Asenapine

Saphris

Saphris is a potent atypical antipsychotic used primarily for managing schizophrenia and bipolar I disorder, especially during manic or mixed episodes. It comes in sublingual tablet form in 5 mg and 10 mg dosages, which dissolve under the tongue for rapid absorption. Saphris acts by modulating brain neurotransmitters like dopamine and serotonin, addressing symptoms such as hallucinations, delusions, and mood swings. Care is necessary due to significant side effects like neuroleptic malignant syndrome and tardive dyskinesia. Always ensure you talk to your doctor about proper dosage, usage and a prescription when you want to buy Saphris online from Canada.

Product Overview

Saphris, known generically as asenapine, is an advanced atypical antipsychotic medication designed for the treatment of schizophrenia and bipolar I disorder. Available as a sublingual tablet in 5 mg and 10 mg strengths, it is placed under the tongue to dissolve, ensuring efficient drug absorption directly into the bloodstream. By balancing neurotransmitters such as dopamine and serotonin, Saphris effectively reduces psychotic symptoms including hallucinations and delusions, while also stabilizing mood and decreasing anxiety. 

For treating schizophrenia, the recommended starting dose is 5 mg twice daily, potentially increasing to 10 mg depending on patient response and tolerability. In the case of bipolar disorder, it starts at 10 mg twice daily as monotherapy, or 5 mg when used adjunctively with lithium or valproate. 

Patients must consult their healthcare providers before use, especially those with pre-existing conditions, due to risks such as increased mortality in elderly patients with dementia-related psychosis and other serious side effects including metabolic changes, cardiovascular issues, and the potential for developing movement disorders like tardive dyskinesia. Regular monitoring by a healthcare professional is advised to manage side effects and adjust dosages appropriately, as well as how you can buy Saphris online easily.

What Saphris Is Used to Treat?

Saphris is used to treat the following medical conditions:

• Schizophrenia
• Bipolar I disorder

What Strengths Does Saphris Come In?

This medication comes in the form of sublingual tablets. It is available in the following dosage strengths:

• Saphris 5 mg tablet
• Saphris 10 mg tablet

What Is the Typical Dosage of Saphris?

The recommended dose of Saphris for schizophrenia treatment can change based on your health condition, how severe it is, and the form of Saphris you are using. Usually, your doctor will start you on a smaller dose and may adjust it as needed, depending on how well the medication works for you.

These dosage instructions are general guidelines. If your doctor prescribes a different amount, make sure you follow their instructions carefully and do not change your dose unless they tell you to. This approach ensures that Saphris for managing bipolar disorder is used safely and effectively for schizophrenia treatment or bipolar disease treatment.

Dosage for Schizophrenia in Adults

• Starting Dose: 5 mg sublingually twice daily.
• Maintenance Dose: The dosage may be increased to 10 mg twice daily after one week, based on the patient’s response and tolerability.

Dosage for Bipolar I Disorder (Acute Treatment of Manic or Mixed Episodes) in Adults

• Monotherapy:

• • • Starting Dose: 10 mg sublingually twice daily.
    • Maintenance Dose: Continue at 10 mg twice daily; dosage adjustments should be based on clinical response and tolerability.

• Adjunctive Therapy with Lithium or Valproate:

• • Starting Dose: 5 mg sublingually twice daily.
  • Maintenance Dose: The dose can be increased to 10 mg twice daily after one week, based on patient response and tolerability.

Special Considerations

• Renal or Hepatic Impairment:

• • Mild to moderate hepatic impairment: Start at a lower dose and adjust as needed.
  • Severe hepatic impairment: Use is not recommended.
• Elderly Patients: Begin at the lower end of the dosing range and monitor closely due to the increased risk of side effects.

[Note: Remember, these recommendations may vary from person to person. Discuss it with your doctor, and they’ll customize your dosage accordingly.]

How Do You Take Saphris?

