Medication info
Teva Olanzapine Tablets 10 mg

Teva Olanzapine Tablets 10 mg

Prescription medicationTabletOral
Ingredient · strength
Olanzapine›10mg / 1 tablet
Manufacturer / importer
TEVA-HANDOK PHARMA CO., LTD.
Appearance
White, circular, biconvex, film-coated tablets
Packaging
30 tablets (10 tablets/PTP x 3)
Approval status
Active

MFDS item code 201507717 · Approved 2015.11.13 · Insurance code 626900640

Summary

Main use
Treatment of schizophrenia and bipolar disorder (including manic and depressive episodes); prevention of recurrence
Who takes it
Adults
Adult dose
The therapeutic dose of this medicine should be adjusted according to the patient's clinical condition. Increases above the usual recommended daily dose of 10 mg are recommended only after an appropriate clinical assessment. 1. Adults 1) Schizophrenia (1) The initial recommended dose is 5∼10 mg of olanzapine once daily. (2) Maintenance treatment: Although there is no clear answer as to how long treatment with this medicine should continue, its efficacy was demonstrated in a placebo-controlled study in patients with schizophrenia whose symptoms had stabilized after taking this medicine for approximately 8 weeks and who received maintenance treatment at doses of 10∼20 mg daily for 8 months. The need for maintenance treatment at an appropriate dose should be assessed periodically. 2) Bipolar disorder (1) Treatment of manic and mixed episodes associated with bipolar I disorder The initial dose is 15 mg of this medicine once daily as monotherapy, or 10 mg once daily as adjunctive therapy with lithium or valproate. (2) Prevention of recurrence in bipolar disorder The initial recommended dose is 10 mg once daily. Patients who have been receiving this medicine to treat mania should continue the same dose to prevent recurrence. If a new manic, mixed, or depressive episode occurs, treatment with this medicine should continue, along with adjunctive therapy to treat mood symptoms according to clinical indications (optimizing the required doses as needed). 3) For the treatment of schizophrenia and manic and mixed episodes associated with bipolar I disorder, and prevention of recurrence in bipolar disorder, the daily dose may be adjusted within the range of 5 mg to 20 mg daily based on clinical condition. Increases above the initial recommended dose are recommended only after an appropriate clinical assessment, and the dose should generally be increased at intervals of 24 hours or more. If treatment with this medicine is discontinued, the dose should be reduced gradually and cautiously. 4) Acute treatment of depressive episodes associated with bipolar I disorder Start treatment with 5mg of olanzapine once daily and increase to 10mg once daily. Administer this medicine at bedtime and adjust the dose as appropriate according to age and symptoms; the daily dose should not exceed 20mg. 2. Administration in special populations 1) Elderly patients Starting at a dose of 5 mg or less daily may be considered when there is sufficient evidence based on clinical factors. 2) Patients with renal or hepatic impairment A low initial dose (5 mg) should be considered. In moderate hepatic impairment (cirrhosis, Child-Pugh class A or B), the initial dose is 5 mg, and the dose should be increased cautiously. 3) Patients with multiple factors that delay the metabolism of this medicine (female sex, older age, nonsmoking status) may also be started at a lower dose.

Ingredients

Importer
TEVA-HANDOK PHARMA CO., LTD.

Efficacy & effects

Treatment of schizophrenia and bipolar disorder (including manic and depressive episodes); prevention of recurrence

  • Schizophrenia
  • mania
  • mixed episodes
  • manic episodes
  • depressive episodes
View approved original text

This medication is used to alleviate the symptoms of schizophrenia. It also treats manic and mixed episodes associated with bipolar disorder type 1 and is used for relapse prevention in patients who have responded to manic episodes. It is effective for the acute treatment of depressive episodes occurring in bipolar disorder type 1. This medication helps improve the symptoms of schizophrenia and bipolar disorder.

