Consumer medicine information

Pharmacy Choice® Olanzapine, Pharmacy Choice® Olanzapine ODT

Olanzapine

Consumer Medicine Information

Except where indicated, “Pharmacy Choice® Olanzapine” refers to both the Pharmacy Choice® Olanzapine tablets and the Pharmacy Choice® Olanzapine ODT orally disintegrating tablet.

What is in this leaflet

This leaflet is designed to provide you with answers to some common questions about this medicine. It does not contain all the available information and does not take the place of talking with your doctor.

The information in this leaflet was last updated on the date shown on the final page. More recent information about this medicine may be available. Make sure you speak to your pharmacist or doctor to obtain the most up to date information on this medicine. The updated leaflet may contain important information about Pharmacy Choice® Olanzapine and its use that you should be aware of.

All medicines have risks and benefits.

Your doctor has more information about this medicine than is contained in this leaflet. Also, your doctor has had the benefit of taking a full and detailed history from you and is in the best position to make an expert judgement to meet your individual needs.

If you have any concerns about taking this medicine, talk to your doctor or pharmacist.

Keep this leaflet with this medicine. You may need to read it again.

What Pharmacy Choice® Olanzapine is used for

Pharmacy Choice® Olanzapine belongs to a group of medicines called antipsychotics. It helps to correct chemical imbalances in the brain, which may cause mental illness.

Pharmacy Choice® Olanzapine is used to treat symptoms of schizophrenia and related psychoses. Schizophrenia is a mental illness with disturbances in thinking, feelings and behaviour.

Pharmacy Choice® Olanzapine alone, or in combination with lithium or valproate, is used for the short-term treatment of acute manic episodes associated with Bipolar I Disorder. Pharmacy Choice® Olanzapine is also a mood stabiliser that prevents further occurrences of the disabling high and low (depressed) extremes of mood associated with Bipolar I Disorder.

Bipolar I Disorder is a mental illness with symptoms such as feeling “high”, having excessive amounts of energy, needing much less sleep than usual, talking very quickly with racing ideas and sometimes severe irritability.

Your doctor may have prescribed Pharmacy Choice® Olanzapine for another reason.

Ask your doctor if you have any questions about why Pharmacy Choice® Olanzapine has been prescribed for you. This medicine is available only with a doctor’s prescription.

Pharmacy Choice® Olanzapine is not recommended for use in children under the age of 18 years as there is not enough information on its effects in this age group.

Before taking Pharmacy Choice® Olanzapine

Tell your doctor if you have any of the following conditions or if you have ever experienced any of these conditions.

When you must not take it

Do not take Pharmacy Choice® Olanzapine:

if you have had an allergic reaction to any type of Pharmacy Choice® Olanzapine or to any of the ingredients listed at the end of this leaflet (see ‘Product Description’).
Signs of an allergic reaction may include a skin rash, itching, shortness of breath or swelling of the face, lips or tongue.
if the packaging is torn or shows signs of tampering or the tablets or orally disintegrating tablets do not look quite right.
if the expiry date on the pack has passed.
If you take this medicine after the expiry date has passed it may not work as well.

If you are not sure whether you should start taking Pharmacy Choice® Olanzapine, talk to your doctor or pharmacist.

Before you start to take it

Tell your doctor if you have had an allergic reaction to any medicine which you have taken previously to treat your current condition.

Tell your doctor if you have or have had any medical conditions, especially the following:

tumour of the pituitary gland (a small gland at the base of the brain)
disease of the blood with a reduced number of white or red blood cells
disease of the blood vessels of the brain, including stroke
prostate problems
kidney or liver disease
high blood sugar, diabetes or a family history of diabetes
breast cancer or a family history of breast cancer
paralytic ileus, a condition where the small bowel does not work properly
epilepsy, seizures or fits
glaucoma, a condition in which there is usually a build up of fluid in the eye
heart disease including irregular heart rhythm
neuroleptic malignant syndrome, a reaction to some medicines with a sudden increase in body temperature, extremely high blood pressure and severe convulsions
tardive dyskinesia, a reaction to some medicines with uncontrollable twitching or jerking movements of the arms and legs.

Tell your doctor if you are pregnant or intend to become pregnant. Like most antipsychotic medicines, Pharmacy Choice® Olanzapine is not recommended for use during pregnancy. If there is a need to consider Pharmacy Choice® Olanzapine during your pregnancy, your doctor will discuss with you the benefits and risks of using it.

Tell your doctor if you are breast-feeding or plan to breast-feed. It is recommended that you do not breast-feed while taking Pharmacy Choice® Olanzapine.

Tell your doctor if you suffer from lactose intolerance (because Pharmacy Choice® Olanzapine tablets contain lactose).

