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Asenapine

Rx only
Atypical antipsychotic✓ FDA-verified
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Asenapine is a medication used to treat bipolar I disorder, specifically for managing manic or mixed episodes in children aged 10 to 17 and as an add-on treatment for adults taking lithium or valproate. It works by affecting certain brain chemicals to help stabilize mood. The medication comes in the form of a sublingual tablet, which means you place it under your tongue to dissolve; the starting dose is 2.5 mg twice daily for kids and 5 mg twice daily for adults, with a maximum dose of 10 mg twice daily. It's important not to take this medication if you have severe liver problems or a known allergy to asenapine. Additionally, be cautious if you are taking paroxetine, as it can significantly increase the levels of asenapine in your body.

Uses

  • Bipolar I disorder.
  • Acute manic or mixed episodes in pediatric patients aged 10 to 17.
  • Adjunctive treatment to lithium or valproate in adults.

Dosage

Pediatric patients (10 to 17 years): 2.5 mg to 10 mg sublingually twice daily.
Adults (as adjunct to lithium or valproate): 5 mg to 10 mg sublingually twice daily.
Do not swallow the tablet; place it under the tongue to dissolve.
Avoid eating or drinking for 10 minutes after taking the tablet.
Always follow your doctor's specific instructions for your dose.

Side effects

Common

somnolenceoral hypoesthesiadizzinessnauseaincreased appetitefatigueincreased weightneuroleptic malignant syndrome

Serious

tardive dyskinesiaseizuresfallscognitive impairment
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Warnings

⚠ Important warnings

  • Increased risk of death in elderly patients with dementia-related psychosis.
  • Not approved for dementia-related psychosis.
  • Monitor for hypotension when taking with antihypertensive drugs.

Drug interactions

  • Antihypertensive Drugsmay enhance effects and cause low blood pressureCaution
  • Paroxetinereduce dose by half when used with asenapine.Caution

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Answers pulled from the FDA label only.

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Medical Disclaimer: This content is provided for informational and educational purposes only and is not intended as medical advice. Always consult a qualified healthcare provider before taking any medication.
Data Source: Publicly available drug labeling information from the U.S. Food and Drug Administration (FDA).