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Drug Interactions With Olanzapine and Fluoxetine

Olanzapine and Fluoxetine Interactions Explained

The following sections explain in detail the potentially negative interactions that can occur when olanzapine and fluoxetine is combined with any of the drugs listed above.
 
Alcohol
People are generally advised not to drink alcohol while taking olanzapine and fluoxetine. Combining the two may cause unwanted side effects (see Alcohol and Symbyax).
 
Alprazolam
Taking olanzapine and fluoxetine with alprazolam can increase the level of alprazolam in your blood, increasing your risk of side effects. Your healthcare provider may need to decrease your dose of alprazolam to prevent this interaction from occurring.
 
Aspirin
If olanzapine and fluoxetine is taken with aspirin, it can increase your risk of stomach bleeding. Talk to your healthcare provider before taking these medications together.
 
Carbamazepine
Taking olanzapine and fluoxetine with carbamazepine can lower the amount of olanzapine and fluoxetine in your blood, perhaps decreasing its effectiveness. It can also increase the amount of carbamazepine in your blood, increasing your risk of side effects. Your healthcare provider may need to adjust your dose of these medications to prevent this from happening.
 
Certain Antipsychotic Medications
Olanzapine and fluoxetine can increase the level of certain antipsychotic medications in your blood and can increase your risk of side effects. Your healthcare provider may need to lower your dose of the antipsychotic medicine to prevent this.
 
Thioridazine should never be taken with olanzapine and fluoxetine. In fact, you should not take thioridazine if you have taken olanzapine and fluoxetine within the past five weeks.
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Written by/reviewed by: Kristi Monson, PharmD; Arthur Schoenstadt, MD
Last reviewed by: Kristi Monson, PharmD
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