Olanzapine is a prescription antipsychotic medicine available in tablet, disintegrating tablet, and injectable forms.

It is commonly used to manage psychiatric conditions like schizophrenia and bipolar disorder. Olanzapine helps reduce hallucinations, stabilize mood, and improve overall functioning.

Zyprexa (oral tablet) and Zyprexa Zydis (disintegrating tablet) are two brand-name medications that contain olanzapine. Olanzapine can be used as part of a multi-drug treatment plan. This means you would need to mix it with other drugs like -

  • Lithium,
  • Valproate or
  • Fluoxetine

What Are the Uses of Olanzapine Tablets?

Olanzapine is primarily used to treat mental and mood disorders by restoring the balance of brain chemicals.

Conditions Olanzapine Treats

  • Schizophrenia
  • Bipolar disorder (manic or mixed episodes)
  • Depression (when used in combination with other medications like fluoxetine)

Secondary Uses of Olanzapine

  • Anxiety (off-label use)
  • Agitation in dementia patients (though not officially approved due to increased risk)

How Does Olanzapine Work?

Olanzapine tablet works by affecting the balance of certain neurotransmitters in the brain.

It primarily blocks dopamine and serotonin receptors to reduce symptoms like hallucinations, mood swings, and aggression. This helps improve thought clarity, behavior, and emotional control.

Dosage of Olanzapine

Olanzapine is an antipsychotic medication used to treat mental health conditions such as schizophrenia and bipolar disorder. Understanding the correct dosage and how to take it is important for safe and effective treatment.

Available Forms and Strengths

  • Oral tablet (Zyprexa): 2.5 mg, 5 mg, 7.5 mg, 10 mg, 15 mg, 20 mg
  • Oral disintegrating tablet (Zyprexa Zydis): 5 mg, 10 mg, 15 mg, 20 mg

How to Take Olanzapine?

  • Olanzapine is available as a tablet and an orally disintegrating tablet.
  • Take olanzapine once a day, with or without food, at the same time each day.
  • Follow your doctor's dosage instructions exactly.
  • Do not push the orally disintegrating tablet through the foil; peel back the foil with dry hands.
  • Place the tablet in your mouth immediately; it will dissolve easily and can be taken with or without water.
  • Olanzapine manages symptoms but does not cure the disease.
  • Full benefits may take weeks or months to appear.
  • Continue taking olanzapine even if you feel well.
  • Do not stop olanzapine abruptly; consult your doctor to gradually reduce the dosage.

What Should I Do If I Miss a Dose of Olanzapine?

Missing a dose occasionally may happen.

If you forget to take a dose, do so as soon as you recall. If the next dose is coming, skip the skipped dose. Take the next dose at the same time every day. To catch up, do not double the dose.

What Happens If I Overdose on Olanzapine?

An overdose of a drug can be accidental. If you have taken more than the prescribed olanzapine tablets, there is a chance of a harmful effect on your body's functions. An overdose of a medicine can lead to a medical emergency.

Symptoms of overdose may include:

  • Drowsiness
  • Confusion
  • Fast or irregular heartbeat
  • Difficulty breathing
  • Seizures

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What Are the Side Effects of Olanzapine?

Like all medicines, Olanzapine can cause side effects, some of which may require medical attention.

Common Side Effects of Olanzapine

  • Dizziness
  • Restlessness
  • Unusual behaviour
  • Depression
  • Difficulty in falling asleep
  • Weakness
  • Difficulty walking
  • Constipation
  • Weight gain
  • Dry mouth
  • Pain in arms, legs and joints, Breast enlargement
  • Late in menstrual periods

Severe Side Effects of Olanzapine

  • Seizures
  • Blurred vision
  • Swelling of arms
  • Unusual movements
  • Sore throat
  • Very stiff muscles
  • Excess sweating
  • Fast or irregular heartbeat
  • Rash
  • Hives

Teenagers taking olanzapine are more likely than adults to gain weight, have higher fat levels in their blood, develop liver problems, and experience side effects including sleepiness and breast enlargement. Consult your doctor about the dangers of olanzapine use.

Precautions for Olanzapine

Before taking olanzapine, talk with your doctor if you are allergic to it or any other medications. The product may contain some inactive ingredients, which can cause serious side effects and some serious allergic reactions. Before using Olanzapine, talk with your doctor if you have any medical history, such as:

  • Liver problems
  • Seizures
  • Difficulty swallowing
  • Dementia
  • Glaucoma
  • Intestinal problems
  • Heart disease
  • High cholesterol

Warnings for some serious health conditions

For People with Alzheimer's Disease

  • Olanzapine is not approved for treating Alzheimer's disease or dementia-related psychosis.
  • In seniors aged 65 or older with dementia-related psychosis, Olanzapine increases the risk of death.
  • Most of these deaths are caused by heart complications, such as heart failure.
  • Infectious diseases, like pneumonia, also contribute significantly to the increased risk.

For People with Diabetes or High Sugar Levels

  • Olanzapine may increase blood sugar levels.
  • Your doctor may monitor your blood sugar before and during treatment with this medication.
  • Diabetes medications may need adjustment if you are already being treated for diabetes.

For People with Heart Problems

  • Olanzapine may cause an unexpected drop in blood pressure.
  • If you have a history of heart problems, consult your doctor before using this medicine.
  • Conditions of concern include heart disease, previous heart attack or stroke, heart failure, and poor blood flow to the heart.
  • Any condition that could worsen due to low blood pressure should be discussed with your doctor.

For People with Blood Problems

  • Olanzapine may lower white blood cell (neutrophil) levels, which can increase the risk of infections.
  • People with a history of blood disorders or those taking other medications that affect blood cells need extra caution.
  • Doctors may monitor blood counts regularly, especially during the first few months of treatment.
  • They will also watch for signs of infection, such as fever or illness, to ensure early intervention.