How to take

Adult dose

The therapeutic dose of this medicine should be adjusted according to the patient's clinical condition. Increases above the usual recommended daily dose of 10 mg are recommended only after an appropriate clinical assessment. 1. Adults 1) Schizophrenia (1) The initial recommended dose is 5∼10 mg of olanzapine once daily. (2) Maintenance treatment: Although there is no clear answer as to how long treatment with this medicine should continue, its efficacy was demonstrated in a placebo-controlled study in patients with schizophrenia whose symptoms had stabilized after taking this medicine for approximately 8 weeks and who received maintenance treatment at doses of 10∼20 mg daily for 8 months. The need for maintenance treatment at an appropriate dose should be assessed periodically. 2) Bipolar disorder (1) Treatment of manic and mixed episodes associated with bipolar I disorder The initial dose is 15 mg of this medicine once daily as monotherapy, or 10 mg once daily as adjunctive therapy with lithium or valproate. (2) Prevention of recurrence in bipolar disorder The initial recommended dose is 10 mg once daily. Patients who have been receiving this medicine to treat mania should continue the same dose to prevent recurrence. If a new manic, mixed, or depressive episode occurs, treatment with this medicine should continue, along with adjunctive therapy to treat mood symptoms according to clinical indications (optimizing the required doses as needed). 3) For the treatment of schizophrenia and manic and mixed episodes associated with bipolar I disorder, and prevention of recurrence in bipolar disorder, the daily dose may be adjusted within the range of 5 mg to 20 mg daily based on clinical condition. Increases above the initial recommended dose are recommended only after an appropriate clinical assessment, and the dose should generally be increased at intervals of 24 hours or more. If treatment with this medicine is discontinued, the dose should be reduced gradually and cautiously. 4) Acute treatment of depressive episodes associated with bipolar I disorder Start treatment with 5mg of olanzapine once daily and increase to 10mg once daily. Administer this medicine at bedtime and adjust the dose as appropriate according to age and symptoms; the daily dose should not exceed 20mg. 2. Administration in special populations 1) Elderly patients Starting at a dose of 5 mg or less daily may be considered when there is sufficient evidence based on clinical factors. 2) Patients with renal or hepatic impairment A low initial dose (5 mg) should be considered. In moderate hepatic impairment (cirrhosis, Child-Pugh class A or B), the initial dose is 5 mg, and the dose should be increased cautiously. 3) Patients with multiple factors that delay the metabolism of this medicine (female sex, older age, nonsmoking status) may also be started at a lower dose.

Precautions

This medication can cause a serious and life-threatening side effect known as Neuroleptic Malignant Syndrome, so if you experience high fever, muscle rigidity, or changes in mental state, you should immediately stop taking it and consult a physician. This medication is not approved for the treatment of psychosis or behavioral disturbances associated with dementia, and caution is needed particularly in elderly patients as there may be an increased risk of mortality and cerebrovascular accidents. Long-term use may lead to tardive dyskinesia, a movement disorder, so if abnormal symptoms occur, dose adjustment or discontinuation should be considered. In the early phases of treatment, it may take several days to weeks for the effects to appear, thus careful monitoring of the patient's condition is necessary. This medication may affect blood sugar control, so diabetic patients or those at risk should regularly check their blood sugar and weight. Abrupt discontinuation of the medication may lead to symptoms such as sweating, insomnia, and anxiety, so it is recommended to taper off gradually. This medication may affect liver function; therefore, regular testing is needed if there is a history of liver disease or elevated liver enzymes. Patients with heart conditions, elderly individuals, or those with electrolyte imbalances should be cautious of the risk of arrhythmias or blood pressure fluctuations. Drowsiness or dizziness may occur while driving or operating hazardous machinery, so caution is advised. Consuming alcohol while taking this medicine may enhance sedative effects, so it is best to avoid alcohol. Pregnant or breastfeeding women should consult their physician before using it as it may affect the fetus or newborn. This drug is metabolized by specific enzymes, so there may be interactions with other medications; therefore, it is advisable to consult with a physician or pharmacist. Overdose may lead to severe side effects, so adherence to prescribed dosage and administration is crucial. Keep out of reach of children and store in a dry place, avoiding light and moisture, and at an appropriate temperature.

