Drug interactions
Asenapine + Stiripentol
Severity: Moderate
Asenapine and Stiripentol: 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
Both drugs cause somnolence, so together they may increase sedation and impair alertness. Stiripentol also inhibits several CYP enzymes, which could raise asenapine exposure.
What this interaction means in plain words
Asenapine and Stiripentol 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; Stiripentol belongs to Central Nervous System.
Why it happens
Additive CNS depression, with possible CYP1A2 inhibition by stiripentol increasing asenapine levels.
What to do
Monitor for excessive sedation and adverse effects of asenapine, reducing the dose if needed. Counsel patients on driving and alcohol.
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?
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Other interactions of Asenapine
- Asenapine + Pimozide Contraindicated
- Asenapine + Thioridazine Contraindicated
- Asenapine + Vandetanib Contraindicated
- Adagrasib + Asenapine Major
- Alfentanil + Asenapine Major
- Alfuzosin + Asenapine Major
Other interactions of Stiripentol
Frequently asked questions
Can I take Asenapine with Stiripentol?
MediHelp rates the interaction as moderate. Asenapine and Stiripentol 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. Both drugs cause somnolence, so together they may increase sedation and impair alertness. Stiripentol also inhibits several CYP enzymes, which could raise asenapine exposure.
How serious is the interaction between Asenapine and Stiripentol?
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 adverse effects of asenapine, reducing the dose if needed. Counsel patients on driving and alcohol.
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.
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