Zyprexa. 10 mg. 56 tablets
Schizophrenia - a disease with symptoms such as hearing, seeing or sensing things, mistaken beliefs, unusual suspiciousness, and becoming withdrawn. People with this disease may also feel depressed, anxious or tense.
Zyprexa. 10 mg. 56 tablets
What is ZYPREXA and what it is used
ZYPREXA belongs to the group of medicines called antipsychotics and is used for treatment of the following diseases:
Schizophrenia - a disease with symptoms such as hearing , seeing or sensing things , mistaken beliefs , unusual suspiciousness , and becoming withdrawn . People with this disease may also feel depressed, anxious or tense ;
Moderate to severe manic episodes - states with symptoms of excitement or euphoria.
ZYPREXA shows that prevents recurrence of these symptoms in patients with bipolar disorder where manic episodes responded to treatment with olanzapine.
2 . What you should know before taking ZYPREXA
Do not take ZYPREXA:
If you are allergic (hypersensitive) to olanzapine or any of the other ingredients of this medicine (listed in Section 6). An allergic reaction may be recognized as a rash , itching, swollen face, swollen lips or shortness of breath . If this happens to you, talk to your doctor ;
If you have been diagnosed with eye problems such as certain kinds of glaucoma (increased pressure in the eye).
Warnings and Precautions
Talk to your doctor or pharmacist before taking ZYPREXA.
Not recommended for use ZYPREXA in elderly patients with dementia as they this medication can have serious side effects ;
Drugs of this type may cause unusual movements mainly of the face and tongue. If this happens after you take ZYPREXA, tell your doctor ;
Very rarely , medicines of this type cause a combination of fever, faster breathing , sweating, muscle stiffness and drowsiness or sleepiness . If this happens , contact your doctor immediately ;
There was weight gain in patients taking ZYPREXA. You and your doctor should regularly check your weight ;
In patients taking ZYPREXA, observed high levels of blood sugar and blood fat (triglycerides and cholesterol) . Your doctor should do blood tests to check blood sugar levels and some fat before you start taking ZYPREXA and regularly during treatment ;
Tell your doctor if you or anyone in your family ever had blood clots, as medicines like it have been associated with formation of blood clots.
If you suffer from any of the following illnesses tell your doctor as soon as possible:
Stroke or " mini " stroke (temporary symptoms of stroke) ;
Prostate problems ;
Intestinal obstruction ( paralytic ileus ) ;
Liver or kidney disease ;
Blood disorders ;
Heart disease ;
If you suffer from dementia, you or the person who takes care of you / your relative should tell your doctor if you have ever had a stroke or " mini " stroke .
As a routine precaution, if you are aged over 65 , your blood pressure should be monitored by your doctor.
Children and adolescents
ZYPREXA is not for patients under 18 years of age.
Other medicines, ZYPREXA
Take other medicines during treatment with ZYPREXA, if your doctor has told you that this is possible . You might feel drowsy if you take ZYPREXA in combination with antidepressants or medicines taken for anxiety or to help you sleep (tranquillizers ) .
Tell your doctor if you are taking , have recently taken or taking other medicines.
In particular, tell your doctor if you take:
medications for Parkinson's disease;
carbamazepine ( antiepileptic and mood stabilizing drug) , fluvoxamine ( an antidepressant ) , or ciprofloxacin (an antibiotic) , as it may need to change your dose of ZYPREXA.
ZYPREXA and alcohol
Do not drink alcohol during treatment with ZYPREXA, since simultaneously with alcohol can cause drowsiness .
Pregnancy and lactation
If you are pregnant or breast-feeding, you may be pregnant or planning to become pregnant , talk to your doctor before taking this medicine. You should not take this medicine if you are pregnant unless you have discussed this with your doctor. You should not take this medicine when breast-feeding , as small amounts of ZYPREXA can pass into breast milk.
The following symptoms may occur in newborns whose mothers have used ZYPREXA in the last trimester ( last three months of pregnancy ): shaking, numbness and / or muscle weakness , somnolence , agitation, trouble breathing and feeding difficulty . If your baby develops any of these symptoms , seek your doctor .
Driving and using machines
There is a risk of feeling drowsy while taking ZYPREXA. If this happens do not drive or operate any tools or machines. Tell your doctor.
ZYPREXA contains lactose
If your doctor tells you that you have an intolerance to some sugars, contact your doctor before taking this medicine.
3 . How to take ZYPREXA
Always take this medicine exactly as your doctor tells you . If you are not sure, ask your doctor or pharmacist.
Your doctor will tell you how ZYPREXA tablets to take and how long to take them . The daily dose of ZYPREXA is between 5 and 20 mg. Consult your doctor if your symptoms return but do not stop taking ZYPREXA, unless your doctor advises you to do so.
You should take ZYPREXA once a day following the advice of your doctor. Try to take your tablets at the same time each day . Tablet intake does not depend on food intake. You should swallow the tablets whole with water ZYPREXA .
If you take more dose ZYPREXA
Patients who received more than the required amount ZYPREXA experienced the following symptoms: fast heart rate , agitation / aggressiveness, problems with speech , unusual movements ( especially of the face or tongue) and reduced level of consciousness. Other symptoms may be: acute confusion, seizures (epilepsy ) , coma , a combination of fever, faster breathing, sweating , muscle stiffness and drowsiness or sleepiness, slow heart rate , aspiration, high or low blood pressure, irregular heart rhythm. Contact your doctor or just go to the nearest hospital if you have any of the above symptoms. Show the doctor your pack of tablets.
