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Healthcare Providers Prescribing Information Important Risk Information





Important Risk Information
Elderly people with dementia-related psychosis (having lost touch with reality due to confusion and memory loss) taking antipsychotic drugs, including SAPHRIS, are at an increased risk for death. SAPHRIS is not approved for treating people with dementia-related psychosis. Continued below
SAPHRIS co-pay savings
Learn how to save on SAPHRIS
Learn how SAPHRIS can help
In clinical studies, SAPHRIS was proven to help manage the symptoms of schizophrenia in adults.
Save on your SAPHRIS co-pay
Pay as little as $25 for your next 12 prescriptions. Restrictions apply.
Continuing Treatment
Get tips about staying on treatment with SAPHRIS.
SAPHRIS is a prescription medicine approved for the treatment of schizophrenia in adults.
Learn how SAPHRIS can help
In clinical studies, SAPHRIS was proven to help manage the manic symptoms of bipolar I disorder in adults.
Save on your SAPHRIS co-pay
Pay as little as $25 for your next 12 prescriptions. Restrictions apply.
Continuing Treatment
Get tips about staying on treatment with SAPHRIS.
SAPHRIS is a prescription medicine approved for the acute treatment of manic or mixed episodes associated with bipolar I disorder in adults. It may be taken alone or with lithium or valproate.
Important Risk Information

Elderly people with dementia-related psychosis (having lost touch with reality due to confusion and memory loss) taking antipsychotic drugs, including SAPHRIS, are at an increased risk for death. SAPHRIS is not approved for treating people with dementia-related psychosis. An increased risk for stroke and ministroke has been reported in elderly people with dementia-related psychosis.

Serious allergic reaction: Do not take SAPHRIS (asenapine) if you are allergic to any of its ingredients. Get emergency medical help if you think you are having an allergic reaction. Symptoms may include difficulty breathing; itching; swelling of the face, tongue, or throat; or light-headedness.

Neuroleptic malignant syndrome (NMS): Stop taking SAPHRIS and call your healthcare provider right away if you have high fever; stiff muscles; confusion; changes in pulse, heart rate, or blood pressure; or sweating. These can be symptoms of a rare but potentially fatal side effect called NMS.

Tardive dyskinesia (TD): Tell your healthcare provider if you cannot control the movements of your face, tongue, or other body parts. These could be signs of a serious and sometimes permanent side effect called TD. TD may not go away, even if you stop taking SAPHRIS. TD may also start after you stop taking SAPHRIS.

SAPHRIS can cause problems with your metabolism, which may increase your risk for heart disease or stroke, such as:

  • High blood sugar and diabetes: If you have diabetes or risk factors for diabetes (such as being overweight or a family history of diabetes), your blood sugar should be tested before you start SAPHRIS and regularly during treatment. Complications of diabetes can be serious and even life threatening. Tell your healthcare provider if you have symptoms of high blood sugar or diabetes, such as feeling very thirsty or very hungry, urinating more than usual, or feeling weak.
  • Increased blood cholesterol or triglycerides: Your healthcare provider may decide to check your cholesterol and triglyceride levels during your treatment with SAPHRIS.
  • Weight gain: Your healthcare provider should check your weight regularly.
Also tell your healthcare provider if:
  • You have or had low white blood cell counts, because low white blood cell counts and related conditions have been reported with SAPHRIS and similar medicines
  • You have any reactions under your tongue (where you place SAPHRIS), such as sores, blisters, peeling/sloughing or inflammation, because these reactions have been reported with SAPHRIS
  • You have certain heart conditions such as irregular heartbeats, or take certain medicines that can cause irregular heartbeats, because SAPHRIS should be avoided in these circumstances
  • You have a seizure disorder, have had seizures, or have conditions that increase your risk for seizures
  • You are taking or plan to take prescription and over-the-counter medicines, because there is a risk for drug interactions with SAPHRIS
  • You have thoughts of suicide or of hurting yourself or others. If you have these thoughts at any time, tell your healthcare provider or go to an emergency room right away
  • You have or have had swallowing problems, because SAPHRIS and medicines like it have been associated with swallowing problems
  • You experience a lack of menstrual periods, leaking or enlarged breasts, or impotence, because SAPHRIS and medicines like it may raise the levels of prolactin. The levels may continue to be high when SAPHRIS is used over time
  • You are pregnant or planning to get pregnant while taking SAPHRIS
Other important information to remember:
  • Get up slowly after sitting or lying down to avoid getting dizzy, especially at the start of treatment, or when your dose is increased. Light-headedness or faintness caused by a sudden change in heart rate and blood pressure when rising quickly from a sitting position has been reported with SAPHRIS
  • Do NOT drive or use dangerous machines until you know how SAPHRIS affects you, because SAPHRIS and medicines like it can affect your judgment, thinking, and motor skills
  • Be careful when exercising or when doing things likely to cause dehydration or make you warm, because SAPHRIS may make you more sensitive to heat. You may have trouble cooling off
  • Do NOT drink alcohol
  • Breastfeeding is NOT recommended
  • The most common side effects that occurred with SAPHRIS were sleepiness, dizziness, uncontrolled movements of the body and face, muscle stiffness, weight gain, numbing of the mouth, and restlessness

This is not a complete summary of safety information. Please discuss the full Prescribing Information, including Boxed Warning, for SAPHRIS with your doctor.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1‑800‑FDA‑1088.

The trademarks SAPHRIS, SAPHRIS & Star Design, and Star Design are used by Actavis, Inc. or its affiliates under license from Merck Sharp & Dohme B.V.
© 2011, 2013 Merck Sharp & Dohme B.V.; used by Actavis, Inc. or its affiliates under license.
© Actavis 2015. All rights reserved.
SPH24123 01/15