Follow the exact dosage prescribed by your healthcare provider. Do not alter the dose without consulting your doctor. Here are the guidelines that you should follow while taking Saphris for managing bipolar disorder:

• Administration: Saphris is available as a sublingual tablet, which means it is placed under the tongue to dissolve. Do not swallow, chew, or crush the tablet.
• Instructions:
  • Place the tablet under your tongue and allow it to dissolve completely. This usually takes about 10 minutes.
  • Do not eat or drink anything for at least 10 minutes after taking the tablet to ensure full absorption.
• Timing: Take Saphris at the same time each day, as directed by your healthcare provider. This helps maintain an even level of the medication in your bloodstream.
• Regular Monitoring: Attend all scheduled appointments with your healthcare provider to monitor your progress regularly and check for any adverse effects.
• Inform Your Doctor: Let your healthcare provider know about any other medications you are taking, as well as any medical conditions you have, to avoid potential interactions and complications.

[Note: Your doctor will decide the correct dosage strength for you based on your health condition, following guidelines & studies on the drug. They’ll adjust it as needed over time.]

How Does Saphris Work in the Brain?

Saphris works by adjusting levels of dopamine and serotonin in the brain, which are important for mood and behavior. It blocks certain brain receptors to help reduce symptoms of mental health conditions like schizophrenia and bipolar disorder. This includes reducing hallucinations and improving mood. Saphris typically starts to work within 1 to 2 weeks, but it may take several weeks to see its full effects.

What Are the Important Safety Information for Using Saphris?

What Are the Side Effects of Saphris?

Common Saphris Side Effects: Medications like Saphris for mental health care can cause side effects, which are usually temporary and may last from a few days to a few weeks. If these side effects persist beyond this time, bother you, or become more intense, it’s important to talk to your doctor or pharmacist to make sure you’re staying safe. Here are some common side effects you might experience with Saphris:

• Drowsiness or sleepiness: Feeling unusually tired or sleepy is common when taking Saphris for schizophrenia treatment. This can affect your ability to stay awake and alert during the day. If it’s too much, talk to your doctor.
• Dizziness: You might feel lightheaded or unsteady. Be careful when standing up quickly, and let your doctor know if dizziness becomes a problem.
• Weight gain: Some people may notice an increase in weight while using Saphris. Eating a balanced diet and staying active may help manage this, but discuss with your doctor if the weight gain is concerning.
• Increased appetite: You may feel hungrier than usual, which can lead to overeating. If this is affecting your health or well-being, speak to your doctor.
• Dry mouth: A dry mouth is a common side effect, making you feel thirsty or uncomfortable. Drinking water often can help, but mention this to your doctor if it bothers you.
• Constipation: Difficulty passing stools or not being able to go to the bathroom regularly can happen. Drinking more fluids, eating fiber, and staying active can help ease constipation.
• Numbness or tingling in the mouth (oral hypoesthesia): Some people experience a tingling or numb feeling in their mouth. This is usually temporary and goes away after a while, but if it doesn’t, let your doctor know.
• Akathisia (restlessness or need to move): Feeling restless, having the urge to move around constantly, or being unable to sit still is called akathisia. If you experience this, talk to your doctor for possible solutions.
• Extrapyramidal symptoms (movement disorders): These are movement-related issues such as stiffness, tremors, or difficulty with coordination. If you notice these symptoms, make sure to tell your doctor.
• Nausea: Feeling nauseous or like you might vomit is a common side effect. Taking the medication with food may help, but contact your doctor if nausea becomes frequent.
• Fatigue: Feeling tired or low on energy can happen while on Saphris for managing bipolar disorder. Make sure to get enough rest, but if fatigue is severe, it’s worth discussing with your healthcare provider.
• Insomnia: Difficulty sleeping is another possible side effect. If you have trouble sleeping, talk to your doctor about ways to manage this.
• Headache: You might experience headaches while taking Saphris. Over-the-counter pain relief and resting in a quiet place may help, but let your doctor know if headaches persist.
• Anxiety: Some people feel more anxious or worried while on Saphris. If you find your anxiety is getting worse, discuss it with your doctor for guidance.
• Increased salivation: Some people notice excessive drooling or an increase in saliva. If this is uncomfortable or concerning, be sure to let your doctor know.

