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olanzapine Side Effects

Also known as: Zyprexa

Analysis of 103,356 adverse event reports submitted to the FDA from 2003 to 2025.

Total Reports

103,356

Death-Related

12,783

12.4% of reports

Hospitalizations

45,342

43.9% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

DRUG INEFFECTIVE
7,118
WEIGHT INCREASED
6,722
OFF LABEL USE
5,716
DIABETES MELLITUS
5,388
DRUG INTERACTION
4,048
TOXICITY TO VARIOUS AGENTS
3,966
SOMNOLENCE
3,839
NAUSEA
3,829
FATIGUE
3,426
ANXIETY
3,379
OVERDOSE
3,353
VOMITING
3,130
SUICIDE ATTEMPT
3,086
CONDITION AGGRAVATED
2,850
CONFUSIONAL STATE
2,824
INSOMNIA
2,759
AGITATION
2,694
DEATH
2,644
FALL
2,602
NEUROLEPTIC MALIGNANT SYNDROME
2,597

Who Reports Side Effects

Gender Distribution

Female 46,491 (49%)
Male 47,227 (50%)
Unknown 489

Age Distribution

0-17 5,246 (7%)
18-44 29,265 (40%)
45-64 23,585 (32%)
65-74 8,340 (11%)
75+ 6,343 (9%)

Reporting Trend by Year

2003 2025

Reactions in Death Reports

Top reactions reported in 12,783 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 2,633
COMPLETED SUICIDE 2,318
TOXICITY TO VARIOUS AGENTS 1,837
CARDIAC ARREST 735
CARDIO-RESPIRATORY ARREST 685
OVERDOSE 662
OFF LABEL USE 512
PNEUMONIA 500
DRUG INTERACTION 466
DRUG ABUSE 435
DIABETES MELLITUS 419
RESPIRATORY ARREST 400
PULMONARY EMBOLISM 356
FALL 345
NAUSEA 328
SOMNOLENCE 301
SUDDEN DEATH 298
VOMITING 297
FATIGUE 291
NEUROLEPTIC MALIGNANT SYNDROME 288

Reactions in Hospitalization Reports

Top reactions in 45,342 reports where hospitalization was an outcome.

Reaction Reports
DRUG INEFFECTIVE 3,222
OFF LABEL USE 2,733
DIABETES MELLITUS 2,518
WEIGHT INCREASED 2,454
DRUG INTERACTION 2,087
OVERDOSE 2,022
TOXICITY TO VARIOUS AGENTS 1,949
VOMITING 1,903
SOMNOLENCE 1,881
NAUSEA 1,864
NEUROLEPTIC MALIGNANT SYNDROME 1,864
CONFUSIONAL STATE 1,850
SUICIDE ATTEMPT 1,809
PNEUMONIA 1,730
INTENTIONAL OVERDOSE 1,721
PSYCHOTIC DISORDER 1,684
FALL 1,682
PYREXIA 1,666
AGITATION 1,604
ANXIETY 1,533

Nearby — Related Medications

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What the FAERS Data Reveals About olanzapine Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 103,356 voluntary reports linked to olanzapine and its brand equivalents (Zyprexa), spanning 2003 through 2025. Of those, 12,783 (12.4%) listed death as an outcome and 45,342 (43.9%) involved hospitalization. The most common indication reported alongside adverse events was Product Used For Unknown Indication.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 49% were female and 50% male; age distribution skews toward 18-44, with 29,265 reports in that bracket. The single most reported reaction is drug ineffective with 7,118 submissions, followed by weight increased and off label use.

FAERS is a signal-detection tool, not a scorecard. Reports are voluntary, and a single case may list multiple suspect drugs, so numbers above should not be read as incidence rates or per-patient risk. Widely prescribed drugs naturally accumulate more reports than niche therapies even when individual risk is low. These aggregates are useful for spotting patterns that merit further pharmacovigilance, not for choosing between medications. This page is for educational reference only and is not medical advice — speak with a licensed clinician about any side-effect concerns.