Secuado vs. Fanapt

• Are Secuado and Fanapt the Same Thing?
• What Are Possible Side Effects of Secuado?
• What Are Possible Side Effects of Fanapt?
• What Is Secuado?
• What Is Fanapt?
• What Drugs Interact with Secuado?
• What Drugs Interact with Fanapt?
• How Should Secuado Be Taken?
• How Should Fanapt Be Taken?

Secuado (asenapine) and Fanapt (iloperidone) are atypical antipsychotics used to treat schizophrenia.

Secuado is available as a transdermal system (patch) and Fanapt is taken orally.

Asenapine, the drug contained in Secuado, is also available as a sublingual tablet formulation under the brand name Saphris.

Side effects of Secuado and Fanapt that are similar include weight gain.

Side effects of Secuado that are different from Fanapt include headache, extrapyramidal disorder (muscle spasms, restlessness, muscle rigidity, slowness of movement, tremors, and irregular, jerky movements), and application site reactions (skin discoloration, discomfort, dryness, swelling, redness, peeling, hard lump, irritation, pain, bumps, or itching).

Side effects of Fanapt that are different from Secuado include drowsiness, dizziness, dry mouth, tiredness, stuffy nose, breast swelling or discharge, and changes in menstrual periods.

Both Secuado and Fanapt may interact with antidepressants and antibiotics.

Secuado may also interact with diuretics, ACE inhibitors, angiotensin receptor blockers (ARBs), beta-blockers, and alpha-blockers.

Fanapt may also interact with other medicines that make you sleepy (such as cold or allergy medicine, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression, or anxiety), arsenic trioxide, droperidol, anti-malaria medications, heart rhythm medicines, medicine to prevent or treat nausea and vomiting, other medicines to treat psychiatric disorders, and migraine headache medicines.

Side effects of Secuado include:

• headache,
• extrapyramidal disorder (muscle spasms, restlessness, muscle rigidity, slowness of movement, tremors, and irregular, jerky movements),
• application site reactions (skin discoloration, discomfort, dryness, swelling, redness, peeling, hard lump, irritation, pain, bumps, or itching), and
• weight gain

Common side effects of Fanapt include:

• drowsiness,
• dizziness,
• dry mouth,
• tiredness,
• stuffy nose,
• weight gain,
• breast swelling or discharge, or
• changes in menstrual periods.

Tell your doctor if you have rare but serious side effects of Fanapt including:

• drooling,
• trouble swallowing,
• signs of infection (such as persistent cough, fever),
• shaking (tremor), or
• muscle spasms.

Secuado (asenapine) is a transdermal atypical antipsychotic formulation used to treat adults with schizophrenia. Asenapine, the drug contained in Secuado, is also available as a sublingual tablet formulation under the brand name Saphris.

Secuado is also used to treat or manage:

• Schizophrenia
• manic or mixed episodes that happen with bipolar I disorder
• major depressive disorder (MDD) when ABILIFY is used with antidepressant medicines
• irritability associated with autistic disorder
• Tourette's disorder

Secuado Injection is a prescription medicine used to treat:

• agitation associated with schizophrenia or bipolar mania

It is not known if Secuado is safe or effective in children:

• under 13 years of age with schizophrenia
• under 10 years of age with bipolar I disorder
• under 6 years of age with irritability associated with autistic disorder
• under 6 years of age with Tourette's disorder

Fanapt (iloperidone) is an antipsychotic medication used to treat schizophrenia.

Secuado may interact with other medicines such as:

• diuretics,
• ACE inhibitors,
• angiotensin receptor blockers (ARBs),
• beta-blockers,
• alpha-blockers,
• fluvoxamine,
• ciprofloxacin,
• enoxacin, and
• paroxetine

Tell your doctor all medications and supplements you use.

Fanapt may interact with other medicines that make you sleepy (such as cold or allergy medicine, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression, or anxiety), arsenic trioxide, droperidol, antibiotics, antidepressants, anti-malaria medications, heart rhythm medicines, medicine to prevent or treat nausea and vomiting, other medicines to treat psychiatric disorders, migraine headache medicines, or narcotics. Tell your doctor all medications you use. During pregnancy, Fanapt should be used only when prescribed. Do not stop taking this medication unless directed by your doctor. Babies born to mothers who have used this drug during the last 3 months of pregnancy may infrequently develop symptoms including muscle stiffness or shakiness, drowsiness, feeding/breathing difficulties, or constant crying. If you notice symptoms in your newborn during their first month, tell the doctor. It is unknown if this medication passes into breast milk. Consult your doctor before breastfeeding.

The recommended starting dose of Secuado is 3.8 mg/24 hours. Apply one Secuado patch to the skin (hip, abdomen, upper arm, or upper back area) every 24 hours

The recommended starting dose of Fanapt is 1 mg twice daily. The target dose range is 6-12 mg twice daily.