It might be best to stop doing these things for the first few days, until you know how it affects you. Olanzapine is not seen as high-risk during pregnancy and, if regular medicine is keeping you well, then changing your medication may be the greater risk. A study of over mums who took olanzapine during pregnancy suggested no increased risk of malformations, miscarriage or premature birth.
Olanzapine is an antipsychotic medicine. Taking antipsychotics can cause folate levels to become low, which is not good for a healthy pregnancy. Taking 5mg folic acid a day before and during pregnancy can reduce the risk of your baby having spine problems. Olanzapine may slightly increase your chance of getting high blood pressure linked to pregnancy pre-eclampsia , putting on extra weight and gestational pregnancy-linked diabetes.
Expect your blood sugar levels, weight and blood pressure to be more closely checked from month four onwards of your pregnancy if you are on olanzapine. A blood-thinning agent may also be advised. This is because sometimes there can be a risk of getting a blood clot in the leg during pregnancy. Taking olanzapine close to delivery may lead to some discontinuation withdrawal effects in your baby.
These may include being irritable, crying or problems feeding and sleeping. These are usually mild and go away in a few days without treatment. Make sure that your doctor, nurse, or health visitor checks your baby for any side effects.
These can include:. There is a risk of the baby becoming a little sleepier if breastfed when the mother is taking olanzapine.
You should talk to the doctor if you are taking olanzapine and thinking of breastfeeding after you give birth to your baby. If your baby was premature or has health problems, then you will need to be extra careful about taking medicines while breastfeeding. Discuss this with your doctor. Remember that it is important for you to stay well while you are bonding with and looking after your baby.
This means that you may need to take olanzapine or another medicine for your mental health when breastfeeding. Olanzapine can have side effects that might affect your sex life, but they should not last for long.
These include:. Some of these effects should pass after the first couple of weeks. If they do not, and this is a problem for you, go back to the doctor and see what other medicines you could try. The good effects of olanzapine may have a positive impact on your sex life as your symptoms settle, and you can concentrate on your relationships. Olanzapine may increase the level of a hormone called prolactin in the body for a short time when you start taking it, but not to a very high level.
If prolactin levels do rise for a short time after starting olanzapine, this may affect fertility, regardless of gender. However, this is not a common problem for people who take olanzapine. If you are trying for a baby, or become pregnant while taking olanzapine, you should speak to your doctor as soon as possible.
It can, however, make you feel tired or dizzy, so this might affect your performance in sports that need a lot of focus.
You need to see how it affects you. You might find that it is better, however, to start olanzapine to improve your symptoms and your ability to study and do the exams. You could take your olanzapine at night if you do not do that already to see if that is better for you.
You and your doctor should talk about how long you need to take olanzapine before you start your treatment. If you stop the olanzapine, you will go back for checks to see that your old symptoms do not come back. For psychosis or schizophrenia , if you have had one episode of illness, then it is best for you to keep taking olanzapine for at least two years to reduce the chances of becoming ill again.
If you have had more than one episode of illness, then a period of at least five years is recommended. If you are taking olanzapine to treat bipolar mania or bipolar depression, then you will need to discuss long-term medicines for your bipolar disorder with your doctor. This is to help stop the illness coming back. For bipolar disorder, it is important to remain on medicines in the long term because every time you become ill, there is more chance of you becoming ill again.
Olanzapine can be used as a long-term medicine, but there are other choices and lithium is still thought to be the best long-term medicine for bipolar disorder. You should discuss your options with your doctor. For schizoaffective disorder, it is probably best to keep taking the olanzapine for several years to reduce the chances of the illness coming back. We know less about schizoaffective disorder, but it has some similarities to bipolar disorder and some similarities to schizophrenia.
Depression is usually treated with an antidepressant medicine, and olanzapine is sometimes added to an antidepressant for more severe depression. For people with severe depression, it is best to continue the antidepressant medicine for at least two years to stop the illness from coming back.
The doctor is likely to recommend continuing olanzapine for the same length of time. You will get the best effect from olanzapine if you take it every day at the dose prescribed by your doctor. Make sure that you know your dose. If it is not written on the label, check with your pharmacist or doctor. It is usually recommended to take olanzapine at bedtime because it can cause sleepiness as a side effect.
However, it is important to choose a time of day to take it that you can easily remember, which could be bedtime, a mealtime, or when you brush your teeth.
For the plain-coated tablets, swallow them whole with a drink of water - if you chew them, they taste bitter. Put orodispersible tablets melts on your tongue and let them dissolve there. You can also dissolve these in a glass of water, orange juice, apple juice or milk and then drink it all down.
A doctor or nurse can give you an injection in your bottom that provides a long-lasting dose of olanzapine, lasting for two or four weeks. You may need to take tablets alongside the injection, especially while the dose builds up.
Every time you have the injection, you will be asked to wait at the centre for at least three hours so that they can check that the injection is not giving you too much olanzapine in one go.
It is slowly working in your body all the time between injections. If you forget to take it by bedtime, just start again on the next day. Do not take a double dose. 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. Split pills one at a time. Some pills deteriorate when exposed to air, heat, or moisture after being split. So cut a pill just before you take it, then take the other half as your next dose. That helps ensure that you compensate for any deviation in size.
And split pills in half—not into smaller portions, such as quarters. When in doubt, ask your doctor or pharmacist to show you how to do it properly. There is no official, complete list of medicines that can be split. But it is usually okay to split drugs that treat:. But some drugs should never be split. For example, the pain medicine oxycodone OxyContin is released over time in the body. If you split it, you could get an overdose.
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