Zyprexa

Shelf life

ZYPREXA 2.5 mg coated tablets

2 years.

ZYPREXA 5 mg, 7.5 mg, 10 mg, 15 mg and 20 mg coated tablets

3 years.

ZYPREXA VELOTABS

3 years.

Zyprexa price

Average cost of Zyprexa 10 mg per unit in online pharmacies is from 1.29$ to 12.14$, per pack from 45$ to 1000$.

Incompatibilities

Not applicable.

List of excipients

ZYPREXA tablet

Tablet core

Lactose monohydrate

Hyprolose

Crospovidone

Microcrystalline cellulose

Magnesium stearate

Tablet coat

ZYPREXA 2.5 mg, 5 mg, 7.5 mg, and 10 mg coated tablets:

Hypromellose

Colour mixture white (hypromellose, titanium dioxide [E171], macrogol, polysorbate 80)

Carnauba wax

Edible blue ink (shellac, ethanol anhydrous, isopropyl alcohol, butyl alcohol, propylene glycol, ammonium hydroxide, indigo carmine [E132])

ZYPREXA 15 mg coated tablets:

Hypromellose

Colour mixture light blue (titanium dioxide [E171], lactose monohydrate, hypromellose, triacetin, indigo carmine [E132])

Carnauba wax

ZYPREXA 20 mg coated tablets:

Hypromellose

Colour mixture pink (titanium dioxide [E171], macrogol, lactose monohydrate, hypromellose, synthetic red iron oxide)

Carnauba wax

ZYPREXA VELOTAB

Gelatin

Mannitol (E421)

Aspartame (E951)

Sodium methyl parahydroxybenzoate (E219)

Sodium propyl parahydroxybenzoate (E217)

Preclinical safety data

Acute (single-dose) toxicity

Signs of oral toxicity in rodents were characteristic of potent neuroleptic compounds: hypoactivity, coma, tremors, clonic convulsions, salivation, and depressed weight gain. The median lethal doses were approximately 210 mg/kg (mice) and 175 mg/kg (rats). Dogs tolerated single oral doses up to 100 mg/kg without mortality. Clinical signs included sedation, ataxia, tremors, increased heart rate, laboured respiration, miosis, and anorexia. In monkeys, single oral doses up to 100 mg/kg resulted in prostration and, at higher doses, semi-consciousness.

Repeated-dose toxicity

In studies up to 3 months duration in mice and up to 1 year in rats and dogs, the predominant effects were CNS depression, anticholinergic effects, and peripheral haematological disorders. Tolerance developed to the CNS depression. Growth parameters were decreased at high doses. Reversible effects consistent with elevated prolactin in rats included decreased weights of ovaries and uterus and morphologic changes in vaginal epithelium and in mammary gland.

Haematologic toxicity

Effects on haematology parameters were found in each species, including dose-related reductions in circulating leukocytes in mice and non-specific reductions of circulating leukocytes in rats; however, no evidence of bone marrow cytotoxicity was found. Reversible neutropenia, thrombocytopenia, or anaemia developed in a few dogs treated with 8 or 10 mg/kg/day (total olanzapine exposure [area under the curve] is 12- to 15-fold greater than that of a man given a 12 mg dose). In cytopenic dogs, there were no adverse effects on progenitor and proliferating cells in the bone marrow.

Reproductive toxicity

Olanzapine had no teratogenic effects. Sedation affected mating performance of male rats. Oestrous cycles were affected at doses of 1.1 mg/kg (3-times the maximum human dose) and reproduction parameters were influenced in rats given 3 mg/kg (9-times the maximum human dose). In the offspring of rats given olanzapine, delays in foetal development and transient decreases in offspring activity levels were seen.

Mutagenicity

Olanzapine was not mutagenic or clastogenic in a full range of standard tests, which included bacterial mutation tests and in vitro and in vivo mammalian tests.

Carcinogenicity

Based on the results of studies in mice and rats, it was concluded that olanzapine is not carcinogenic.

Pharmacotherapeutic group

psycholeptics, diazepines, oxazepines, thiazepines and oxepines, ATC code N05A H03.

Date of revision of the text

23 February 2017

Marketing authorisation holder

Eli Lilly Nederland BV, Papendorpseweg 83, 3528 BJ Utrecht, The Netherlands.

Special precautions for storage

ZYPREXA tablets: Store in the original package in order to protect from light and moisture.

ZYPREXA VELOTABS: Store in the original package in order to protect from light and moisture.

Nature and contents of container

ZYPREXA 2.5 mg tablets are available in cold-formed aluminium blister strips in cartons of 28, 35, 56, 70 or 98 tablets per carton.

ZYPREXA 5 mg tablets are available in cold-formed aluminium blister strips in cartons of 28, 35, 56, 70 or 98 tablets per carton.

ZYPREXA 7.5 mg tablets are available in cold-formed aluminium blister strips in cartons of 28, 35, 56, 70 or 98 tablets per carton.

ZYPREXA 10 mg tablets are available in cold-formed aluminium blister strips in cartons of 28, 35, 56, 70 or 98 tablets per carton.