Serious Saphris Side Effects: Saphris can cause serious side effects that require immediate medical attention. If you experience any of the following, contact your doctor right away. If the side effects seem life-threatening or you think you are having a medical emergency, call 911 or your local emergency number immediately. Here are some serious side effects to watch out for:

• Higher Risk of Death in Older Adults with Dementia: Older adults with dementia-related conditions may face a higher risk of serious health issues or death when taking Saphris. It’s important for doctors to monitor these patients carefully.
• Neuroleptic Malignant Syndrome (NMS): NMS is a rare but serious reaction to medications like Saphris. Symptoms include high fever, stiff muscles, confusion, and sweating. If you notice these signs, seek medical help right away.
• Difficulty Controlling Movements (Tardive Dyskinesia): Tardive dyskinesia is a condition that causes uncontrollable movements, like twitching or jerking, usually in the face or mouth. If this occurs, tell your doctor immediately, as it may become permanent if not treated.
• High Blood Sugar, High Cholesterol & Weight Gain: Saphris for schizophrenia treatment can cause increases in blood sugar, cholesterol, and weight. If you experience signs like excessive thirst, frequent urination, or unexplained weight gain, contact your doctor for guidance and monitoring.
• Low Blood Pressure and Changes in Heartbeat: Saphris can lower your blood pressure, causing dizziness or fainting, especially when standing up quickly. It may also cause changes in your heartbeat, so be sure to mention any symptoms like lightheadedness or irregular heartbeats to your doctor.
• Low White Blood Cell Count: A low white blood cell count can make you more prone to infections. If you notice symptoms like frequent infections or unusual tiredness, it’s important to get your blood count checked by your doctor.
• Seizures: Seizures are a serious side effect of Saphris for managing bipolar disorder. If you experience any signs of a seizure, such as sudden shaking or loss of consciousness, get medical help immediately.
• Phenylketonuria (PKU): Saphris contains phenylalanine, which can be harmful to people with phenylketonuria (PKU), a rare genetic disorder. If you have PKU, talk to your doctor before using this medication.

[Note: Remember, this list does not cover all possible side effects of Saphris. Always consult with your healthcare expert for medical advice about side effects.]

Are There Any Warnings for Using Saphris? 

Saphris has several important warnings and potential side effects that should be considered, especially for specific groups at higher risk. If you have concerns, discussing alternative treatments with your healthcare provider is advisable.

• Increased Mortality in Elderly with Dementia-Related Psychosis: There is a heightened risk of death and stroke in adults over 65 with dementia-related psychosis treated with antipsychotics like Saphris, which is not approved for this condition.
• Neuroleptic Malignant Syndrome (NMS): This rare but serious condition is linked to antipsychotic drugs. Symptoms include high fever, stiff muscles, confusion, and rapid heart rate. Immediate medical attention is crucial, and alternative medications may be needed.
• Tardive Dyskinesia (TD): Long-term use can lead to TD, a potentially irreversible condition characterized by uncontrollable movements such as lip smacking or blinking. Contact your healthcare provider immediately if symptoms appear.
• Metabolic Changes: Saphris may cause increases in blood sugar, cholesterol, and body weight, raising the risk of diabetes, heart disease, and stroke. Regular monitoring and preventive strategies should be discussed with your healthcare provider.
• Cardiovascular Effects: Low blood pressure and altered heart rhythms may occur, particularly when rising from a seated or lying position. These effects can increase the risk of falls and fainting. Patients with heart conditions should consider alternatives.
• Low White Blood Cell Count: Asenapine can reduce white blood cell counts, increasing infection risks. Regular blood tests may be necessary to monitor your levels.
• Seizures: There’s an increased risk of seizures with Saphris, especially for those with a history of seizures or conditions that predispose to them. Inform your provider about your medical history before starting the medication.
• Phenylketonuria (PKU): Saphris tablets contain phenylalanine, which can be harmful to those with PKU. Your healthcare provider should adjust your diet or explore other medications if you have this condition.

What Is the Black Box Warning for Saphris?

