Zyprexa (olanzapine) primarily treats schizophrenia and bipolar I disorder. It’s also sometimes used off-label for other conditions, but its efficacy in those areas is less well-established.
Zyprexa works by affecting several neurotransmitters in the brain. Specifically:
- Dopamine antagonism: It blocks dopamine receptors, reducing the excessive dopamine activity believed to contribute to psychosis in schizophrenia and manic episodes in bipolar disorder. This helps alleviate hallucinations, delusions, and disorganized thinking. Serotonin antagonism: It also blocks serotonin receptors, particularly 5-HT2A receptors. This action contributes to its mood-stabilizing effects in bipolar disorder and may also help reduce anxiety.
The precise mechanism by which olanzapine reduces anxiety isn’t fully understood, but its effects on dopamine and serotonin pathways likely play a significant role. It’s important to note that Zyprexa is not a first-line treatment for anxiety disorders. It’s crucial to discuss treatment options with your doctor.
Potential side effects include weight gain, drowsiness, and metabolic changes. Your doctor will monitor you for these and other potential adverse reactions.
Always follow your doctor’s instructions carefully. Never change your dosage without consulting your physician. Report any unusual side effects immediately.