Patient Education: Asenapine (Saphris)
Asenapine is prescribed by your healthcare provider based on current guidelines to address specific mental health conditions. While effective, all medications have potential side effects. It's crucial to be informed about these risks and benefits. It's also important to understand strategies to reduce their occurrence or manage them effectively. It's vital to know when to contact your healthcare provider or seek immediate medical attention. This guide aims to empower you with this knowledge, ensuring a well-informed approach to your child's treatment. If you are still unsure, always reach out to your healthcare provider for further guidance.
What is Asenapine?
Asenapine belongs to a group of medicines known as Second Generation or Atypical Antipsychotics.
When is Asenapine prescribed to Children & Adolescents?
Your doctor may prescribe Asenapine for
- Behavioral disturbances or Disruptive Mood Dysregulation Disorder (also known as DMDD)
- Irritability associated with autism spectrum disorder
- Bipolar disorder
- Psychosis
What is the Dose of Asenapine?
- The dose typically ranges from 2.5mg twice a day to 10mg twice a day
- Place the tablet under your tongue and let it dissolve completely. Do not chew or swallow the tablet.
- Do not eat or drink anything for at least 10 minutes after taking the medication to ensure it is fully absorbed.
- Started at a low dose, gradually increased to effectiveness.
What can be the possible
side-effects from the medication?
- Drowsiness, Tiredness:
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- Started at a low dose to minimize effects.
- Self limiting (Gets better in few days)
- Standing slowly from sitting or lying down position helps with this side-effect
- Consult with your provider if persistent.
- Increased appetite and weight gain:
-
- Very likely to happen.
- Can lead to risks like high
blood pressure, increased total and bad cholesterol, diabetes. - Regular monitoring of weight, waist size, blood pressure, blood sugar, and cholesterol is important.
- Monitor your child’s diet and inform your doctor of significant weight gain.
- Dizziness due to low Blood Pressure:
- Generally happens early in treatment and subsides over time.
- Drinking plenty of water may help
- When getting up from a sitting or lying position, do so slowly to give your body time to adjust and prevent a sudden drop in blood pressure.
- Contact your provider if persistent.
- Akathisia:
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- Intense inner restlessness, possibly manifesting as excessive physical activity or anxiety.
-
- Management may involve adjusting dosage or medication, or adding another medication (beta-blocker)
- Excessive Saliva:
- Consult with your provider if persistent. Adjustment in medication may be necessary.
- Numbing of the tongue or decreased oral sensitivity
- Temporary, subsides shortly after taking the medication.
- Avoid eating or drinking for 10 minutes after taking the medication
- Suck on ice chips before taking the medication.
- Maintain good oral hygiene.
- Contact your provider if persistent or bothersome.
- Dystonia:
-
- Symptoms include involuntary muscle contractions leading to unusual postures, such as neck twisting, back arching.
- Seek emergency care if these occur. Medications (Benadryl or Benztropine) may be used for relief.
- Increase in Prolactin Levels (Hyperprolactinemia)
- Watch for breast development in boys, menstrual changes in girls and nipple discharge in both the genders
- Your provider will order labs every 6 months to check prolactin levels, to monitor for this side-effect closely.
- Prolactin levels should be checked every 6-12 months.
- Stopping medication typically normalizes levels. Note: breast development in boys may not be reversible.
- Dry Mouth:
-
- Drink plenty of water
- Constipation:
-
- To treat this side-effect ot to reduce incidence of it, Drink plenty of water & add fiber to diet
- Contact your PCP if side-effect persists
- Heart Rhythm Disturbances:
-
- QTc prolongation, a condition that lengthens the heart's electrical cycle, may lead to irregular heartbeats.
- If you notice an irregular heartbeat, inform your healthcare provider.
- Stopping or changing the medication might be required.
- Tardive Dyskinesia (TD)
-
- Characterized by involuntary, repetitive body movements.
- Regular monitoring with the Abnormal Involuntary Movement Scale (AIMS) is essential.
Serious but Rare Side-Effects
- Neuroleptic malignant syndrome
- Symptoms: High fever, severe muscle stiffness, changes in blood pressure, heart rate, and breathing.
- Action Required: Immediately discontinue medication and seek urgent medical care in a hospital.
- Treatment: Immediate medical care in a hospital.
To learn more about this medication please visit MedlinePlus, a official US government website, part of National Library of Medicine and managed by National Institute of Health by clicking HERE