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Drug interactions

Asenapine + Felbamate

Severity: Moderate

Asenapine and Felbamate: 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

Felbamate can cause somnolence and dizziness, and with asenapine the sedative effects may add together. Antipsychotics may also lower seizure threshold.

What this interaction means in plain words

Asenapine and Felbamate 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; Felbamate belongs to Central Nervous System.

Evidence level: Low

Why it happens

Additive CNS depressant effects of the two drugs.

What to do

Monitor for excessive sedation and for changes in seizure control. Reduce the dose of either drug if impairment occurs.

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 Felbamate?

MediHelp rates the interaction as moderate. Asenapine and Felbamate 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. Felbamate can cause somnolence and dizziness, and with asenapine the sedative effects may add together. Antipsychotics may also lower seizure threshold.

How serious is the interaction between Asenapine and Felbamate?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for excessive sedation and for changes in seizure control. Reduce the dose of either drug if impairment occurs.

What other medicines interact with Asenapine?

MediHelp also lists interactions of Asenapine with, for example, Pimozide, Thioridazine, Vandetanib. The full list is on the Asenapine page.

Full monographs, dosing and an interaction checker in the MediHelp app

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