Tell your doctor if you suffer from phenylketonuria (because PHARMACY CHOICE® OLANZAPINE ODT orally disintegrating tablets contain aspartame). Tell your doctor If you will be in a hot environment or do a lot of vigorous exercise.

Pharmacy Choice® Olanzapine may make you sweat less, causing your body to overheat.

Tell your doctor if you smoke. Smoking may affect Pharmacy Choice® Olanzapine or may affect how it works.

Pharmacy Choice® Olanzapine

Taking other medicines

Tell your doctor if you are taking any other medicines, including any that you buy without a prescription from your pharmacy, supermarket or health food shop.

Some medicines may be affected by Pharmacy Choice® Olanzapine or may affect how it works. These include:

medicines used to treat a fast or irregular heart beat (arrhythmia)
medicines taken for anxiety or to help you sleep
medicines taken for depression
carbamazepine, a medicine used for mood stabilisation and to treat epilepsy
other centrally acting medicines (eg. tranquillisers)
ciprofloxacin, a medicine used to treat bacterial infections
medicines that lower blood pressure
medicines used for Parkinson’s disease
medicines that can change the heart’s electrical activity or make it more likely to change.

Your doctor or pharmacist has more information on medicines to be careful with or avoid while taking Pharmacy Choice® Olanzapine.

Tell your doctor about these things before you take Pharmacy Choice® Olanzapine.

How to take Pharmacy Choice® Olanzapine

Follow all directions given to you by your doctor or pharmacist carefully. These may differ from the information contained in this leaflet.

How much to take

Pharmacy Choice® Olanzapine tablets or orally disintegrating tablets:
Your doctor will tell you how many Pharmacy Choice® Olanzapine tablets or orally disintegrating tablets you should take. The dose your doctor will prescribe for you will usually be in the range 5 mg to 20 mg per day.

Your doctor may increase or decrease your dose in order to find the appropriate dose for your condition.

A lower starting dose may be prescribed for elderly patients over the age of 65 years.

How to take it

Pharmacy Choice® Olanzapine tablets:
Pharmacy Choice® Olanzapine tablets should be swallowed whole with a glass of water.

PHARMACY CHOICE® OLANZAPINE ODT orally disintegrating tablets:
PHARMACY CHOICE® OLANZAPINE ODT orally disintegrating tablets break easily, so you should handle them carefully.

Do not handle the orally disintegrating tablets with wet hands as the tablets may break up.

Hold the blister strip at the edges and separate one blister cell from the rest of the strip by gently tearing along the perforations around it.
Carefully peel off the backing.
Gently push the orally disintegrating tablet out.
Put the orally disintegrating tablet in your mouth. It will dissolve directly in your mouth, so that it can be easily swallowed.

You can also place the orally disintegrating tablet in a full glass or cup of water, orange juice, apple juice, milk or coffee, and stir.

Drink it straight away.

With some drinks, the mixture may change colour and possibly become cloudy.

The orally disintegrating tablet should not be placed in cola drinks.

When to take it

Pharmacy Choice® Olanzapine tablets or orally disintegrating tablets should be taken once a day as advised by your doctor.

Take your prescribed dose at the same time each day.

Pharmacy Choice® Olanzapine tablets or orally disintegrating tablets can be taken with or without food.

How long do I take it

Do not stop taking Pharmacy Choice® Olanzapine just because you feel better. It is important that you do NOT stop taking Pharmacy Choice® Olanzapine unless your doctor tells you.

If you forget to take it

If it is almost time for your next dose skip the dose you missed and take your next dose when you are meant to. Otherwise, take it as soon as you remember then go back to taking your medicine as you would normally.

Do not take a double dose to make up for the dose that you missed.

If you are not sure what to do, ask your doctor or pharmacist.

If you take too much

Immediately telephone your doctor or the Australian Poisons Information Centre (telephone 13 11 26) or go to Accident and Emergency at your nearest hospital, if you think that you or anyone else has taken too much Pharmacy Choice® Olanzapine. Do this even if there are no signs of discomfort or poisoning.

If you have taken too much Pharmacy Choice® Olanzapine, the most common signs are fast heart beat, agitation/aggression, difficulty speaking, uncontrollable movements and sedation.

While you are taking Pharmacy Choice® Olanzapine

Things you must do

It is important that you remember to take Pharmacy Choice® Olanzapine daily and at the dose prescribed by your doctor.

Tell all doctors, dentists and pharmacists who are treating you that you are taking Pharmacy Choice® Olanzapine.

While you are taking Pharmacy Choice® Olanzapine, tell your doctor or pharmacist before you start any new medicine.

If you become pregnant while taking Pharmacy Choice® Olanzapine, tell your doctor.

Keep all of your doctor’s appointments so that your progress can be checked.

