But if your symptoms are severe, call or go to the nearest emergency room right away. What to do if you miss a dose: Take your dose as soon as you remember. But if you remember just a few hours before your next scheduled dose, take only one dose.
Never try to catch up by taking two doses at once. This could result in dangerous side effects. How to tell if the drug is working: You should have decreased symptoms of schizophrenia, bipolar I disorder, bipolar depression, or treatment-resistant depression.
A prescription for this medication is not refillable. You or your pharmacy will have to contact your doctor for a new prescription if you need this medication refilled. You and your doctor should monitor certain health issues during your treatment. This can help make sure you stay safe while you take olanzapine. These issues include:. Not every pharmacy stocks this drug. When filling your prescription, be sure to call ahead to make sure your pharmacy carries it. You may need to have blood tests or other tests during your treatment with olanzapine.
The cost of these tests will depend on your insurance coverage. Many insurance companies require a prior authorization for this drug. This means your doctor will need to get approval from your insurance company before your insurance company will pay for the prescription. There are other drugs available to treat your condition. Some may be better suited for you than others. Talk with your doctor about other drug options that may work for you. Disclaimer: Healthline has made every effort to make certain that all information is factually correct, comprehensive, and up-to-date.
However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or other healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects.
The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.
Bipolar disorder and schizophrenia are two different mental health conditions. Find out how they're alike and how they differ. In addition to traditional treatment methods, there are other options that may be effective in treating schizophrenia. Psychosis is a serious mental disorder characterized by thinking and emotions that indicate the person experiencing them has lost contact with reality. Medications for bipolar disorder include lithium, anticonvulsants, antipsychotics, antidepressants, and ketamine.
Learn about their side effects and…. Bipolar 1 disorder and bipolar 2 disorder cause your feelings to hit unusual highs and lows. These emotional peaks and valleys can last for weeks or…. Learn more about eye changes associated with schizophrenia and how they are diagnosed, treated, and more.
Schizophrenia is a type of mental illness that can change how you think and act, as well as how you feel. Learn more about the symptoms here.
Disorganized or hebephrenic schizophrenia is no longer a diagnosis, but the term is still used to describe symptoms such as disorganized thinking and…. Schizophrenia treatment varies by individual but typically consists of medications and psychosocial treatments, like therapy.
Health Conditions Discover Plan Connect. Olanzapine, Oral Tablet. About Side effects Interactions Other warnings Dosage Take as directed Important considerations Alternatives Highlights for olanzapine Olanzapine oral tablet is available as brand-name drugs and generic drugs. Brand names: Zyprexa, Zyprexa Zydis. Olanzapine comes as a regular tablet and a disintegrating tablet. Both are taken by mouth. Olanzapine also comes as an injectable solution given only by a healthcare professional.
Olanzapine is used to treat schizophrenia and certain types of bipolar disorders. Other warnings Neuroleptic malignant syndrome warning: Olanzapine can cause a condition called neuroleptic malignant syndrome. This rare but very serious disease can cause death and must be treated in a hospital. Call right away if you become very ill with symptoms such as: high fever excessive sweating rigid muscles confusion changes in breathing, heartbeat, or blood pressure DRESS warning: Olanzapine can cause a condition called drug reaction with eosinophilia and systemic symptoms DRESS.
This condition can be serious and can sometimes cause death. Stop taking this drug and call your doctor right away if you have any of the following symptoms: rash fever swollen glands Body temperature problems warning: Olanzapine can cause you to become very hot. This can occur when you exercise a lot or stay in an area where the temperature is very high.
If you feel hot, be sure to drink water to avoid dehydration low fluid levels. Call your doctor right away if you become very ill with any of these symptoms: sweating too much or not at all dry mouth feeling very hot feeling thirsty not being able to produce urine Anticholinergic effects warning: Olanzapine can cause effects similar to those caused by drugs called anticholinergics.
This can raise your risk of dementia , or cause certain medical conditions to worsen. Call your doctor if you have any of the following symptoms: trouble urinating dry mouth fast heartbeat. What is olanzapine? You should bring this list with you each time you visit a doctor or if you are admitted to a hospital.
It is also important information to carry with you in case of emergencies. Olanzapine pronounced as oh lan' za peen. Why is this medication prescribed? How should this medicine be used? Other uses for this medicine What special precautions should I follow? What special dietary instructions should I follow?
What should I do if I forget a dose? What side effects can this medication cause? What should I know about storage and disposal of this medication? Brand names Brand names of combination products. Your doctor may start you on a low dose of olanzapine and gradually increase your dose.
