Drug interactions
Asenapine + Zuranolone
Severity: Major
Asenapine and Zuranolone: major 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
Zuranolone is a neuroactive steroid with marked CNS depressant effects, and asenapine is also sedating. Combined use can increase somnolence and impair driving and psychomotor performance.
What this interaction means in plain words
Asenapine and Zuranolone can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Asenapine belongs to Central Nervous System; Zuranolone belongs to Central Nervous System.
Why it happens
Additive CNS depression: GABA-A positive modulation plus antipsychotic sedation.
What to do
Consider reducing the zuranolone dose and counsel on avoiding driving for at least 12 hours after dosing. Monitor for excessive sedation.
What to ask your pharmacist
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
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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 Zuranolone
Frequently asked questions
Can I take Asenapine with Zuranolone?
MediHelp rates the interaction as major. Asenapine and Zuranolone can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Zuranolone is a neuroactive steroid with marked CNS depressant effects, and asenapine is also sedating. Combined use can increase somnolence and impair driving and psychomotor performance.
How serious is the interaction between Asenapine and Zuranolone?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Consider reducing the zuranolone dose and counsel on avoiding driving for at least 12 hours after dosing. Monitor for excessive sedation.
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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