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What the FDA labels say about taking them together

Aripiprazole and asenapine

Asenapine's FDA label of January 31, 2025 names aripiprazole in its warnings and precautions section; aripiprazole's label does not name asenapine itself but warns about its class (Atypical antipsychotics).

Check it at the source: the aripiprazole FDA label on DailyMed (effective January 29, 2025, Otsuka America Pharmaceutical, Inc.); the asenapine FDA label on DailyMed (effective January 31, 2025, Allergan, Inc.).

What does the aripiprazole label say about asenapine?

Aripiprazole's label does not name asenapine itself; it warns about its class (Atypical antipsychotics):

Aripiprazole label, boxed warning

INCREASED MORTALITY IN ELDERLY PATIENTS WITH DEMENTIA-RELATED PSYCHOSIS and SUICIDAL THOUGHTS AND BEHAVIORS WITH ANTIDEPRESSANT DRUGS Elderly patients with dementia-related psychosis treated with antipsychotic drugs are at an increased risk of death.

Aripiprazole label, boxed warning

Elderly patients with dementia-related psychosis treated with antipsychotic drugs are at an increased risk of death.

Source: FDA drug label (ABILIFY), Otsuka America Pharmaceutical, Inc., effective January 29, 2025 (SPL set c040bd1d-45b7-49f2-93ea-aed7220b30ac), via openFDA; the full label on DailyMed

What does the asenapine label say about aripiprazole?

Asenapine label, warnings and precautions

Patients with Dementia-Related Psychosis In placebo-controlled trials in elderly subjects with dementia, patients randomized to risperidone, aripiprazole, and olanzapine had a higher incidence of stroke and transient ischemic attack, including fatal stroke.

Source: FDA drug label (SAPHRIS), NDA022117 (Abbvie), as published by Allergan, Inc., effective January 31, 2025 (SPL set 5429f134-839f-4ffc-9944-55f51238def8), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

47Aripiprazole generic labelers
5Asenapine generic labelers
AripiprazoleAsenapine
Labeled forDepression, Bipolar disorder, SchizophreniaSchizophrenia, Bipolar disorder
Boxed warningYesYes
Pharmacy cost (NADAC)$0.110 per tablet 5 mg tablet$2.63 per tablet 10 mg tablet sl
Shortage nowNo current entryNo current entry

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?