and finding the right balance with your medication is key to achieving stability and well-being.

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