Contributor: Don Stader, MD

Educational Pearls:

1. Olanzapine (Zyprexa) is an atypical antipsychotic that can be used in a similar fashion to haloperidol for pain and nausea, including that with abdominal pain and headaches
2. Olanzapine can be administered as an oral disolving tablets, intramuscular or intravenous injection
3. Because Zyprexa is an atypical antipsychotic, it has a lower risk for tardive dyskinesia and akathisia
4. Olanzapine may cause transient rises in glucose and should be considered when contemplating use in a diabetic


References

Olanzapine for the prevention and treatment of cancerrelated nausea and vomiting in adults.Sutherland A, Naessens K, Plugge E, Ware L, Head K, Burton MJ, Wee B. Cochrane Database Syst Rev. 2018;9:CD012555. Epub 2018 Sep 21.

Silberstein, S.D., Peres, M.F., Hopkins, M.M., Shechter, A.L., Young, W.B. and Rozen, T.D. (2002), Olanzapine in the Treatment of Refractory Migraine and Chronic Daily Headache. Headache: The Journal of Head and Face Pain, 42: 515518. doi:10.1046/j.15264610.2002.02126.

Summarized by Will Dewispelaere, MS4 | Edited by Erik Verzemnieks, MD


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