Your doctor should monitor your weight while you are taking Pharmacy Choice® Olanzapine.
Patients with diabetes or who have a higher chance of developing diabetes should have their blood sugar checked often.
If you are over 65, your doctor may measure your blood pressure from time to time.

Tell your doctor if you are female and your monthly periods are absent for six months or more.

Talk to your doctor or mental health professional if you have thoughts or talk about death or suicide; or thoughts or talk about self-harm or doing harm to others. These may be signs of changes or worsening in your mental illness.

Things you must not do

Do not stop taking Pharmacy Choice® Olanzapine, or lower the dosage, even if you are feeling better, without checking with your doctor.

Do not give Pharmacy Choice® Olanzapine to anyone else, even if their symptoms seem similar or they have the same condition as you. Your doctor has prescribed Pharmacy Choice® Olanzapine for you and your condition.

Things to be careful of

Be careful driving or operating machinery until you know how Pharmacy Choice® Olanzapine affects you. Pharmacy Choice® Olanzapine may cause drowsiness in some people.

Be careful when drinking alcohol while taking Pharmacy Choice® Olanzapine. The effects of alcohol could be made worse while taking Pharmacy Choice® Olanzapine.

Your doctor may suggest you avoid alcohol while you are being treated with Pharmacy Choice® Olanzapine.

If Pharmacy Choice® Olanzapine makes you feel light-headed, dizzy or faint, be careful when getting up from a sitting or lying position. Getting up slowly may help.

If outdoors, wear protective clothing and use at least a 30+ sunscreen. Pharmacy Choice® Olanzapine may cause your skin to be much more sensitive to sunlight than it is normally.

Exposure to sunlight may cause a skin rash, itching, redness, or severe sunburn.

If your skin does appear to be burning, tell your doctor.

Make sure you keep cool in hot weather and keep warm in cool weather. Pharmacy Choice® Olanzapine may affect the way your body reacts to temperature changes.

Side effects

All medicines may have some unwanted side effects. Sometimes they are serious, but most of the time they are not. Your doctor has weighed the risks of using this medicine against the benefits they expect it will have for you.

Like other medicines, Pharmacy Choice® Olanzapine may cause some unwanted side effects. These are likely to vary from patient to patient. Some side effects may be related to the dose of Pharmacy Choice® Olanzapine. Accordingly, it is important that you tell your doctor as soon as possible about any unwanted effects. Your doctor may then decide to adjust the dose of Pharmacy Choice® Olanzapine you are taking.

Tell your doctor if you notice any of the following side effects and they worry you:

drowsiness
unusual tiredness or weakness
restlessness or difficulty sitting still
increased appetite, weight gain constipation
dry mouth
swelling of your hands, feet and ankles
dizziness

Some people may feel dizzy in the early stages of treatment, especially when getting up from a lying or sitting position. This side effect usually passes after taking Pharmacy Choice® Olanzapine for a few days.

Pharmacy Choice® Olanzapine

Tell your doctor if you notice any of the above side effects and they worry you.

These are the more common side effects of Pharmacy Choice® Olanzapine.

Tell your doctor as soon as possible if you notice any of the following side effects:

symptoms of sunburn (such as redness, itching, swelling or blistering of the skin) which occur more quickly than normal
rash
allergic reaction
slow heart beat
prolonged and/or painful erection
unusual secretion of breast milk
breast enlargement
symptoms of high sugar levels in the blood (including passing large amounts of urine, excessive thirst, having a dry mouth and skin and weakness). These may indicate the onset or worsening of diabetes
reaction following abrupt discontinuation (profuse sweating, nausea or vomiting)
absence of menstrual periods and changes in the regularity of menstrual periods
involuntary passing of urine or difficulty in initiating urination
unusual hair loss or thinning

These side effects are uncommon but may require medical attention.

Tell your doctor immediately or go to Accident and Emergency at your nearest hospital if you notice any of the following:

sudden signs of an allergic reaction such as a skin rash, itching, shortness of breath or swelling of the face, lips or tongue
frequent infections such as fever, severe chills, sore throat or mouth ulcers
bleeding or bruising more easily than normal
seizures, fits or convulsions
yellowing of the skin and/or eyes
nausea, vomiting, loss of appetite, generally feeling unwell, fever, itching, yellowing of the skin and/or eyes
severe upper stomach pain often with nausea and vomiting (inflammation of the pancreas)
worm-like movements of the tongue, or other uncontrolled movements of the tongue, mouth, cheeks, or jaw which may progress to the arms and legs
sudden increase in body temperature, sweating, fast heart beat, muscle stiffness, high blood pressure and convulsions
sharp chest pain, coughing of blood, or sudden shortness of breath
pain/tenderness in the calf muscle area
muscle pain, muscle weakness and brown urine
heart palpitations and dizziness which may lead to collapse.