Side effects

  • High fever
  • muscle rigidity
  • alteration in mental state
  • irregular pulse
  • blood pressure changes
  • tachycardia
  • sweating
  • cardiac arrhythmia
  • increased creatine phosphokinase
  • myoglobinuria
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  • acute kidney failure
  • increased mortality rate
  • cerebrovascular adverse reactions
  • stroke
  • transient ischemic attack
  • tardive dyskinesia
  • drowsiness
  • weight gain
  • eosinophilia
  • increased prolactin
  • elevated cholesterol
  • increased blood sugar
  • elevated triglycerides
  • diabetes
  • increased appetite
  • inability to sit still
  • Parkinson's disease
  • leukopenia
  • neutropenia
  • movement disorder
  • orthostatic hypotension
  • anticholinergic effects
  • increased liver transaminases
  • rash
  • weakness
  • fatigue
  • fever
  • joint pain
  • increased alkaline phosphatase
  • increased gamma-glutamyl transferase
  • elevated uric acid
  • increased creatine kinase
  • edema
  • elevated triglycerides
  • petechiae
  • anemia
  • cyanosis
  • leukocytosis
  • lymphadenopathy
  • neutropenia
  • hypersensitivity reactions
  • acidosis
  • increased alkaline phosphatase
  • hyperbilirubinemia
  • dehydration
  • hypercholesterolemia
  • hyperglycemia
  • hyperlipidemia
  • hyperuricemia
  • hypoglycemia
  • hypokalemia
  • hyponatremia
  • lower limb edema
  • upper limb edema
  • hyperkalemia
  • ketoacidosis
  • coma
  • gout
  • hypernatremia
  • hypoalbuminemia
  • ketosis
  • water intoxication
  • decreased body temperature
  • dizziness
  • abnormal gait in Alzheimer’s disease
  • insomnia
  • depression
  • vertigo
  • personality disorder
  • tremors
  • dystonia
  • speech disorder
  • sensory abnormalities
  • apathy
  • confusion
  • abnormal euphoria
  • impaired coordinated movement
  • abnormal dreams
  • delusions
  • emotional instability
  • manic responses
  • schizophrenia responses
  • akinesia
  • alcohol abuse
  • antisocial reactions
  • impaired coordination
  • CNS stimulation
  • cogwheel rigidity
  • gibberish
  • dementia
  • depersonalization
  • stuttering
  • facial paralysis
  • sensory loss
  • reduced motor activity
  • decreased muscle tone
  • decreased libido
  • increased libido
  • obsessive symptoms
  • phobias
  • somatization
  • stimulant abuse
  • confusion
  • tardive dyskinesia
  • lightheadedness
  • withdrawal syndrome
  • suicide attempt
  • memory loss
  • seizures
  • muscle tone abnormalities
  • restless legs syndrome
  • paralysis around the mouth
  • coma
  • encephalopathy
  • neuralgia
  • neuropathy
  • nystagmus
  • paralysis
  • subarachnoid hemorrhage
  • tobacco abuse
  • malignant neuroleptic syndrome
  • withdrawal symptoms
  • orthostatic hypotension
  • tachycardia
  • hypertension
  • hypotension
  • syncope
  • bradycardia
  • atrial fibrillation
  • cerebrovascular accident
  • congestive heart failure
  • cardiac arrest
  • hemorrhage
  • migraine
  • pallor
  • palpitations
  • vasodilation
  • premature ventricular contractions
  • QTc prolongation
  • thromboembolism
  • arteritis
  • heart failure
  • pulmonary embolism
  • ventricular fibrillation
  • sudden death
  • diabetes
  • diabetic ketoacidosis
  • goiter
  • constipation
  • thirst
  • dyspepsia
  • vomiting
  • increased salivation
  • dysphagia
  • esophagitis
  • fecal incontinence
  • gastritis
  • gastroenteritis
  • gingivitis
  • melena
  • oral ulcer
  • nausea
  • oral candidiasis
  • periodontal abscess
  • rectal hemorrhage
  • stomatitis
  • tongue swelling
  • dental caries
  • diarrhea
  • abdominal bloating
  • excessive salivation
  • aphthous stomatitis
  • enteritis
  • belching
  • esophageal ulcer
  • glossitis
  • bowel obstruction
  • intestinal obstruction
  • discoloration of the tongue
  • pancreatitis
  • rhinitis
  • increased cough
  • pharyngitis
  • shortness of breath
  • apnea
  • asthma
  • nosebleeds
  • hemoptysis
  • hyperventilation
  • hypoxemia
  • laryngitis
  • voice changes
  • atelectasis
  • hiccups
  • respiratory depression
  • pulmonary edema
  • wheezing
