Trusted, medically reviewed health information • Not a substitute for medical advice
Medically Verified MonographPrescriptionClass: Atypical Antipsychotics

Olanzapine

Generic Name: Olanzapine

Common Brand Names: Zyprexa, Zyprexa Zydis
Dosage Form:Tablet, ODT, IM Injection
Route:Oral, IM
Pregnancy Category:C
Last Reviewed:9/21/2026

Seek Urgent Medical Attention If:

You experience severe allergic reaction symptoms (swelling of the face, lips, tongue, or throat causing difficulty breathing), severe rash with skin peeling, sudden intense chest pain, or symptoms of overdose. Call emergency medical services immediately.

Uses & Medical Indications

Treatment of schizophrenia, bipolar I disorder, treatment-resistant depression (with fluoxetine)

Medical Conditions Treated:

Schizophrenia, Bipolar Mania, Agitation

Dosage & Administration Guidelines

Adult Dosage

5-10 mg initially, up to 20 mg daily

Pediatric Dosage

2.5-5 mg initially for adolescents (13-17 yrs)

Elderly / Geriatric Considerations

Start at 2.5-5 mg daily

Maximum Dose Limit

20 mg/day

Renal Impairment:

No adjustment necessary

Hepatic Impairment:

Start at lower dose (5 mg) and use caution

Side Effects & Safety Warnings

Common Side Effects

Weight gain, somnolence, increased appetite, dry mouth, dizziness

Serious Adverse Reactions

Tardive dyskinesia, neuroleptic malignant syndrome, hyperglycemia, hyperlipidemia

Contraindications:

Hypersensitivity to olanzapine

Important Warnings & Precautions:

Increased mortality in elderly patients with dementia-related psychosis

Interactions (Drugs, Food & Alcohol)

Drug-Drug Interactions:

CNS depressants, antihypertensives, levodopa, CYP1A2 inducers/inhibitors (fluvoxamine, smoking)

Food & Dietary Interactions:

N/A

Alcohol Interaction Warning:

Increases CNS depression

Pregnancy & Breastfeeding Safety

Pregnancy Safety

Risk of extrapyramidal and/or withdrawal symptoms in neonates

Breastfeeding / Lactation

Excreted in human milk; use caution or avoid

Patient Counseling & Practical Advice

How to Take:

May cause weight gain; monitor diet. Do not abruptly stop taking. Avoid alcohol.

What to Do if You Miss a Dose:

Take as soon as remembered. Skip if near next dose.

Recommended Monitoring & Lab Tests:

Weight, lipid panel, fasting blood glucose, AIMS (for tardive dyskinesia)

Related Medicines in Atypical Antipsychotics

Trustworthy Sources & Medical Review

Content for Olanzapine was synthesized and fact-checked against standardized regulatory monographs, official pharmacopoeias, and national health authorities:

  • Central Drugs Standard Control Organization (CDSCO) — National List of Essential Medicines
  • World Health Organization (WHO) — Model List of Essential Medicines 23rd List
  • Indian Pharmacopoeia Commission (IPC) — Indian Pharmacopoeia Drug Monographs
  • National Health Service (NHS) — Medicines A to Z Clinical Guidelines
Reviewer Credentials: PharmD, Clinical PharmacologistLast Reviewed Date: 9/21/2026

The information provided on this website is for educational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a qualified healthcare provider with any questions you may have regarding a medical condition.