Saphris carries FDA-boxed warnings to alert healthcare providers and patients about the potentially serious risks associated with its use. These include:

• Higher Risk of Death in Older Adults with Dementia-Related Psychosis: Elderly patients with dementia-related psychosis treated with antipsychotic drugs are at an increased risk of death. Saphris is not approved for the treatment of dementia-related psychosis.

• Increased Risk of Suicidal Thoughts and Behaviors: Antidepressants, including Saphris, may increase the risk of suicidal thoughts and behaviors in children, adolescents, and young adults. Close monitoring for clinical worsening, suicidality, or unusual changes in behavior is necessary when prescribing Saphris for schizophrenia treatment to these populations.

What Precautions Should Be Taken When Taking Saphris?

When using Saphris, several precautions should be observed to ensure safe and effective use of the medication:

• Allergy Information: Before starting Saphris, inform your healthcare provider about allergies to asenapine or other medications, especially other antipsychotics.
• Medical History: Discuss your complete medical history with your healthcare provider, particularly if you have conditions related to the heart (like arrhythmias or heart disease), liver or kidney disease, a history of stroke or blood clots, diabetes, high cholesterol, seizures, low white blood cell counts, or conditions affecting metabolism.
• Mental Health Effects: Antipsychotic medications can sometimes cause or worsen symptoms of depression or suicidal thoughts, particularly in young adults and teenagers. Regular monitoring by your healthcare provider is crucial, and any new or worsening symptoms should be reported immediately.
• Interactions with Other Medications: Saphris can interact with other medications, which can increase side effects or reduce the effectiveness of Saphris or other drugs. This includes prescription drugs, over-the-counter medications, and herbal supplements. Be sure to discuss all medications and supplements you are taking with your healthcare provider.
• Alcohol and CNS Depressants: Avoid alcohol and other central nervous system (CNS) depressants while on Saphris for managing bipolar disorder, as they can enhance side effects such as dizziness and drowsiness.
• Pregnancy and Breastfeeding: If you are pregnant, planning to become pregnant, or breastfeeding, discuss the risks and benefits of using Saphris with your healthcare provider. Saphris may have potential effects on the fetus or infant.
• Operating Machinery: Saphris can cause drowsiness, dizziness, and affect your ability to make decisions and react. Avoid driving, operating heavy machinery, or performing other tasks that require alertness until you know how the medication affects you.
• Avoid Overheating and Dehydration: Antipsychotic medications can affect the body’s ability to regulate temperature. Avoid becoming overheated or dehydrated, especially during exercise and in hot weather.
• Regular Monitoring: Frequent visits to your healthcare provider may be necessary to monitor the drug’s effectiveness and check for adverse effects. This may include blood tests to monitor blood counts and metabolic changes.
• Discontinuation: Do not stop taking Saphris abruptly without consulting your healthcare provider, as it can cause withdrawal symptoms and worsening of your condition. Your provider may advise a gradual reduction in dose if discontinuation is needed.

What Are the Contraindications for Saphris? 

The contraindications for using Saphris for mental health care include:

• Severe Hepatic Impairment: Patients with severe liver impairment should not use Saphris.
• Hypersensitivity: Individuals who have a known hypersensitivity to asenapine or any of its components should avoid using this medication due to the risk of severe allergic reactions, including anaphylaxis and angioedema.

What If I Miss a Dose of Saphris?

If you miss a dose of Saphris (asenapine), take it as soon as you remember. However, if it’s almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not take two doses at the same time to make up for the missed one. Missing doses regularly can reduce the effectiveness of the treatment, so it’s essential to take Saphris for schizophrenia treatment consistently as prescribed. If you have any concerns or frequently miss doses, discuss this with your healthcare provider for further guidance and strategies to help you remember to take your medication.

[Note: If you have missed a dose of Saphris and are unsure regarding the next one, immediately consult your doctor or pharmacist.]

What Happens If I Take Too Much Saphris?