These are very serious side effects. You may need urgent medical attention or hospitalisation.

All of these side effects are very rare.

The following additional side effects may occur in some groups of people taking Pharmacy Choice® Olanzapine:

Elderly patients with dementia related psychosis
Elderly patients with dementia related psychosis may notice the following side effects:

unusual manner of walking
falls
pneumonia
involuntary passing of urine
Parkinson’s disease psychosis

Some patients with Parkinson’s disease may hallucinate (see, feel or hear things that are not there) or develop worsening symptoms of Parkinson’s disease.

Pharmacy Choice® Olanzapine in combination with lithium or valproate
Patients with bipolar mania taking Pharmacy Choice® Olanzapine in combination with lithium or valproate may notice the following additional side effects:

tremors
speech disorder.

Tell your doctor if you notice anything unusual or if you are concerned about any aspect of your health, even if you think the problems are not connected with this medicine and are not referred to in this leaflet. Also, some side effects, such as changes to liver function, cholesterol or trigylcerides can occur. These can only be found when your doctor does tests from time to time to check your progress.

Do not be alarmed by this list of side effects. You may not experience any of them. Other side effects not listed above may also occur in some patients.

Tell your doctor if you notice anything else that is making you feel unwell.

After taking Pharmacy Choice® Olanzapine

Storage

Keep your tablets and orally disintegrating tablets in the blister pack until it is time to take them.

Keep your tablets and orally disintegrating tablets in a cool, dry place, out of direct light and where the temperature stays below 25°C.

Do not store Pharmacy Choice® Olanzapine or any other medicine in the bathroom or near a sink.

Do not leave your tablets in the car on hot days or on window sills. Heat and dsmpness can destroy some medicines.

All medicines should be kept where young children cannot reach them. A locked cupboard at least one-and-a-half metres above the ground is a good place to store medicines.

There will be an expiry date (month, year) on your Pharmacy Choice® Olanzapine container.

The medicine should not be taken after this date because it may have lost some of its strength.

Disposal

If your doctor tells you to stop taking Pharmacy Choice® Olanzapine or you find that the tablets or orally disintegrating tablets have passed their expiry date, please return any leftover tablets or orally disintegrating tablets to your pharmacist.

Product Description

What it looks like

Pharmacy Choice® Olanzapine tablets:

2.5 mg tablet: White to off white, film coated, oval, biconvex tablets, debossed “OLZ” on one side and “2.5” on other side.
5 mg tablet: White to off-white, film coated, oval, biconvex tablets, debossed “OLZ” on one side and “5” on other side.
7.5 mg tablet: White to off-white, film coated, oval, biconvex tablets, debossed “OLZ” on one side and “7.5” on other side.
10 mg tablet: White to off-white, film coated, oval, biconvex tablets, debossed “OLZ” on one side and “10” on other side.

PHARMACY CHOICE® OLANZAPINE ODT orally disintegrating tablets:

5 mg tablet: Yellow coloured, round shaped tablets, convex on one side and flat on the other.
10 mg tablet: Yellow coloured, round shaped tablets, convex on one side and flat on the other side.

Ingredients

Pharmacy Choice® Olanzapine tablets:
Active Ingredient:

2.5 mg tablet – 2.5 mg olanzapine per tablet
5 mg tablet – 5 mg olanzapine per tablet
7.5 mg tablet – 7.5 mg olanzapine per tablet
10 mg tablet – 10 mg olanzapine per tablet

Inactive Ingredients:

lactose,
cellulose – microcrystalline,
crospovidone,
hydroxypropylcellulose,
magnesium stearate,
Opadry complete film coating system OY- 58900 WHITE (2.5 mg tablets) PI no.3446,
Opadry complete film coating system 06B580002 WHITE (5 mg, 7.5 mg and 10 mg tablets) PI no. 107258

Pharmacy Choice® Olanzapine ODT orally disintegrating tablets:
Active Ingredient:

5 mg orally disintegrating tablet – 5 mg olanzapine per orally disintegrating tablet
10 mg orally disintegrating tablet – 10 mg olanzapine per orally disintegrating tablet

Inactive ingredients:

cellulose – microcrystalline,
mannitol,
starch – pregelatinised maize,
crospovidone,
sodium lauryl sulfate,
aspartame,
guar gum,
silica – colloidal anhydrous,
magnesium stearate.

Supplier

Symbion Pty Ltd
48-58 Overseas Drive
Noble Park North, VIC 3174
Australia

Sponsor

Dr Reddy’s Laboratories Australia Pty Ltd
Level 1, 181 Bay Street Brighton
VIC 3186
Australia

Australian Registration Numbers