ZYPREXA 15 mg tablets are available in cold-formed aluminium blister strips in cartons of 28, 35, 56, 70 or 98 tablets per carton.

ZYPREXA 20 mg tablets are available in cold-formed aluminium blister strips in cartons of 28, 35, 56, 70 or 98 tablets per carton.

ZYPREXA VELOTAB 5 mg, 10 mg, 15 mg, and 20 mg is supplied in aluminium blister strips in cartons of 28, 35, 56, 70 or 98 orodispersible tablets per carton.

Not all pack sizes may be marketed.

Marketing authorisation number(s)

EU/1/96/022/002: ZYPREXA 2.5 mg coated tablets - 28 tablets per box

EU/1/96/022/019: ZYPREXA 2.5 mg coated tablets - 56 tablets per box

EU/1/96/022/023: ZYPREXA 2.5 mg coated tablets - 35 tablets per box

EU/1/96/022/029: ZYPREXA 2.5 mg coated tablets - 70 tablets per box

EU/1/96/022/035: ZYPREXA 2.5 mg coated tablets - 98 tablets per box

EU/1/96/022/004: ZYPREXA 5 mg coated tablets - 28 tablets per box

EU/1/96/022/020: ZYPREXA 5 mg coated tablets - 56 tablets per box

EU/1/96/022/024: ZYPREXA 5 mg coated tablets - 35 tablets per box

EU/1/96/022/030: ZYPREXA 5 mg coated tablets - 70 tablets per box

EU/1/96/022/036: ZYPREXA 5 mg coated tablets - 98 tablets per box

EU/1/96/022/011: ZYPREXA 7.5 mg coated tablets - 28 tablets per box

EU/1/96/022/006: ZYPREXA 7.5 mg coated tablets - 56 tablets per box

EU/1/96/022/025: ZYPREXA 7.5 mg coated tablets - 35 tablets per box

EU/1/96/022/031: ZYPREXA 7.5 mg coated tablets - 70 tablets per box

EU/1/96/022/037: ZYPREXA 7.5 mg coated tablets - 98 tablets per box

EU/1/96/022/009: ZYPREXA 10 mg coated tablets - 28 tablets per box

EU/1/96/022/010: ZYPREXA 10 mg coated tablets - 56 tablets per box

EU/1/96/022/026: ZYPREXA 10 mg coated tablets - 35 tablets per box

EU/1/96/022/032: ZYPREXA 10 mg coated tablets - 70 tablets per box

EU/1/96/022/038: ZYPREXA 10 mg coated tablets - 98 tablets per box

EU/1/96/022/012: ZYPREXA 15 mg coated tablets - 28 tablets per box

EU/1/96/022/021: ZYPREXA 15 mg coated tablets - 56 tablets per box

EU/1/96/022/027: ZYPREXA 15 mg coated tablets - 35 tablets per box

EU/1/96/022/033: ZYPREXA 15 mg coated tablets - 70 tablets per box

EU/1/96/022/039: ZYPREXA 15 mg coated tablets - 98 tablets per box

EU/1/96/022/014: ZYPREXA 20 mg coated tablets - 28 tablets per box

EU/1/96/022/022: ZYPREXA 20 mg coated tablets - 56 tablets per box

EU/1/96/022/028: ZYPREXA 20 mg coated tablets - 35 tablets per box

EU/1/96/022/034: ZYPREXA 20 mg coated tablets - 70 tablets per box

EU/1/96/022/040: ZYPREXA 20 mg coated tablets - 98 tablets per box

EU/1/99/125/001: 5 mg x 28 Velotabs

EU/1/99/125/005: 5 mg x 56 Velotabs

EU/1/99/125/009: 5 mg x 35 Velotabs

EU/1/99/125/013: 5 mg x 70 Velotabs

EU/1/99/125/017: 5 mg x 98 Velotabs

EU/1/99/125/002: 10 mg x 28 Velotabs

EU/1/99/125/006: 10 mg x 56 Velotabs

EU/1/99/125/010: 10 mg x 35 Velotabs

EU/1/99/125/014: 10 mg x 70 Velotabs

EU/1/99/125/018: 10 mg x 98 Velotabs

EU/1/99/125/003: 15 mg x 28 Velotabs

EU/1/99/125/007: 15 mg x 56 Velotabs

EU/1/99/125/011: 15 mg x 35 Velotabs

EU/1/99/125/015: 15 mg x 70 Velotabs

EU/1/99/125/019: 15 mg x 98 Velotabs

EU/1/99/125/004: 20 mg x 28 Velotabs

EU/1/99/125/008: 20 mg x 56 Velotabs

EU/1/99/125/012: 20 mg x 35 Velotabs

EU/1/99/125/016: 20 mg x 70 Velotabs

EU/1/99/125/020: 20 mg x 98 Velotabs

Special precautions for disposal and other handling

No special requirements.

Date of first authorisation/renewal of the authorisation

2.5 mg, 5 mg, 7.5 mg, 10 mg, 15 mg, and 20 mg ZYPREXA tablets:

Date of first authorisation:

Date of latest renewal:

27 September 1996

27 September 2006

ZYPREXA VELOTABS:

Date of first authorisation:

Date of latest renewal:

3 February 2000

27 September 2006