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Generic Olanzapine Information
Introduction
Olanzapine is an atypical antipsychotic medication approved for the treatment of schizophrenia and bipolar I disorder. It is listed under the therapeutic groups “General health” and “Mental illness” by Hong Kong’s Department of Health. The active compound, Olanzapine, is supplied both as a brand‑name product and as a generic formulation, providing clinicians in Hong Kong with flexible prescribing options. In addition to its primary indications, Olanzapine is occasionally used off‑label for acute agitation, treatment‑resistant depression, and certain psychotic symptoms associated with other medical conditions.
What is Olanzapine?
Olanzapine is the generic version of the original brand Zyprexa, developed by Eli Lilly and Company in the 199s. It contains the same active compound, Olanzapine, and is available in tablet and orally disintegrating tablet (ODT) forms. Generic Olanzapine offers a cost‑effective alternative while maintaining identical pharmacological properties to the brand product. Our online pharmacy provides this generic alternative, enabling patients in Hong Kong to obtain high‑quality medication at near‑manufacturer pricing.
How Olanzapine Works
Olanzapine exerts its therapeutic effect by antagonising multiple neurotransmitter receptors in the central nervous system. The most relevant actions are:
- Dopamine D₂ receptor blockade – reduces positive psychotic symptoms such as hallucinations and delusions.
- Serotonin 5‑HT₂A receptor antagonism – mitigates negative symptoms and improves mood stability.
- Additional affinity for histamine H₁, muscarinic M₁‑M₅, and α₁‑adrenergic receptors – contributes to sedation, weight gain, and orthostatic effects.
These combined receptor activities provide a rapid onset of antipsychotic action, typically within one to two weeks for acute symptom control, with a steady‑state plasma concentration reached after 5‑7 days of regular dosing. Olanzapine is metabolised primarily by hepatic CYP1A2 and, to a lesser extent, CYP2D6, and has an elimination half‑life of approximately 30 hours, allowing once‑daily dosing in most patients.
Conditions Treated with Olanzapine
- Schizophrenia – Olanzapine improves both positive (hallucinations, delusions) and negative (social withdrawal, flattened affect) symptom domains.
- Bipolar I Disorder (Manic Episodes) – Effective in reducing manic severity and preventing relapse when used as maintenance therapy.
- Acute Agitation – Intramuscular or orally administered Olanzapine can rapidly calm severely agitated patients, particularly in emergency psychiatric settings.
- Adjunctive Treatment for Depression – In combination with antidepressants, Olanzapine may augment response in treatment‑resistant major depressive disorder, though this use is off‑label in Hong Kong.
Epidemiological data from the Hong Kong Psychiatric Association indicate that schizophrenia affects roughly 1 % of the adult population, while bipolar disorder prevalence is estimated at .6 %. Olanzapine’s broad efficacy profile makes it a frequently prescribed option within the public and private sectors.
Who is Olanzapine For?
Olanzapine is appropriate for adults (≥18 years) diagnosed with schizophrenia or bipolar I disorder who require antipsychotic therapy. Specific patient groups that benefit most include:
- Individuals with prominent positive psychotic symptoms who have shown inadequate response to first‑generation antipsychotics.
- Patients experiencing rapid mood cycling in bipolar disorder, where mood stabilization is essential.
- Those needing a single‑daily oral formulation for ease of adherence.
Olanzapine may be less suitable for patients with a history of severe metabolic disease, uncontrolled diabetes, or significant cardiovascular instability. Caution is also advised for individuals with known hypersensitivity to the drug or its excipients.
Risks, Side Effects, and Interactions
Common
- Weight gain – often noticeable within the first few weeks; may reach 5‑10 kg over several months.
- Sedation – dose‑related drowsiness, especially after initiation.
- Dry mouth – anticholinergic effect, manageable with hydration.
- Increased appetite – contributes to weight gain and may affect glycaemic control.
Rare
- Extrapyramidal symptoms (EPS) – such as akathisia or mild tremor, occurring in a minority of patients at higher doses.
- Hyperprolactinemia – modest elevations in prolactin levels, rarely causing galactorrhea.
- Elevated liver enzymes – transient increases in ALT/AST noted in occasional lab monitoring.
Serious
- Metabolic syndrome – includes hyperglycaemia, dyslipidaemia, and hypertension; regular metabolic screening is recommended.
