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Lybalvi
olanzapine/ samidorphan
Black Box Warnings .
Dementia-Related Psychosis
not approved for dementia-related psychosis; incr. mortality risk in elderly pts on antipsychotic tx for dementia-related psychosis; most deaths due to cardiovascular or infectious events
Adult Dosing .
Dosage forms: TAB: 5 mg/10 mg, 10 mg/10 mg, 15 mg/10 mg, 20 mg/10 mg
schizophrenia
- [10 mg/10 mg-20 mg/10 mg PO qd]
- Start: 5 mg/10 mg-10 mg/10 mg PO qd, then may incr. by 5 mg/day olanzapine qwk; Max: 20 mg/10 mg/day; Info: start 5 mg/10 mg PO qd in non-smoker, elderly or female pts or if hypotension risk; periodically reassess need for tx; do not cut/crush/chew tab
bipolar I disorder, manic/mixed
- [monotherapy]
- Dose: 5 mg/10 mg-20 mg/10 mg PO qd; Start: 10 mg/10 mg-15 mg/10 mg PO qd, then may incr. by 5 mg/day olanzapine no more frequently than q24h; Max: 20 mg/10 mg/day; Info: for acute and maint. tx; start 5 mg/10 mg PO qd in non-smoker, elderly or female pts or if hypotension risk; periodically reassess need for tx; do not cut/crush/chew tab
- [valproate or lithium adjunct]
- Dose: 10 mg/10 mg-20 mg/10 mg PO qd; Start: 10 mg/10 mg PO qd, then may incr. by 5 mg/day olanzapine qwk; Max: 20 mg/10 mg/day; Info: for acute tx; start 5 mg/10 mg PO qd in non-smoker, elderly or female pts or if hypotension risk; periodically reassess need for tx; do not cut/crush/chew tab
renal dosing
- [see below]
- eGFR <15: avoid use
- HD/PD: not defined
hepatic dosing
- [no adjustment]
Peds Dosing .
Peds dosing is currently unavailable or not applicable for this drug.