Taking too much Saphris can lead to serious health consequences. Symptoms of an overdose may include:

• Severe drowsiness or sedation
• Confusion
• Agitation or restlessness
• Aggressive behavior
• Severe dizziness or fainting
• Irregular heartbeats
• Seizures
• Difficulty breathing

In extreme cases, an overdose can be life-threatening. If you suspect an overdose of Saphris for mental health care, it’s crucial to seek immediate medical attention. Call emergency services or go to the nearest emergency room. It’s helpful to provide healthcare professionals with information about the amount taken and the time of ingestion. Prompt treatment is essential to manage the overdose and mitigate potential complications.

[Note: If you consumed more than the recommended dose, get medical help right away or call the Poison Help line at 1-800-222-1222.]

How Do You Store Saphris?

Saphris (asenapine) should be stored properly to maintain its effectiveness and safety. Here are the general guidelines for storing Saphris:

• Keep at Room Temperature: Store Saphris at room temperature, typically between 68°F to 77°F (20°C to 25°C). Avoid extreme temperatures.
• Protect from Light and Moisture: Keep the medication in its original packaging to protect it from light and moisture. Do not store Saphris in the bathroom or other damp areas.
• Keep it Secure: Ensure that the medication is stored in a secure place, out of the reach and sight of children and pets.
• Check Expiry Date: Regularly check the expiration date on the Saphris package and do not use it past the expiration date.
• Proper Disposal: Dispose of expired or unused Saphris to manage bipolar disorder according to the instructions provided by your pharmacist or local waste disposal company.

[Note: Discuss with your healthcare expert regarding the proper disposal of an unused Saphris and any questions you may have regarding its storage.]

What Drugs Interact with Saphris?

Saphris can interact with various medications, which can affect its efficacy or increase the risk of serious side effects. It is crucial to discuss all medications you are taking with your healthcare provider before starting Saphris for schizophrenia treatment. Here are some common interactions:

• Central Nervous System (CNS) Depressants: Combining Saphris with other CNS depressants like benzodiazepines, opioids, or alcohol can enhance sedative effects, leading to severe drowsiness, respiratory depression, and impaired motor skills.
• Antihypertensive Medications: Saphris can lower blood pressure, and when taken with antihypertensive drugs, it may increase the risk of hypotension (low blood pressure).
• QT Prolonging Drugs: Saphris can cause QT prolongation (a heart rhythm disorder). Using it with other medications that also prolong the QT interval can raise the risk of severe heart rhythm problems. Examples include certain antibiotics, antiarrhythmics, and other antipsychotics.
• Enzyme Inhibitors: Drugs that inhibit enzymes responsible for metabolizing Saphris, such as CYP1A2 inhibitors (such as fluvoxamine) and CYP2D6 inhibitors (such as paroxetine), can increase Saphris levels in the blood, potentially increasing side effects.
• Enzyme Inducers: Drugs that induce enzymes that metabolize Saphris, such as CYP3A4 inducers (such as carbamazepine, rifampin), can decrease Saphris levels, reducing its effectiveness.
• Anticholinergic Medications: Combining Saphris with other anticholinergic drugs can increase the risk of anticholinergic side effects like dry mouth, constipation, urinary retention, and blurred vision.
• Medications Affecting Blood Sugar: Asenapine can increase blood sugar levels, so adjustments in diabetes medications may be required.
• Dopamine Agonists: Saphris may reduce the effectiveness of dopamine agonists used in Parkinson’s disease due to its dopamine antagonist properties.
• Cimetidine: This medication can increase the blood levels of asenapine, potentially enhancing its effects and side effects.

What Are the Other Interactions of Saphris?

Saphris for mental health care can interact with a variety of substances, impacting its effectiveness or leading to adverse effects. Here are some notable interactions:

• Interactions with Supplements:
  • St. John’s Wort: It may lower the effectiveness of Saphris by increasing its metabolism in the liver.
• Interactions with Herbs:
  • Valerian Root: This can enhance the sedative effects of Saphris, leading to excessive drowsiness or impaired cognitive functions.
  • Kava: This may increase the risk of liver toxicity and sedative effects when combined with Saphris for managing bipolar disorder.
• Interactions with Food & Beverages:
  • Grapefruit Juice: This medication can increase asenapine levels by inhibiting certain enzymes needed for its metabolism, potentially leading to increased side effects.
  • Alcohol: It should be avoided as it can significantly increase the sedative effects of Saphris, enhancing drowsiness and impairing motor skills and cognitive functions.
  • Caffeinated Beverages: Can potentially counteract the sedative effects of Saphris, leading to reduced efficacy.

