What is asenapine?

Category: Prescription Drugs

Most Popular Types: Saphris

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Generic Name: asenapine

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 of asenapine

Severe
25
Moderate
8
Mild
15
None
11

Commonly reported side effects, conditions, and hospitalizations associated with asenapine

Patients
12
Patients
5
Patients
3
Patients
2

Show all 55 reported side effects

Dosages

Most common dosages (by patients currently taking asenapine)
Dosage
10 mg daily
Patients
13
Dosage
5 mg daily
Patients
8
Dosage
20 mg daily
Patients
7
Dosage
1 tablet(s) daily
Patients
4
Dosage
1 mg daily
Patients
3
Dosage
5 mg twice daily
Patients
3
Dosage
2 tablet(s) daily
Patients
2
Dosage
10 mg twice daily
Patients
2
Dosage
1 mcg daily
Patients
1
Dosage
1 other daily
Patients
1

Dosages based on patients currently taking asenapine.

Why Patients Stopped Taking asenapine (multiple reasons could be selected)
Reason
Side effects too severe
Patients
32
Reason
Did not seem to work
Patients
14
Reason
Doctor's advice
Patients
10
Reason
Other
Patients
10
Reason
Personal research
Patients
4
Reason
Expense
Patients
3
Reason
Course of treatment ended
Patients
2
See all 55 patients who’ve stopped taking asenapine

Duration

Currently Taking asenapine
Duration
Patients
Duration
0-1 month
Patients
0
Duration
1-3 months
Patients
2
Duration
3-6 months
Patients
1
Duration
6 months-1 year
Patients
1
Duration
1-2 years
Patients
3
Duration
2 years or more
Patients
9
Stopped Taking asenapine
Duration
Patients
Duration
0-1 month
Patients
13
Duration
1-3 months
Patients
12
Duration
3-6 months
Patients
6
Duration
6 months-1 year
Patients
8
Duration
1-2 years
Patients
4
Duration
2 years or more
Patients
2

Adherence


Always
Patients
44
75%
Usually
Patients
7
12%
Sometimes
Patients
7
12%
Never taken as prescribed
Patients
1
2%

Burden


Very hard to take
Patients
9
15%
Somewhat hard to take
Patients
16
27%
A little hard to take
Patients
16
27%
Not at all hard to take
Patients
18
31%

Cost per month


Cost per month
$200+
Patients
2
3%
Cost per month
$100-199
Patients
3
5%
Cost per month
$50-99
Patients
7
12%
Cost per month
$25-49
Patients
2
3%
Cost per month
< $25
Patients
21
36%
Cost per month
Not specified
Patients
24
41%

What people switch to and from

Patients started taking asenapine after stopping:
Treatment name(s)
Quetiapine (Seroquel, Seroquel XR, Ratio-Quetiapine…)
Patients
3
Treatment name(s)
Fluoxetine (Prozac, Lovan, Fluxene…)
Patients
2
Treatment name(s)
Lamotrigine (Lamictal, Lamictal XR, Lamictal Blue…)
Patients
2
Treatment name(s)
Lithium Carbonate (Lithium Carbonate ER, Lithobid, Priadel…)
Patients
2
Treatment name(s)
Aripiprazole (Abilify, Abilify Discmelt, Zedan…)
Patients
1

See all 11 treatments patients report switching from

Patients stopped taking asenapine and switched to:
Treatment name(s)
Ziprasidone (Geodon, Zeldox)
Patients
2
Treatment name(s)
Risperidone (Risperdal, Risperdal Consta, Apo-Risperidone…)
Patients
1
Treatment name(s)
Vortioxetine (Brintellix)
Patients
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:F41y
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