Zilano 5 ODT/Zilano 10 ODT

Zilano 5 ODT/Zilano 10 ODT

olanzapine

Manufacturer:

Jubilant Generics

Distributor:

Emcure Pharma
Concise Prescribing Info
Contents
Olanzapine
Indications/Uses
Schizophrenia & moderate to severe manic episode in adults. Prevention of recurrence in adults w/ bipolar disorder whose manic episode has responded to olanzapine treatment.
Dosage/Direction for Use
Adult Schizophrenia Initially 10 mg daily. May subsequently be adjusted based on individual clinical status w/in 5-20 mg daily. Increase to dose greater than the recommended starting dose should occur at intervals of not <24 hr. Manic episode Initially 15 mg as single daily dose in monotherapy or 10 mg daily in combination therapy. May subsequently be adjusted based on individual clinical status w/in 5-20 mg daily. Increase to dose greater than the recommended starting dose should occur at intervals of not <24 hr. Preventing recurrence in bipolar disorder Initially 10 mg daily. May subsequently be adjusted based on individual clinical status w/in 5-20 mg daily. Increase to dose greater than the recommended starting dose should occur at intervals of not <24 hr. Renal &/or hepatic impairment Initially 5 mg. Elderly ≥65 yr Initially 5 mg daily (not routinely indicated but should be considered when clinical factors warrant).
Administration
May be taken with or without food: Place in the mouth & allow to dissolve completely; it can then be swallowed w/ saliva. Alternatively, disperse in a full glass of water or other beverages (orange juice/apple juice/milk/coffee) immediately prior to taking.
Contraindications
Hypersensitivity. Patients w/ known risk of narrow-angle glaucoma.
Special Precautions
Discontinue use if patient develops signs & symptoms indicative of neuroleptic malignant syndrome (NMS) or presents w/ unexplained high fever w/o additional clinical manifestations of NMS; has been diagnosed w/ hepatitis (including hepatocellular, cholestatic or mixed liver injury). Not approved for dementia-related psychosis &/or behavioral disturbances. Not recommended in dopamine agonist-associated psychosis in patients w/ Parkinson's disease. Tardive dyskinesia. Risk of sudden cardiac death. Patients w/ prostatic hypertrophy or paralytic ileus & related conditions; low leucocyte &/or neutrophil counts for any reason, receiving medicines causing neutropenia, history of drug-induced bone marrow depression/toxicity, bone marrow depression caused by concomitant illness, RT or chemotherapy, hypereosinophilic conditions or myeloproliferative disease; prescribed w/ medicines increasing QTc interval, w/ congenital long QT syndrome, CHF, heart hypertrophy, hypokalemia or hypomagnesemia; history of seizures or those subject to factors which may lower seizure threshold. Observe for signs & symptoms of hyperglycemia (eg, polydipsia, polyuria, polyphagia & weakness) during treatment. Regularly monitor for worsening of glucose control & wt in patients w/ DM or w/ risk factors for diabetes; for lipids in accordance w/ utilized antipsychotic guidelines during treatment. Identify all possible risk factors of VTE (eg, immobilization of patients) & undertake preventive measures. Combination w/ other centrally acting medicines & alcohol. Contains aspartame which may be harmful for people w/ phenylketonuria. Gradually taper dose when discontinuing use. Patients w/ elevated ALT &/or AST, signs & symptoms of hepatic impairment, preexisting conditions associated w/ limited hepatic functional reserve & those treated w/ potentially hepatotoxic medicines. Pregnancy. Do not use during lactation. Not indicated in childn & adolescents. Not indicated for use in childn & adolescents. Periodically measure BP in elderly >65 yr.
Adverse Reactions
Somnolence, wt gain, eosinophilia, elevated prolactin, cholesterol, glucose & triglyceride levels, glucosuria, increased appetite, dizziness, akathisia, parkinsonism, dyskinesia, orthostatic hypotension, anticholinergic effects, transient asymptomatic elevations of hepatic aminotransferases, rash, asthenia, fatigue & edema.
Drug Interactions
Pharmacokinetics may be affected w/ CYP1A2 inducers or inhibitors. Metabolism may be induced w/ smoking & carbamazepine. Inhibited metabolism w/ fluvoxamine. Reduced bioavailability w/ activated charcoal. May antagonize effects of direct & indirect dopamine agonists. Concomitant use w/ alcohol or medicinal products causing CNS depression; medicinal products increasing QTc interval. Not recommended in concomitant use w/ anti-Parkinsonian medicinal products in patients w/ Parkinson's disease & dementia.
MIMS Class
Antipsychotics
ATC Classification
N05AH03 - olanzapine ; Belongs to the class of diazepines, oxazepines and thiazepines antipsychotics
Presentation/Packing
Form
Zilano 10 ODT orodispersible tab 10 mg
Packing/Price
30's
Form
Zilano 5 ODT orodispersible tab 5 mg
Packing/Price
30's
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