What is asenapine?

Category: Prescription Drugs

Most popular types: Saphris

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Asenapine is an atypical antipsychotic used for acute treatment of schizophrenia in adults and acute treatment of manic or mixed episodes associated with bipolar I disorder in adults. It is available as a tablet that should be dissolved underneath the tongue two times per day.

Reported purpose & perceived effectiveness

Purpose
Patients
Patients with evaluations
Perceived effectiveness

  • Major
  • Moderate
  • Slight
  • None
  • Can't tell

Side effects

Side effects as an overall problem

Side effects as an overall problem
Severity Evaluations
Severe 24
Moderate 8
Mild 13
None 12

Commonly reported side effects and conditions associated with asenapine

Side effect Patients
Weight gain 12
Numbness in tongue 4
Bad taste in mouth 2
Difficulty falling asleep 2
Dizziness and feeling faint 2
Fatigue 2

Show all 57 reported side effects

Dosages

Based on patients currently taking asenapine

Dosage Patients
10 mg daily 7
1 tablet(s) daily 3
20 mg daily 3
2.5 mg daily 2
5 mg daily 2
5 mg twice daily 2
1 mg daily 1
1 other daily 1
1 tablet(s) twice daily 1
5 daily 1

See all 13 dosages

Why patients stopped taking asenapine

Multiple reasons could be selected

Reason Patients
Side effects too severe 35
Did not seem to work 14
Other 11
Doctor's advice 10
Personal research 4
Expense 3
Course of treatment ended 2
See all 59 patients who’ve stopped taking asenapine

Duration

Currently taking asenapine

Duration Patients
0-1 month 2
1-3 months 3
3-6 months 3
6 months-1 year 6
1-2 years 2
2 years or more 9
1

Stopped taking asenapine

Duration Patients
0-1 month 25
1-3 months 12
3-6 months 7
6 months-1 year 8
1-2 years 5
2 years or more 2

Adherence


Always
Patients
42
74%
Usually
Patients
7
12%
Sometimes
Patients
7
12%
Never taken as prescribed
Patients
1
2%

Burden


Very hard to take
Patients
9
16%
Somewhat hard to take
Patients
15
26%
A little hard to take
Patients
16
28%
Not at all hard to take
Patients
17
30%

Cost per month


Cost per month
$200+
Patients
2
4%
Cost per month
$100-199
Patients
2
4%
Cost per month
$50-99
Patients
5
9%
Cost per month
$25-49
Patients
2
4%
Cost per month
< $25
Patients
21
37%
Cost per month
Not specified
Patients
25
44%

What people switch to and from

Patients started taking asenapine after stopping:

Treatment Patients
Quetiapine (Seroquel) 5
Aripiprazole (Abilify) 3
Lamotrigine (Lamictal) 3
Fluoxetine (Prozac) 2
Lithium Carbonate (Lithium Carbonate ER) 2

Show all 12 treatments patients report switching from

Patients stopped taking asenapine and switched to:

Treatment Patients
Ziprasidone (Geodon) 2
Lithium Carbonate (Lithium Carbonate ER) 1
Quetiapine (Seroquel) 1
Risperidone (Risperdal) 1
Vortioxetine (Brintellix) 1
Last updated:

5 patient evaluations for asenapine

isilzha
36592 thumb
isilzha
Gender: F
Data Quality: 1 star
Pain: Most
Fatigue: Some
Sleep: All
Stiffness: Some
function: None
external_stress: Most
Stickman: most
Description:F42y
FM:12y Dx
I am: n
I have:
Fibromyalgia

See isilzha's full asenapine history

Jun 22, 2012 (Started Mar 21, 2012)

  • Effectiveness
    Moderate (for Major Depressive Disorder)
  • side effects
    Mild (Excessive daytime sleepiness (somnolence))
  • Adherence
    Usually
  • Burden
    A little hard to take
Dosage: 10 mg Daily
Advice & Tips: Ugh, the cherry taste (it's a sublingual med) is horrendous, though I was told the original unflavored was even worse. Hard to imagine! =) That said, it actually helps me sleep better than the trazadone because it doesn't seem to cause the bizarre lucid dreams that trazadone gives me.
Cost: < $25 monthly

  • 0 helpful marks
rudicollis
12636 thumb
rudicollis
Gender: F
Data Quality: 1 star
Depression: 2
Mania: 1
Emotional: 1
Anxiety: 2
Compulsion: 2
External Stress: Moderate
27 F
Function: High
Distress: Low
I am: n
I have:
Schizophrenia

See rudicollis's full asenapine history

Feb 7, 2012 (Started Apr 15, 2010)

  • Effectiveness
    Major (for Schizophrenia)
  • side effects
    Mild (Bad taste in mouth)
  • Adherence
    Always
  • Burden
    A little hard to take
Dosage: 20 mg Daily
Cost: $50-99 monthly
Side effects: Bad taste in mouth

Jun 13, 2010 (Started Apr 15, 2010)

  • Effectiveness
    Major (for Schizophrenia)
  • side effects
    None
  • Adherence
    Always
  • Burden
    Somewhat hard to take
Dosage: As needed
Advice & Tips: Though the taste is horrible, this is honestly the best psychiatric medication I have ever taken. It has nearly eliminated all of my schizophrenic symptoms including visual and auditory hallucinations, paranoia, racing thoughts, and disorganized thoughts, speech and behavior - Just to name a few. I have never felt better since I've been on this, and it works quickly if you need an emergency dose - in about 10 minutes I can feel a difference. I highly suggest you try this medication. The side effects are nearly non-existent.
Cost: $50-99 monthly
Side effects: Bad taste in mouth

Apr 19, 2010 (Started Apr 15, 2010)

  • Effectiveness
    Moderate (for Schizophrenia)
  • side effects
    Moderate (Bad taste in mouth)
  • Adherence
    Always
  • Burden
    Somewhat hard to take
Dosage: 20 mg Daily
Cost: < $25 monthly
Side effects: Bad taste in mouth

  • 1 helpful mark
jaceface1
9228 thumb
jaceface1
Gender: M
Data Quality: 2 stars
Mental Symptoms : moderate
Physical Symptoms : mild
708
VL 0
I am: g
I have:
HIV

See jaceface1's full asenapine history

Oct 1, 2011 (Started Apr 15, 2010)

  • Effectiveness
    Can’t tell (for Bipolar Disorder)
  • side effects
    None
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 20 mg Daily

  • 0 helpful marks
Last updated:
Showing 3 of 5 patient evaluations for asenapine