  • hepatic steatosis
  • hepatitis
  • jaundice
  • sweating
  • photosensitivity reactions
  • acne
  • skin dryness
  • alopecia
  • contact dermatitis
  • eczema
  • papular rash
  • itching
  • seborrhea
  • skin discoloration
  • skin ulcers
  • hives
  • vesicular rash
  • hypertrichosis
  • pustular rash
  • drug reactions
  • low back pain
  • chest pain
  • toothache
  • flu-like symptoms
  • injection site pain
  • swelling
  • abdominal enlargement
  • chills
  • facial edema
  • intentional injury
  • lethargy
  • candidiasis
  • neck pain
  • neck rigidity
  • pelvic pain
  • hangover
  • sudden death
  • joint stiffness
  • single muscular contraction
  • arthritis
  • arthrosis
  • leg cramps
  • myasthenia
  • arthralgia
  • bone pain
  • bursitis
  • myopathy
  • osteoporosis
  • rheumatoid arthritis
  • rhabdomyolysis
  • amblyopia
  • visual disturbances
  • conjunctivitis
  • abnormal accommodation
  • blepharitis
  • cataracts
  • hearing loss
  • diplopia
  • dry eyes
  • ear pain
  • ocular hemorrhage
  • ocular inflammation
  • eye pain
  • ocular muscle abnormality
  • taste disturbance
  • tinnitus
  • corneal lesions
  • glaucoma
  • keratoconjunctivitis
  • macular pigmentary degeneration
  • miosis
  • mydriasis
  • lens pigmentation
  • urinary incontinence
  • urinary tract infection
  • dysmenorrhea
  • vaginitis
  • abnormal ejaculation
  • amenorrhea
  • breast pain
  • cystitis
  • decreased menstruation
  • urination disorders
  • galactorrhea
  • gynecomastia
  • hematuria
  • erectile dysfunction
  • increased menstruation
  • menorrhagia
  • uterine hemorrhage
  • polyuria
  • premenstrual syndrome
  • pyuria
  • frequency of urination
  • urinary retention
  • oliguria
  • uterine fibrosis enlargement
  • vaginal bleeding
  • urinary delay
  • albuminuria
  • breast enlargement
  • mastitis
  • decreased urine output
  • male erectile dysfunction
  • benign decreased libido
  • female amenorrhea
  • hyperprolactinemia
  • breast enlargement
  • increased alkaline phosphatase
  • increased creatine kinase
  • increased gamma-glutamyl transferase
  • increased uric acid
  • total bilirubin increase
  • neonatal withdrawal symptoms
  • tachycardia
  • agitation
  • aggression
  • stuttering
  • various extrapyramidal symptoms
  • sedation
  • coma
  • gibberish
  • convulsions
  • respiratory function suppression
  • aspiration
  • hypertension
  • hypotension
  • arrhythmias
  • cardiac arrest
  • ocular movement seizures
  • confusion
  • myotonic contractions
  • ocular motor nerve paralysis
  • headache
  • abdominal pain
  • somatic pain
  • weight loss
  • bloody stools
  • convulsions
  • hypomania
  • sexual discomfort
  • neurogenic hypersensitivity
  • auditory hallucinations
  • hepatic failure
  • decreased appetite
  • urinary obstruction
  • pyelonephritis
  • abnormal ECG
  • pupillary abnormalities
  • torticollis
  • depressive episodes
  • weight gain
  • drowsiness
  • increased appetite
  • sedation
  • hypersomnia

Not everyone experiences these, and they can vary from person to person.

Storage

Store this medication in a sealed container to protect it from air and moisture. It is advisable to maintain a storage temperature between 15 to 30 degrees Celsius to preserve the effectiveness of the drug.

Appearance and packaging

Appearance

White, circular, biconvex, film-coated tablets

Package unit

30 tablets (10 tablets/PTP x 3)

Same-ingredient medicines

Even with the same ingredient, strength, dosage form and how it is taken can differ.

Even with the same ingredient, the dose and directions can differ by strength and dosage form. Talk to a doctor or pharmacist before switching from a medication you are already taking.

Questions about this medicine

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For anything that needs medical judgment, consult a doctor or pharmacist.

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This drug information is based on data provided by the Korea Ministry of Food and Drug Safety.
Consult a doctor or pharmacist for accurate dosage, administration, and usage instructions.