NYMC Faculty Publications

Asenapine Review, Part II: Clinical Efficacy, Safety and Tolerability

Author Type(s)

Faculty

DOI

10.1517/14740338.2014.908183

Journal Title

Expert Opinion on Drug Safety

First Page

803

Last Page

830

Document Type

Article

Publication Date

6-1-2014

Department

Psychiatry and Behavioral Sciences

Keywords

Antipsychotic Agents, Bipolar Disorder, Dibenzocycloheptenes, Electrocardiography, Heterocyclic Compounds, 4 or More Rings, Humans, Schizophrenia

Disciplines

Medicine and Health Sciences

Abstract

INTRODUCTION: Asenapine is a second-generation (atypical) antipsychotic currently marketed for the treatment of schizophrenia and bipolar mania/mixed episodes.

AREAS COVERED: The purpose of this review is to describe the clinical profile of asenapine.

EXPERT OPINION: Asenapine's efficacy in the treatment of schizophrenia and in the acute management of bipolar manic or mixed episodes, within the recommended therapeutic dose range of 5 - 10 mg twice a day, is evidenced by a broad clinical development program. Asenapine's overall tolerability profile is notable for the potential for sedation (time-limited) and, to a lesser extent, extrapyramidal symptoms/akathisia, dizziness, and oral hypoesthesia. Asenapine's effects on weight and metabolic variables appear modest, as are its effects on the ECG QTc interval and on prolactin.

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