[Note: This is not a complete list of Saphris interactions, and there could be other drugs that interact with Saphris. Make sure to tell your medical expert about any prescription, over-the-counter medicines & herbal products you’re taking.]

What Are the Alternatives to Saphris?

Saphris (asenapine) is an atypical antipsychotic medication primarily used to treat schizophrenia and bipolar disorder. There are several alternatives to Saphris for mental health care management, including:

Other Atypical Antipsychotics

• Abilify (aripiprazole)
• Zyprexa (olanzapine)
• Seroquel (quetiapine)
• Risperdal (risperidone)
• Geodon (ziprasidone)
• Latuda (lurasidone)
• Invega (paliperidone)
• Rexulti (brexpiprazole)
• Vraylar (cariprazine)

Typical Antipsychotics

• Haldol (haloperidol)
• Chlorpromazine (chlorpromazine)
• Fluphenazine (fluphenazine)

Mood Stabilizers (for Bipolar Disorder)

• Lithium (lithium)
• Depakene (valproic acid)
• Tegretol (carbamazepine)
• Lamictal (lamotrigine)

Antidepressants (May Be Used In Combination for Bipolar Depression)

• SSRIs [such as Prozac (fluoxetine), Zoloft (sertraline)]
• SNRIs [such as Effexor (venlafaxine), Cymbalta (duloxetine)]

Combination Therapies

• Some patients may benefit from a combination of antipsychotics, mood stabilizers, and/or antidepressants.

[Note: Your doctor will choose the most suitable dosage for you. Don’t use any of these alternative medications without consulting your medical professional. Taking them in the absence of medical supervision may cause serious side effects.]

Saphris Coupons & Cost

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Frequently Asked Questions

What happens if you stop taking Saphris?

It’s important not to stop taking Saphris suddenly, even if you start feeling better. Discontinuing the medication without consulting your doctor can lead to withdrawal symptoms such as vomiting, nausea, fever, headache, and dizziness. Always talk to your doctor before stopping the medication to ensure it’s done safely.

How much Saphris can you take?

The recommended dose of Saphris for managing bipolar disorder or schizophrenia for most people is 5 mg taken twice daily. Your doctor may adjust the dosage depending on your needs and response to the medication.

How does Saphris make you feel?

Saphris can cause side effects like drowsiness, dizziness, lightheadedness, and weight gain. Some people may also experience a tingling or numb feeling in the mouth, but this usually goes away within an hour.

Does Saphris need to be taken with food?

No, Saphris does not need to be taken with food. However, it’s important to avoid eating or drinking for 10 minutes after taking the medication to ensure it works effectively.

How common is weight gain with Saphris?

Weight gain is a known side effect of Saphris. About 8% to 12% of adults and 4.4% to 4.8% of children taking Saphris for 3 weeks may experience an increase of 7% or more in body weight, compared to only 1.1% of adults and 1.6% of children on a placebo.

How quickly does Saphris start to take effect?

Saphris typically begins to show effects within 1 to 2 weeks of starting treatment. However, it might take several weeks to experience the maximum benefits. Continued improvement is often observed over the first 3 to 4 months of treatment with this medication.

Can Saphris lead to weight gain?

Yes, Saphris, like many antipsychotics, may cause weight gain, although it does not affect everyone. If you experience significant weight gain while using asenapine (Saphris), consult your healthcare provider. Switching to a different medication may sometimes mitigate this side effect.

Is it safe to take Saphris while pregnant?

The safety of Saphris for mental health care during pregnancy has not been well-studied. Antipsychotic medications used in the third trimester are known to potentially cause movement issues and withdrawal symptoms in newborns. To better understand the effects of mental health medications like asenapine during pregnancy, there is a National Pregnancy Registry for Psychiatric Medications. If you’re pregnant and on asenapine, consider enrolling in this registry to contribute to and access information on its safety. For more details, you can contact the registry directly.

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