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Zyprexa Background
Zyprexa is indicated in the United States for the short- and long-term
treatment of schizophrenia, acute mixed and manic episodes of bipolar I
disorder, and maintenance treatment of bipolar disorder. Since Zyprexa was
introduced in 1996, it has been prescribed to approximately 23 million
people worldwide. Zyprexa is not approved for patients under 18 years of
age.
Zyprexa is not approved for the treatment of patients with dementia-
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related psychosis. Elderly patients with dementia-related psychosis
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treated with atypical antipsychotic drugs are at an increased risk of
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death compared with those patients taking a placebo.
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In addition, compared to elderly patients with dementia-related psychosis taking a placebo, there was a significantly higher incidence of cerebrovascular adverse events in elderly patients with dementia-related psychosis treated with Zyprexa.
Hyperglycemia, in some cases extreme and associated with ketoacidosis or hyperosmolar coma or death, has been reported in patients treated with atypical antipsychotics, including Zyprexa.
While relative risk estimates are inconsistent, the association between
atypical antipsychotics and increases in glucose levels appears to fall on
a continuum and olanzapine appears to have a greater association than some
other atypical antipsychotics. Physicians should consider the risks and
benefits when prescribing olanzapine to patients with an established
diagnosis of diabetes mellitus, or who have borderline increased blood
glucose level. Patients taking olanzapine should be monitored regularly for
worsening of
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