Other uses for this medicine. What special precautions should I follow? Before taking olanzapine, tell your doctor and pharmacist if you are allergic to olanzapine or any other medications. Be sure to mention any of the following: antidepressants; antihistamines; carbamazepine Tegretol ; dopamine agonists such as bromocriptine Parlodel , cabergoline Dostinex , levodopa Dopar, Larodopa , pergolide Permax , and ropinirole Requip ; fluoroquinolone antibiotics including ciprofloxacin Cipro , gatifloxacin Tequin not available in the United States , levofloxacin Levaquin , norfloxacin Noroxin , ofloxacin Floxin , others; fluvoxamine Luvox ; ipratropium Atrovent ; medications for anxiety, high blood pressure, irritable bowel disease, mental illness, motion sickness, Parkinson's disease, seizures, ulcers, or urinary problems; omeprazole Prilosec ; rifampin Rifadin ; sedatives; sleeping pills; ticlopidine Ticlid ; and tranquilizers.
Your doctor may need to change the doses of your medications or monitor you carefully for side effects. Tell your doctor if you have constipation, severe vomiting or diarrhea or signs of dehydration now, or if you develop these symptoms at any time during your treatment. Also tell your doctor if you have ever had to stop taking a medication for mental illness because of severe side effects. If you become pregnant while taking olanzapine, call your doctor.
Olanzapine may cause problems in newborns following delivery if it is taken during the last months of pregnancy. Do not drive a car or operate machinery until you know how this medication affects you. Do not drink alcohol while taking olanzapine. Cigarette smoking may decrease the effectiveness of this medication.
If you have schizophrenia, you are more likely to develop diabetes than people who do not have schizophrenia, and taking olanzapine or similar medications may increase this risk.
Tell your doctor immediately if you have any of the following symptoms while you are taking olanzapine: extreme thirst, frequent urination, extreme hunger, blurred vision, or weakness. It is very important to call your doctor as soon as you have any of these symptoms, because high blood sugar can cause a serious condition called ketoacidosis. Ketoacidosis may become life-threatening if it is not treated at an early stage. Symptoms of ketoacidosis include: dry mouth, nausea and vomiting, shortness of breath, breath that smells fruity, and decreased consciousness.
This is more common when you first start taking olanzapine. Second generation antipsychotics SGAs increase the risk of weight gain, high blood sugar, and high cholesterol. This is also known as metabolic syndrome. Your healthcare provider may ask you for a blood sample to check your cholesterol, blood sugar, and hemoglobin A1c a measure of blood sugar over time while you take this medication.
All antipsychotics have been associated with the risk of sudden cardiac death due to an arrhythmia irregular heartbeat. To minimize this risk, antipsychotic medications should be used in the smallest effective dose when the benefits outweigh the risks. Your doctor may order an EKG to monitor for irregular heartbeat. Symptoms include confusion, fever, extreme muscle stiffness, and sweating. If any of these symptoms occur, contact your healthcare provider immediately.
All antipsychotics can cause sedation, dizziness, or orthostatic hypotension a drop in blood pressure when standing up from sitting or lying down. These side effects may lead to falls which could cause bone fractures or other injuries.
This risk is higher for people with conditions or other medications that could worsen these effects. If falls or any of these symptoms occur, contact your healthcare provider. Multiorgan hypersensitivity reactions drug reaction with eosinophilia and systemic symptoms [DRESS] : Potentially serious, sometimes fatal, multiorgan hypersensitivity reactions have been reported.
Tardive dyskinesia TD is a side effect that develops with prolonged use of antipsychotics. If you develop symptoms of TD, such as grimacing, sucking, and smacking of lips, or other movements that you cannot control, contact your healthcare provider immediately. All patients taking either first or second generation antipsychotics should have an Abnormal Involuntary Movement Scale AIMS completed regularly by their healthcare provider to monitor for TD.
Second generation antipsychotics SGAs increase the risk of diabetes, weight gain, high cholesterol, and high triglycerides. Olanzapine may lower your blood pressure. Medications used to lower blood pressure may increase this effect. This risk is increased when these medications are given as an injection.
Cigarette and other types of smoke can decrease levels of olanzapine. Let your healthcare provider know if you start or stop smoking cigarettes. Nicotine patches do not impact olanzapine levels. It is very important to tell your doctor how you feel things are going during the first few weeks after you start taking olanzapine. It will probably take several weeks to see big enough changes in your symptoms to decide if olanzapine is the right medication for you.
Antipsychotic treatment is generally needed lifelong for persons with schizophrenia. Your doctor can best discuss the duration of treatment you need based on your symptoms and illness. Last Updated: January This information is being provided as a community outreach effort of the College of Psychiatric and Neurologic Pharmacists. This information is for educational and informational purposes only and is not medical advice.
This information contains a summary of important points and is not an exhaustive review of information about the medication. Always seek the advice of a physician or other qualified medical professional with any questions you may have regarding medications or medical conditions.
Never delay seeking professional medical advice or disregard medical professional advice as a result of any information provided herein. The College of Psychiatric and Neurologic Pharmacists disclaims any and all liability alleged as a result of the information provided herein.
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