Olanzapine (injection)

Olanzapine is an antipsychotic medication that treats symptoms of schizophrenia in adults. Olanzapine injection is not meant for daily use to treat any psychotic condition.

Olanzapine injection is available only through a special program. You must be registered in the program and understand the risks and benefits of using this medication.

Olanzapine injection may also be used for other reasons not mentioned in this medication guide.

Olanzapine (injection) can cause symptoms of delirium, which includes sudden severe confusion, disorientation, agitation, and problems with speech or walking. It can also cause drowsiness that is severe enough for you to fall into a coma. You will be monitored closely for at least 3 hours after your injection, and you should not drive for the rest of the day.

Olanzapine (injection) is not approved for use in older adults with dementia-related psychosis.

You should not receive this medication if you are allergic to olanzapine.

Olanzapine may increase the risk of death in older adults with dementia-related psychosis and is not approved for this use.

If possible before you receive olanzapine injection, tell your doctor if you have ever had:

• suicidal thoughts or actions;
• liver disease;
• heart disease, high or low blood pressure;
• high cholesterol or triglycerides;
• a stroke, including "mini-stroke";
• breast cancer;
• a seizure;
• Alzheimer's disease;
• diabetes or high blood sugar;
• an enlarged prostate;
• bowel problems; or
• narrow-angle glaucoma.

Tell your doctor if you are pregnant. Using antipsychotic medicine in the last 3 months of pregnancy may cause breathing problems, feeding problems, or withdrawal symptoms in the newborn.

Tell your doctor if you are breastfeeding. Olanzapine can pass into breast milk and may cause side effects in the nursing baby.

In an emergency, you may not be able to tell caregivers if you are pregnant or breastfeeding. Make sure any doctor caring for your pregnancy or your baby knows you received olanzapine.

Olanzapine injection is not approved for use by anyone younger than 18 years old.

Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Seek medical treatment if you have a serious drug reaction that can affect many parts of your body. Symptoms may include: skin rash, fever, swollen glands, flu-like symptoms, muscle aches, severe weakness, unusual bruising, or yellowing of your skin or eyes.

Olanzapine injection can cause serious symptoms if the medicine gets into your bloodstream too fast. During the first 3 hours after your injection, you will be watched for the following signs:

• severe dizziness, drowsiness, or weakness;
• confusion, anxiety, feeling angry or hostile;
• feeling nervous or shaky;
• trouble walking or talking;
• seizure (convulsions); or
• a light-headed feeling, like you might pass out.

Olanzapine may cause serious side effects. Call your doctor at once if you have:

• twitching or uncontrollable movements of your eyes, lips, tongue, face, arms, or legs;
• trouble speaking or swallowing;
• signs of dehydration--if you feel very thirsty or hot, are unable to urinate, and have heavy sweating or hot and dry skin;
• high blood sugar--increased thirst, increased urination, hunger, dry mouth, fruity breath odor; or
• severe nervous system reaction--very stiff (rigid) muscles, high fever, sweating, confusion, fast or uneven heartbeats, tremors.

Common side effects of olanzapine may include:

• headache, back pain;
• weight gain (more likely in teenagers), increased appetite;
• drowsiness;
• dry mouth, nausea, vomiting, diarrhea;
• sinus pain, runny or stuffy nose, cough; or
• pain where the injection was given.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Olanzapine is injected into a muscle. You will receive this injection in a clinic or hospital setting.

An olanzapine injection is usually given only once. If you still have symptoms after 2 hours, your caregivers may use a second or third dose.

Olanzapine injection can cause symptoms of delirium (sudden severe confusion, disorientation, agitation, problems with speech or walking), or drowsiness severe enough for you to lapse into a coma. You will be watched closely for at least 3 hours after your injection.

Since olanzapine (injection) is given by a healthcare professional in an emergency setting, you are not likely to miss a dose.

Since this medication is given by a healthcare professional in a medical setting, an overdose is unlikely to happen.

Avoid drinking alcohol. Dangerous side effects could happen.

Olanzapine can cause strong drowsiness and may affect your thinking or reactions. You must stay at the healthcare facility for at least 3 hours after your injection, and you should not drive for the rest of the day.

Avoid standing up too quickly from a sitting or lying position, or you may feel dizzy. Dizziness or severe drowsiness can lead to falls, fractures, or other injuries.

Using olanzapine with other medications that make you feel sleepy or slow down your breathing can lead to serious or life-threatening side effects. Ask your doctor before using opioid medications, sleeping pills, muscle relaxers, or medicines for anxiety or seizures.

Other medications may impact how olanzapine works, including both prescription and over-the-counter drugs, vitamins, and herbal products. Inform your doctor about all the medications you are currently taking and any new ones you start or stop using.