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What the FDA labels say about taking them together

Asenapine and risperidone

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

Check it at the source: the asenapine FDA label on DailyMed (effective January 31, 2025, Allergan, Inc.); the risperidone FDA label on DailyMed (effective May 28, 2026, Janssen Pharmaceuticals, Inc.).

What does the asenapine label say about risperidone?

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

What does the risperidone label say about asenapine?

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

Risperidone label, boxed warning

INCREASED MORTALITY IN ELDERLY PATIENTS WITH DEMENTIA-RELATED PSYCHOSIS Elderly patients with dementia-related psychosis treated with antipsychotic drugs are at an increased risk of death.

Risperidone label, boxed warning

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

Source: FDA drug label (RISPERDAL), Janssen Pharmaceuticals, Inc., effective May 28, 2026 (SPL set 7e117c7e-02fc-4343-92a1-230061dfc5e0), 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

5Asenapine generic labelers
37Risperidone generic labelers
AsenapineRisperidone
Labeled forSchizophrenia, Bipolar disorderBipolar disorder, Schizophrenia
Boxed warningYesYes
Pharmacy cost (NADAC)$2.63 per tablet 10 mg tablet sl$0.0368 per tablet 0.25 mg tablet
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)

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