Asenapine and Cariprazine interaction

Asenapine and Cariprazine: both prescribing labels describe an interaction that usually calls for monitoring, a dose change, or spacing the doses.

Moderate

Usually manageable with monitoring or a dose change. Tell your pharmacist you take both.

What the FDA labels say

From the Asenapine (SAPHRIS) label · effective 2025-01-31

Moderate

Orthostatic Hypotension, Syncope, and Other Hemodynamic Effects Atypical antipsychotics cause orthostatic hypotension and syncope.

Warnings and precautionsby drug classView label on DailyMed
Moderate

As with other antipsychotic drugs, SAPHRIS should be used with caution in patients with a history of seizures or with conditions that potentially lower the seizure threshold.

Warnings and precautionsby drug classView label on DailyMed
Moderate

SAPHRIS and other antipsychotic drugs should be used cautiously in patients at risk for aspiration.

Warnings and precautionsby drug classView label on DailyMed

From the Cariprazine (Vraylar) label · effective 2025-12-18

Moderate

VRAYLAR and other antipsychotic drugs should be used cautiously in patients at risk for aspiration.

Warnings and precautionsby drug classView label on DailyMed
Minor

Seizures Like other antipsychotic drugs, VRAYLAR may cause seizures.

Warnings and precautionsby drug classView label on DailyMed
Minor

Potential for Cognitive and Motor Impairment VRAYLAR, like other antipsychotics, may cause somnolence and has the potential to impair judgment, thinking, or motor skills.

Warnings and precautionsby drug classView label on DailyMed

Taking more than these two? Interactions stack. Check your whole list at once; it stays in your browser.

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.