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Drug interactions

Asenapine + Eszopiclone

Severity: Moderate

Asenapine and Eszopiclone: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Asenapine commonly causes somnolence, and eszopiclone is a sedative-hypnotic. Together they may produce greater sedation, dizziness and impaired coordination, increasing fall risk.

What this interaction means in plain words

Asenapine and Eszopiclone can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Asenapine belongs to Central Nervous System; Eszopiclone belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Additive CNS depressant effects.

What to do

Use the lowest effective eszopiclone dose and monitor for oversedation, orthostasis and falls. Advise patients not to drive until tolerance is established.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Asenapine with Eszopiclone?

MediHelp rates the interaction as moderate. Asenapine and Eszopiclone can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Asenapine commonly causes somnolence, and eszopiclone is a sedative-hypnotic. Together they may produce greater sedation, dizziness and impaired coordination, increasing fall risk.

How serious is the interaction between Asenapine and Eszopiclone?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use the lowest effective eszopiclone dose and monitor for oversedation, orthostasis and falls. Advise patients not to drive until tolerance is established.

What other medicines interact with Eszopiclone?

MediHelp also lists interactions of Eszopiclone with, for example, Calcium / magnesium / potassium / sodium oxybates, Sodium oxybate, Amobarbital. The full list is on the Eszopiclone page.

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