If you forget to take ZYPREXA
Take your tablets as soon as you remember . Do not take two doses in one day.
If you stop taking ZYPREXA
Do not stop taking your tablets just because you feel better. It is important to continue taking ZYPREXA as long as your doctor recommends .
If you suddenly stop taking ZYPREXA, may be signs such as sweating , inability to sleep , tremor, anxiety or nausea and vomiting. Your doctor may suggest you to reduce the dose gradually before stopping treatment.
If you have any questions about using this medicine, ask your doctor or pharmacist.
4 . Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.
Tell your doctor if you have:
unusual movements (a common side effect that may affect up to 1 in 10 people) mainly of the face or tongue ;
blood clots in the veins ( an uncommon side effect that may affect up to 1 in 100 people ), especially in the legs ( symptoms include swelling , pain and redness in the leg), which may travel through blood vessels to the lungs causing pain chest and difficulty breathing. If you notice any of these symptoms , seek medical advice immediately;
combination of fever, faster breathing, sweating , muscle stiffness and drowsiness or somnolence (frequency of this side effect can not be estimated from available data).
Very common side effects (may affect more than 1 in 10 people ) include weight gain , drowsiness and increases in prolactin levels in the blood. At the beginning of treatment , some people may feel dizzy or faint (with a slow heart rate ), especially when getting up from a lying or sitting position. This usually resolves by itself , but if it does not, tell your doctor.
Common side effects (may affect up to 1 in 10 people) include changes in the levels of some blood cells and circulating fats early in treatment transient increases in liver enzymes , increased levels of sugar in blood and urine , increased levels of uric acid and blood creatine phosphokinase , increased hunger , dizziness , anxiety , tremors , abnormal movements ( dyskinesias ) , constipation, dry mouth , rash , loss of strength , extreme tiredness , water retention leading to swelling of the hands , ankles or feet , fever , pain in the joints , and sexual dysfunction , such as decreased libido in both men and women or in male erectile dysfunction .
Uncommon side effects (may affect up to 1 in 100 people ) include hypersensitivity reactions (eg , swelling of the mouth and throat, itching, rash ), diabetes or worsening of diabetes occasionally associated with ketoacidosis (ketones in the blood and urine) or coma ; seizures , usually associated with seizures in the past ( epilepsy) muscle stiffness or spasm (including eye movements ), speech problems , slow heartbeat , sensitivity to sunlight , nosebleeds , bloating , loss of memory or forgetfulness ; urinary incontinence , difficulty in passing urine , hair, loss or reduction of menstrual cycles and breast changes in males and females such as an abnormal production of breast milk or abnormal growth .
Rare side effects (may affect up to 1 in 1000 people) include lowering of normal body temperature, heart rhythm disorders , sudden unexplained death, inflammation of the pancreas causing severe stomach pain, fever and malaise ; liver disease presenting as yellowing of the skin and whites of the eyes , muscle disease presenting as unexplained aches and pains , prolonged and / or painful erection .
While taking olanzapine , elderly patients with dementia may suffer from stroke , pneumonia, urinary incontinence, falls, extreme tiredness, visual hallucinations, a rise in body temperature, redness of the skin and have trouble walking . In this particular group of patients has been reported for several fatalities .
In patients with Parkinson's disease , ZYPREXA may lead to worsening of symptoms .
If you get any side effects tell your doctor or pharmacist. This includes any possible side effects not listed in this leaflet.
5 . How to store ZYPREXA
Keep out of reach of children.
Do not use this medicine after the expiry date stated on the carton.
ZYPREXA should be stored in its original package to protect from light and moisture.
Do not dispose of medications in wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required . These measures will help to protect the environment.
6 . Package Contents and more information
What does ZYPREXA
The active ingredient is olanzapine . Each tablet contains ZYPREXA 2,5 mg, 5 mg, 7,5 mg, 10 mg, 15 mg or 20 mg of active substance . The exact amount is shown in the package of your ZYPREXA.
Other ingredients are:
( core tablet ) lactose monohydrate hyprolose , crospovidone , microcrystalline cellulose , magnesium stearate, and
( tablet coating ) hypromellose , titanium dioxide (E171), carnuba Wax .
In addition, the different amount of the active ingredient tablets contain the following ingredients ZYPREXA :
Quantities of active substances other ingredients
ZYPREXA 2,5 mg, 5 mg, 7,5 mg and 10 mg tablets ( tablet casing ) shellac , macrogol , propylene glycol, polysorbate 80 and indigo carmine dye (E132), anhydrous ethanol, isopropyl alcohol , butyl alcohol , ammonium hydroxide
ZYPREXA 15 mg tablet ( tablet coating ) triacetin and indigo carmine dye (E132)
ZYPREXA 20 mg tablet ( tablet coating ) macrogol and synthetic red iron oxide (E172)
ZYPREXA looks like and contents of the pack
ZYPREXA 2,5 mg coated tablets are white, with "LILLY" and a digital identification code " 4112 " .
ZYPREXA 5 mg coated tablets are white, with "LILLY" and a digital identification code " 4115 " .
ZYPREXA 7,5 mg coated tablets are white, with "LILLY" and a digital identification code " 4116 " .
ZYPREXA 10 mg coated tablets are white, with "LILLY" and a digital identification code " 4117 " .
ZYPREXA 15 mg coated tablets are pale blue.
ZYPREXA 20 mg coated tablets are pink .
ZYPREXA is available in cartons containing 28, 35 , 56, 70 or 98 tablets. Not all pack sizes may be marketed.
Marketing Authorisation Holder:
Eli Lilly Nederland BV, the Netherlands.