- Neuroleptic malignant syndrome (NMS) – characterized by hyperthermia, muscle rigidity, autonomic instability; requires immediate medical attention.
- Tardive dyskinesia – long‑term risk of irreversible involuntary movements, though less frequent than with typical antipsychotics.
Drug–Drug Interactions
- CYP1A2 inducers (e.g., smoking, carbamazepine, rifampicin) may lower Olanzapine plasma concentrations, reducing efficacy.
- CYP1A2 inhibitors (e.g., fluvoxamine, ciprofloxacin) can increase Olanzapine levels, heightening the risk of sedation and metabolic effects.
- Concomitant use with central nervous system depressants (e.g., benzodiazepines, alcohol) enhances sedation and respiratory depression.
- Lithium – combined therapy may increase the likelihood of neurotoxicity; monitoring of lithium levels is advisable.
Patients should provide a complete medication list to their healthcare provider to avoid adverse interactions.
Practical Use: Dosing, Missed Dose, Overdose
- Usual starting dose for schizophrenia: 5 mg orally once daily; may be increased in 5 mg increments to a typical target of 10–20 mg/day based on clinical response and tolerability.
- Bipolar mania: Initiate at 10 mg once daily; dose adjustments similar to the schizophrenia regimen.
- Older adults: Begin with 5 mg once daily and titrate more cautiously.
If a dose is missed and the scheduled time is less than 12 hours away, the patient should skip the missed dose and resume the regular schedule. Taking a double dose to “catch up” is discouraged due to increased risk of sedation and cardiovascular effects.
In cases of suspected overdose (e.g., ingestion of >30 mg), seek emergency medical care promptly. Symptoms may include profound drowsiness, hypotension, and respiratory depression. Activated charcoal may be considered if presentation is early and the patient is alert enough to protect the airway.
Buying Olanzapine from Our Online Pharmacy
Patients in Hong Kong can obtain Olanzapine through our online pharmacy, which operates as a pharmacy broker service linking licensed overseas suppliers with local consumers. Key advantages include:
- Affordable pricing – generic Olanzapine is offered at near‑manufacturer cost, substantially lower than many local retail pharmacies.
- Verified quality – all stock is sourced from accredited manufacturers that meet international Good Manufacturing Practice (GMP) standards.
- Guaranteed delivery – discreet packaging with express shipping (typically 7 days) or regular airmail (approximately 3 weeks) ensures reliable receipt.
- Online‑only access – our platform provides a convenient channel for individuals who face limited availability in traditional pharmacies or who seek a cost‑effective alternative without compromising safety.
Our service respects patient privacy throughout the transaction, employing secure payment gateways and confidential handling of personal data.
FAQ
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Is Olanzapine available in both brand‑name and generic forms in Hong Kong?
Yes. The original brand‑name product Zyprexa, produced by Eli Lilly, is marketed alongside numerous generic versions that contain the identical active ingredient, Olanzapine. Generic options are typically less expensive while offering the same therapeutic effect. -
What temperature range is appropriate for storing Olanzapine tablets?
Olanzapine should be kept at controlled room temperature, preferably between 15 °C and 30 °C (59 °F–86 °F). Exposure to extreme heat or moisture can degrade the medication’s potency. -
Do the tablets have a distinctive shape or imprint that helps identify them?
Generic Olanzapine tablets are commonly round or oval, white to off‑white, and may bear the imprint “OLAN” followed by the dosage strength. Brand‑name Zyprexa tablets are typically round, white, and embossed with “ZYPREXA” and the dosage. -
Can Olanzapine be taken on an empty stomach, or does food affect its absorption?
Olanzapine can be administered with or without food; absorption is not markedly altered by meals. However, taking the medication with a small amount of food may reduce occasional gastrointestinal upset. -
Are there specific considerations for patients of Asian descent taking Olanzapine?
Studies indicate that some Asian populations may metabolise Olanzapine slightly faster via CYP1A2, potentially requiring dose adjustments. Clinicians often monitor plasma levels and metabolic parameters closely in these patients. -
How does smoking influence Olanzapine plasma concentrations?
Cigarette smoke induces CYP1A2, the primary enzyme responsible for Olanzapine metabolism, leading to lower drug levels. Smokers may require higher doses to achieve the same clinical effect, while cessation can increase concentrations and risk of side effects. -
Is Olanzapine classified as a controlled substance in Hong Kong?
