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 Evaluations Perceived Effectiveness
Bipolar Disorder 44 41
Bipolar I Disorder 37 17
Major Depressive Disorder 18 19
Bipolar II Disorder 7 10
Schizoaffective Disorder 5 3
Schizophrenia 5 12

Show all 39 reasons taken


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

Side effects

Side effects as an overall problem

Side effects as an overall problem
Severity Evaluations
Severe 36
Moderate 18
Mild 18
None 19

Commonly reported side effects and conditions associated with asenapine

Side effect Patients
Weight gain 13
Numbness in tongue 4
Bad taste in mouth 3
Restlessness 3
Daytime sleepiness 2
Difficulty falling asleep 2

Show all 60 reported side effects

Dosages

Based on patients currently taking asenapine

Dosage Patients
10 mg daily 7
5 mg daily 4
5 mg twice daily 3
20 mg daily 3
1 tablet(s) daily 2
1 other daily 1
1 tablet(s) twice daily 1
2.5 mg daily 1
5 daily 1
7.5 mg daily 1

See all 12 dosages

Why patients stopped taking asenapine

Multiple reasons could be selected

Reason Patients
Side effects too severe 38
Did not seem to work 15
Other 11
Doctor's advice 10
Expense 4
Personal research 4
Course of treatment ended 2
See all 64 patients who’ve stopped taking asenapine

Duration

Currently taking asenapine

Duration Patients
0-1 month 1
1-3 months 3
3-6 months 5
6 months-1 year 6
1-2 years 2
2 years or more 9

Stopped taking asenapine

Duration Patients
0-1 month 27
1-3 months 11
3-6 months 8
6 months-1 year 9
1-2 years 7
2 years or more 2
Adherence
Adherence Evaluations
Always 68
Usually 12
Sometimes 9
Never taken as prescribed 2
Burden
Burden Evaluations
Very hard to take 11
Somewhat hard to take 25
A little hard to take 23
Not at all hard to take 32
Cost per month
Cost per month Evaluations
$200+ 4
$100-199 5
$50-99 13
$25-49 3
< $25 28
Not specified 38

What people switch to and from

Patients started taking asenapine after stopping:

Treatment Patients
Quetiapine (Seroquel) 9
Aripiprazole (Abilify) 3
Lamotrigine (Lamictal) 3
Fluoxetine (Prozac) 2
Lithium Carbonate (Lithium Carbonate ER) 2

Show all 15 treatments patients report switching from

Patients stopped taking asenapine and switched to:

Treatment Patients
Brexpiprazole (Rexulti) 1
Gabapentin (Neurontin) 1
Lithium Carbonate (Lithium Carbonate ER) 1
Paliperidone (Invega) 1
Quetiapine (Seroquel) 1

Show all 9 treatments patients report switching to

Last updated:

6 patient evaluations for asenapine

62 members have decided to share their profiles only with other members of PatientsLikeMe.

CupcakeKitten
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CupcakeKitten
Gender: F
Data Quality: 3 stars
Depression: 1
Mania: 1
Emotional: 1
Anxiety: 1
Compulsion: 0
External Stress: Low
25 F
Function: High
Distress: Low
I am: vg
I have:
Borderline Personality

See CupcakeKitten's full asenapine history

May 24, 2016 (Started May 18, 2016)

  • Effectiveness
    Major (for Suicidal thoughts or urges)
  • Effectiveness
    Moderate (for Psychogenic Non-epileptic Seizures)
  • Effectiveness
    Moderate (for Irritability)
  • Effectiveness
    Slight (for Dissociation)
  • Effectiveness
    Moderate (for Anxious mood)
  • Effectiveness
    Moderate (for Anger)
  • Effectiveness
    Slight (for Depersonalization-derealization)
  • Effectiveness
    Slight (for Confusion)
  • side effects
    Severe (Difficulty sleeping through night, Daytime sleepiness, Sedation)
  • Adherence
    Usually
  • Burden
    Not at all hard to take
Dosage: 5 mg Daily
Cost: $25-49 monthly

  • 0 helpful marks
isilzha
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isilzha
Gender: F
Data Quality: 0 stars
Pain: Most
Fatigue: Some
Sleep: All
Stiffness: Some
function: None
external_stress: Most
Stickman: most
Description:F42y
FM:13y 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
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rudicollis
Gender: F
Data Quality: 1 star
Depression: 2
Mania: 1
Emotional: 1
Anxiety: 2
Compulsion: 2
External Stress: Moderate
28 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
Last updated:
Showing 3 of 6 patient evaluations for asenapine