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Secuado® (asenapine) transdermal system

Secuado Product Package

The First and Only FDA Approved Patch For Schizophrenia IN ADULTS

In October 2019, Noven received FDA approval for Secuado® (asenapine) transdermal system, an atypical antipsychotic medication used to treat adults with schizophrenia. Secuado®, the first and only FDA approved transdermal system for schizophrenia, is applied once daily and is available in three dosage strengths: 3.8 mg/24 hours,
5.7 mg/24 hours, and 7.6 mg/24 hours.

For more information, please call 800-455-8070.

WHAT IS SECUADO?

SECUADO is a prescription medicine used to treat adults with schizophrenia. SECUADO is a transdermal system (patch) you apply to your skin. It is not known if SECUADO is safe and effective in children less than 18 years of age with schizophrenia.

Please click here for full Prescribing Information, including Boxed Warning.

Important Safety Information

   
  SECUADO may cause serious side effects, including:  
    Increased risk of death in elderly people with dementia-related psychosis. Medicines like SECUADO can raise the risk of death in elderly people who have lost touch with reality (psychosis) due to confusion and memory loss (dementia). SECUADO is not approved for the treatment of people with dementia-related psychosis.  
    Stroke (cerebrovascular problems) in elderly people with dementia-related psychosis that can lead to death.  
    Neuroleptic Malignant Syndrome (NMS): a serious condition that can lead to death. Immediately remove the patch. Call your healthcare provider or go to the nearest hospital emergency room right away if you have some or all of the following: high fever, confusion, stiff muscles, increased sweating and changes in your breathing, heart rate and blood pressure.  
    Uncontrolled body movements (tardive dyskinesia). SECUADO may cause movements that you cannot control in your face, tongue, or other body parts. Tardive dyskinesia may not go away, even if you stop taking SECUADO. Tardive dyskinesia may also start after you stop taking SECUADO.  
    Problems with your metabolism such as:  
      High blood sugar (hyperglycemia) and diabetes. Increases in blood sugar can happen in some people who take SECUADO.
Call your healthcare provider if you have any of these symptoms of high blood sugar during treatment with SECUADO:
 
          Feel very thirsty or very hungry  
          Feel sick to your stomach  
          Feel weak or tired  
          Need to urinate more than usual  
          Feel confused, or your breath smells fruity  
      Increased fat levels (cholesterol and triglycerides) in your blood  
      Weight gain. You and your healthcare provider should check your weight regularly during treatment with SECUADO.  
    Allergic reactions. You may observe rash, decreased blood pressure or a fast heart rate.  
    Decreased blood pressure (orthostatic hypotension). You may feel lightheaded or faint when you rise too quickly from a sitting or lying position.  
    Falls. SECUADO may make you sleepy or dizzy, may cause a decrease in your blood pressure when changing position, and can slow your thinking which may lead to falls.  
    Low white blood cell count. Your healthcare provider may do blood tests during the first few months of treatment with SECUADO.  
    Irregular heartbeat or a heartbeat that does not feel normal (QT prolongation)  
    Increased prolactin levels in your blood (hyperprolactinemia). Your healthcare provider may do blood tests to check your prolactin levels during treatment with SECUADO.  
    Seizures (convulsions)  
    Impaired thinking and motor skills. Use caution when operating heavy machinery when using SECUADO.  
    Problems controlling your body temperature so that you feel too warm  
    Difficulty swallowing  
    External heat. Avoid exposing SECUADO to direct external heat sources such as hair dryers, heating pads, electric blankets, heated water beds, etc.  
    Application site reactions. Increased skin irritation may occur if SECUADO is applied for a longer period than instructed or if the same application site is used repeatedly. Use a different application site each day to decrease skin reactions. If skin reactions continue or spread beyond the application site, tell your healthcare provider. Symptoms of application site reactions may include:  
      Redness  
      Itching  
      Irritation  
      Pimple-like raised skin  
      Pain of the skin  
      Swelling  
               
  Do not use SECUADO if you:  
    Are allergic to asenapine or any other ingredients in SECUADO.  
    Have severe liver impairment  
         
  Before you use SECUADO, tell your healthcare provider about all of your medical conditions, including if you have or have had:  
    Heart problems or stroke  
    Low or high blood pressure  
    Diabetes or high blood sugar, or have a family history of diabetes or high blood sugar  
    High levels of total cholesterol or triglycerides  
    High prolactin levels  
    Low white blood cell count  
    Seizures  
    Liver problems  
         
  Tell your healthcare provider if you become pregnant or think you are pregnant during treatment with SECUADO. It is not known if SECUADO will harm your unborn baby.  
      If you become pregnant during treatment with SECUADO, talk to your healthcare provider about registering with the National Pregnancy Registry for Atypical Antipsychotics. You can register by calling 1-866-961-2388 or go to https://womensmentalhealth.org/research/pregnancyregistry.  
  Talk to your healthcare provider about the best way to feed your baby during treatment with SECUADO. It is not known if SECUADO passes into your breast milk.  
     
  Tell your healthcare provider about all of the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. SECUADO and other medicines may affect each other causing possible serious side effects. SECUADO may affect the way other medicines work, and other medicines may affect how SECUADO works.  
               
  The most common side effects of SECUADO include:  
    Restlessness, difficulty moving, muscle stiffness, tremor  
    Skin irritation where the patch is placed  
    Weight gain  
               
  Tell your healthcare provider if you have any side effects that bothers you or does not go away. These are not all the possible side effects of SECUADO.  
               
            SDO-5009-16 10/19