No. Olanzapine is not listed under Hong Kong’s Dangerous Drugs Ordinance and can be dispensed with a standard prescription. However, due to its psychotropic nature, it is regulated under the Pharmacy and Poisons Ordinance. -
What are the key differences between Olanzapine tablets and orally disintegrating tablets (ODT)?
Both formulations contain the same amount of active drug. ODTs dissolve rapidly on the tongue without water, which may be advantageous for patients with swallowing difficulties or those who need rapid onset during agitation. -
Can Olanzapine be imported for personal use under Hong Kong’s “personal importation” scheme?
Yes. Hong Kong permits the personal import of up to a three‑month supply of prescription medication for personal use, provided the importer holds a valid prescription and the product complies with safety standards. Importers should retain the original label and documentation. -
What clinical trials established Olanzapine’s efficacy for schizophrenia?
Large‑scale, double‑blind, randomized controlled trials such as the Clinical Antipsychotic Trials of Intervention Effectiveness (CATIE) demonstrated Olanzapine’s superiority over several older antipsychotics in reducing symptom severity and relapse rates. These studies underpin its inclusion in local treatment guidelines. -
Does Olanzapine affect common drug‑screening tests, such as urine toxicology?
Olanzapine is not typically screened for in standard occupational or forensic drug panels, as it is not a substance of abuse. However, specialized assays can detect its presence if specifically requested. -
Are there any known differences in inactive ingredients between Hong Kong‑marketed generic Olanzapine and the US version?
Inactive excipients may vary slightly, with some generic manufacturers using lactose, microcrystalline cellulose, or starch as fillers. Patients with specific allergies (e.g., lactose intolerance) should review the product’s full ingredient list before use. -
What monitoring schedule is recommended for metabolic side effects?
Baseline measurements of weight, fasting glucose, lipid profile, and blood pressure should be obtained before initiating therapy. Follow‑up assessments are advised at 3‑month intervals for the first year, then annually if stable. -
Can Olanzapine be used safely during menopause?
Menopausal women may experience heightened sensitivity to weight gain and metabolic changes. While Olanzapine is not contraindicated, clinicians often weigh the risk‑benefit ratio carefully and consider alternative agents if metabolic risk is a primary concern.
Glossary
- CYP1A2
- An enzyme in the liver that metabolises many drugs, including Olanzapine. Its activity can be increased by smoking or certain medications, affecting drug levels.
- Neuroleptic malignant syndrome (NMS)
- A rare but life‑threatening reaction to antipsychotics characterised by high fever, muscle rigidity, altered mental status, and autonomic dysfunction.
- Metabolic syndrome
- A cluster of conditions—central obesity, increased blood glucose, dyslipidaemia, and hypertension—that raise cardiovascular risk and are commonly induced or worsened by atypical antipsychotics.
- Orally disintegrating tablet (ODT)
- A tablet formulation designed to dissolve rapidly on the tongue without water, facilitating administration for patients with swallowing difficulties.
⚠️ Disclaimer
The information provided about Olanzapine is for general knowledge only. It does not replace professional medical consultation. All treatment decisions should be made under the supervision of a qualified healthcare provider. We assume all readers are responsible adults capable of making informed decisions about their health. Our online pharmacy offers access to Olanzapine for individuals who may have limited availability through traditional pharmacies, prescription‑based insurance schemes, or who are seeking affordable generic alternatives. Always consult your doctor before starting, changing, or discontinuing any medication.
Information about ordering Generic Olanzapine in online pharmacy asia
Please note that this medicine is a generic version of Olanzapine.One can buy Generic Olanzapine online by accepting the following conditions:
- Buyer is above or equal 18 years old;
- Buyer does't have any contraindications to olanzapine and fully familiar with medication Olanzapine;
- No paper instructions about side effect warnings or usage directions are sent with Generic Olanzapine medication. They are available online on our website for information purposes only;
- Ordered medication will be shipped in anonymous discreet package without disclosing its content;
Please note we may not guarantee worry free delivery to some countries where strict customs rules may apply. If you have questions please call us or use Live chat. After you place your order we may call you back for verification purposes. We may also call you back if we suspect that there may be a problems with delivery to your country. Please also refer to our FAQ page for more details. Below is a sample list of safe counties in Asia where delivery is usually worry free: Australia, New Zealand, Malaysia, Singapore, Philippines, Indonesia, Thailand, Japan, South Korea, China, Hong Kong, Pacific islands and many others outside of asia.