Olanzapine

  • Has been HPB approved as anti-manic, but also as monotherapy in bipolar
    • I would not go this route due to effects of increased weight, increased glucose, triglycerides, and lipids
  • Olanzapine and clozapine have more weight gain than risperidone and quetiapine
  • Possible link to diabetes type 2

Indications

  • Mania
    • Level I evidence (A)
  • Depression
    • Level I evidence (B)
  • Prophylaxis
    • Level I evidence (A)