Lurasidone and Nirmatrelvir/Ritonavir Interaction

Drug interaction information between Lurasidone and Nirmatrelvir/Ritonavir.

Lurasidone and Nirmatrelvir/Ritonavir have a documented major interaction in FDA labeling.

FDA drug labeling documents a major-severity interaction between Lurasidone and Nirmatrelvir/Ritonavir. This page displays the available source-record category and label text. The category is not an individual risk estimate or medication-combination direction.

Drug A

Lurasidone

Atypical Antipsychotic

Drug B

Nirmatrelvir/Ritonavir

Antiviral (Protease Inhibitor Combination)

How They Interact

Nirmatrelvir/ritonavir slows down the body's ability to clear lurasidone, causing it to build up to dangerous levels. This increase can lead to serious or life-threatening heart rhythm problems.

FDA Label Information

Antipsychotics lurasidone, pimozide ↑ lurasidone ↑ pimozide Co-administration contraindicated due to serious and/or life-threatening reactions such as cardiac arrhythmias [see Contraindications (4) ] .

Frequently Asked Questions

What SPL severity band is on file for Lurasidone + Nirmatrelvir/Ritonavir?

Compiled FDA labeling labels this pair major. That is a source-record field, not an individual medication-combination decision.

Which drug in this pair has the larger labeled-interaction portfolio?

Nirmatrelvir/Ritonavir has 86 labeled pairs on file vs Lurasidone's 15. In the major band specifically: Lurasidone has 5 (also Clarithromycin, Darunavir, Itraconazole, Voriconazole); Nirmatrelvir/Ritonavir has 23 (also Simvastatin, Lovastatin, Sildenafil, Carbamazepine).

What mechanism field is on file for Lurasidone and Nirmatrelvir/Ritonavir?

Nirmatrelvir/ritonavir slows down the body's ability to clear lurasidone, causing it to build up to dangerous levels. This increase can lead to serious or life-threatening heart rhythm problems.

Nirmatrelvir/Ritonavir carries more major-labeled pairs than Lurasidone

SPL source-record counts only. This page's band is major · classes on file: Lurasidone (Atypical Antipsychotic); Nirmatrelvir/Ritonavir (Antiviral (Protease Inhibitor Combination)).

Nirmatrelvir/Ritonavir has 23 major-labeled pairs vs Lurasidone's 5.

Lurasidone

5 major · 0 moderate · 10 minor · 15 total

Nirmatrelvir/Ritonavir

23 major · 30 moderate · 33 minor · 86 total

Sources: FDA Drug Labels (SPL) via openFDA (2026). This is for informational purposes only and is not medical advice. This registry does not provide individual medication-combination directions.