Pregnancy

  • Olanzapine should be used during pregnancy only if the benefits outweigh the risks.
  • Animal studies suggest possible risks, but human studies are either lacking or have not been conducted.
  • Newborns exposed to antipsychotics like olanzapine during the third trimester may experience extrapyramidal symptoms (EPS) or withdrawal symptoms after birth.
  • The severity of these symptoms can vary, and in some cases, they may resolve on their own without treatment.

Breastfeeding

  • Olanzapine can pass into breast milk and may cause side effects in a breastfed baby.
  • Breastfeeding is not recommended while taking olanzapine.
  • Talk to your doctor if you are currently breastfeeding and need this medication.
  • You may need to decide between continuing breastfeeding or taking olanzapine based on medical advice.

Are There Any Age Restrictions for Using Olanzapine?

Olanzapine is typically not recommended for children under 13 years old.

Elderly individuals with dementia-related psychosis should avoid this medicine due to increased risk of stroke and death.

Can I Take Olanzapine with Alcohol or Food?

Avoid alcohol while taking Olanzapine as it can increase drowsiness and risk of side effects.

You can take the medicine with or without food, but consistency helps maintain stable blood levels.

Possible Interactions with Other Medications

Olanzapine may interact with other drugs and herbal products, leading to side effects or reduced effectiveness.

Drug Interactions May Include

  • Fluoxetine, Lithium, Valproate (often used in combination)
  • Blood pressure medications
  • Antidepressants or anti-anxiety drugs
  • Antihistamines
  • Herbal supplements like St. John's Wort

Inform your doctor about all medicines and supplements you're taking before starting Olanzapine.

How Should Olanzapine Be Stored?

Proper storage of Olanzapine ensures its effectiveness and safety.

  • Direct contact with heat, air and light may damage your medicines. Exposure to medicine may have some harmful effects.
  • The medicine must be kept in a safe place and out of children's reach.
  • Mainly, the drug should be kept at room temperature between 68 °F and 77 °F (20 °C and 25 °C).
  • Do not store in the bathroom

Olanzapine vs Risperidone

Olanzapine Risperidone
Olanzapine belongs to the atypical antipsychotic drug class. It functions by assisting in the restoration of the brain's normal chemical equilibrium. Risperidone belongs to the atypical antipsychotic drug class. It functions by assisting in the restoration of the brain's normal chemical equilibrium.
Olanzapine is a drug that is used to treat a number of psychiatric and mood disorders Risperidone is a drug that is used to treat a number of psychiatric and mood conditions. This drug will assist you in thinking logically and engaging in daily activities.
Some of the common side effects of Olanzapine are:
  • Dizziness
  • Restlessness
  • Unusual behaviour
  • Depression
  • Difficulty in falling asleep
Most common side effects of Risperidone are:
  • Dizziness
  • Anxiety
  • Blurred vision
  • Dry mouth
  • Abdominal pain
  • Increased appetite

References

Olanzapine Versus Placebo in the Treatment of Acute Mania
Olanzapine: MedlinePlus Drug Information
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Frequently Asked Questions

Typical antipsychotics, including quetiapine, aripiprazole, olanzapine, and risperidone, have been shown to benefit people with schizophrenia and schizoaffective disorders with a variety of anxiety and depressive symptoms. Olanzapine 5mg is not typically prescribed for anxiety alone. However, it may be used in combination with other medications to manage anxiety symptoms in patients with schizophrenia or bipolar disorder.

It relaxes the mind, relieves intense anxiety, and helps me sleep at night. This drug has had no negative side effects for me. It is really a lifesaver. If you really need this drug, don't be afraid to start taking it.

While taking olanzapine, it's important to avoid consuming alcohol, as it can increase the risk of side effects such as drowsiness and dizziness. Additionally, you should avoid activities that require mental alertness, such as driving or operating heavy machinery, until you know how olanzapine affects you. Also, be cautious with overheating or dehydration, as olanzapine can impair the body's ability to regulate temperature.

Olanzapine may start improving sleep and mood in a few days, but full effects on symptoms like hallucinations can take 2 to 6 weeks.

Yes, olanzapine can act as a mood stabilizer and is often used to treat bipolar disorder to manage manic or mixed episodes.

Yes, weight gain is a common side effect. It may increase appetite and slow metabolism, so regular monitoring is important.

Some people may experience memory issues or difficulty concentrating while on olanzapine, though it's not common for everyone.

Olanzapine and Fluoxetine tablets are used together to treat depression associated with bipolar disorder and treatment-resistant depression. Fluoxetine is an antidepressant, and Olanzapine is an antipsychotic. Together, they help improve mood, thinking, and behavior when other treatments haven’t worked.

Olanzapine and Quetiapine are both antipsychotic medications used to treat conditions like schizophrenia and bipolar disorder. Olanzapine may cause more weight gain and metabolic side effects, while Quetiapine tends to cause more sedation and is often used to help with sleep in bipolar depression. Your doctor will choose the right one based on your symptoms and health condition.

Olanzapine Mouth Dissolving Tablets are a form of the antipsychotic medication olanzapine that dissolves quickly in the mouth without the need for water. They are often prescribed to treat mental health conditions like schizophrenia, bipolar disorder, and acute agitation related to these disorders.


Disclaimer: The information provided is accurate and up-to-date to the best of our knowledge. However, it should not be considered a substitute for medical advice or consultation. We do not guarantee its completeness or accuracy. The absence of specific warnings does not mean a medicine is safe for all users. We are not responsible for any outcomes based on this information and strongly recommend consulting a doctor for any medical concerns or questions.

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