Conclusion: This is, to our knowledge, the largest network meta-analysis of pharmacotherapy for bipolar depression to date. Olanzapine plus fluoxetine, quetiapine, olanzapine, lurasidone, lumateperone, cariprazine, and lamotrigine were found to be more efficacious than placebo in adults with acute bipolar depression, with good confidence in the evidence, and to differ in their side-effect profiles. These findings can inform evidence-based care and the development of treatment guidelines internationally.
Olanzapine side effects
Across 12 first-hand reports, people mentioned a side effect 8 times (about 67 per 100 reports). The most common: zombification, emotional blunting, increased appetite. User reports show what people notice — they can't tell you whether Olanzapine is safe for you.
Reported side effects
zombification1
emotional blunting1
increased appetite1
mild sedation1
weight gain1
withdrawal effects1
cognitive impairment1
anhedonia1
In their own words
“Olanzapine takes away the brain fog, depression, anxiety, panic attacks, and voices. It's absolutely incredible the improvement in quality of life it gives me.”
“since taking olanzapine for 1 month 7 odd years ago (i tapered as soon as the problem arose) i literally cannot feel substances such as coffee, weed, kratom, ritalin”
“5mg of olanzapine I take also helps, but I'm aware that antipsychotics can impare cognition”
“I have to take olanzapine 5mg now and that drug is alright, it makes it easy to gain weight if you aren't careful but it seems to agree with my body chemistry and helps me sleep...I'm trying to get off Olanzapine right now and having the worst of worst times.”
“This stuff is the definition of pharmaceutical zombification... chemical lobotomy as I became pacified, mechanically content, dull, and rather lifeless.”
“im having a hard time finding benefits from it.”
Is Olanzapine safe? What the research covers
AResearch: Strong676 meta-analyses · 1,089 randomized trials on PubMed
Lancet Psychiatry · 2023
Comparative efficacy and tolerability of pharmacological interventions for acute bipolar depression in adults: a systematic review and network meta-analysisEur Neuropsychopharmacol · 2024
Efficacy, acceptability and side-effects of oral versus long-acting- injectables antipsychotics: Systematic review and network meta-analysisConclusion: LAIs are efficacious for acute schizophrenia and may have some benefits compared to oral formulations in terms of side effects. These findings assist clinicians with insights to weigh the risks and benefits between oral and injectable agents when treating patients in the acute phase.
Lancet · 2013
Comparative efficacy and tolerability of 15 antipsychotic drugs in schizophrenia: a multiple-treatments meta-analysis