Pharmacopeia

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Field OLANZAPINE
Neurology & Sedation · Neurology & Sedation · Level 3
QUETIAPINE
Neurology & Sedation · Neurology & Sedation · Level 3
Mechanism of action

D2 receptor antagonism, 5HT-R antagonism, H1-R/M-R/alpha1-R antagonism

D2<5-HT2a and H1-R antagonism

Physiological effects

CVS: Orthostatic hypotension

CNS: Somnolence. Lowers seizure threshold

GIT: Dysphagia

Metabolic/Other: Hyperglycaemia and increased risk of developing diabetes

sedating

Absorption

Good oral absorption

Good oral absorption

Protein binding

98%

Protein bound

Metabolism

Hepatic metabolism. Smoking induces the CYP1A2 metabolism of olanzapine

Active metabolite norquetiapine which has anticholinergic effects

Half-life

Terminal T1/2 is 33 hours

Elimination t1/2 is 7 hours, active metabolite elimination T1/2 is 12 hours

Class Group

Second Generation Antipsychotics/Atypical (D2-Antagonism/5-HT2a)

Second Generation Antipsychotics/Atypical (D2-Antagonism/5-HT2a)

Indications Uses

- Psychosis
- Bipolar and acute mania

1. Psychosis
2. Bipolar disorder
3. Agitation

Introduction —

Atypical antipsychotic

Legacy Cicm Level

Level 3

Level 3

Presentation

Oral wafer, tablet

IR and SR tablets
Start 50mg nocte and uptitrate to 300mg nocte
Dose reduce by 30-50% in elderly