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Olanzapine

Acute agitation, Schizophrenia, Bipolar disorder (acute mania), Chemotherapy-induced nausea

Indications

  • Acute agitation
  • Schizophrenia
  • Bipolar disorder (acute mania)
  • Chemotherapy-induced nausea

Adult dosing

  • agitation po: dose: 10; unit: mg; route: PO/ODT; interval: May repeat 5-10mg in 2h; max 20mg/day; fixed: true; agitation im: dose: 10; unit: mg; route: IM; interval: May repeat 5-10mg in 2h; max 30mg/day; fixed: true; maintenance: dose: 5; unit: mg; route: PO daily; interval: Titrate 5-20mg daily; fixed: true

Contraindications

  • Do NOT combine IM olanzapine with IM benzodiazepine — risk of fatal respiratory depression/hypotension

Clinical pearls

  • IM olanzapine + IM benzodiazepine = NEVER. At least 1 hour apart minimum.
  • ODT (orally disintegrating tablet) useful for patients who may cheek/spit medications
  • Metabolic effects: weight gain, hyperglycemia, dyslipidemia — monitor fasting glucose and lipids
  • Acute agitation: olanzapine 10mg IM is as effective as haloperidol + lorazepam with fewer EPS

Source and review

  • APA Practice Guidelines; Breier et al., Am J Psychiatry 2002. Last reviewed: 2024-11-01