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What the FDA labels say about taking them together

Milsaperidone and olanzapine

Milsaperidone's FDA label of February 27, 2026 names olanzapine in its warnings and precautions section; the olanzapine labels PlainMeds reads (3) do not name milsaperidone.

Check it at the source: the milsaperidone FDA label on DailyMed (effective February 27, 2026, Vanda Pharmaceuticals Inc.); the olanzapine FDA label on DailyMed (effective March 5, 2026, Macleods Pharmaceuticals Limited).

What does the milsaperidone label say about olanzapine?

Milsaperidone label, warnings and precautions

Patients with Dementia-Related Psychosis In placebo-controlled trials in elderly patients with dementia-related psychosis treated with risperidone, aripiprazole, or olanzapine had a higher incidence of stroke and transient ischemic attack, including fatal stroke compared to those treated with placebo.

Source: FDA drug label (BYSANTI), Vanda Pharmaceuticals Inc., effective February 27, 2026 (SPL set 254a1c01-4a4c-4bdd-85d6-1f23f2e4e6f8), via openFDA; the full label on DailyMed

What does the olanzapine label say about milsaperidone?

Olanzapine's label (effective March 5, 2026) and its 2 other brand-application labels do not name milsaperidone in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Olanzapine), Macleods Pharmaceuticals Limited, effective March 5, 2026 (SPL set 8e095987-bdea-42f2-9550-c7155cf07d30), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

0Milsaperidone generic labelers
43Olanzapine generic labelers
MilsaperidoneOlanzapine
Labeled forSchizophrenia, Bipolar disorderSchizophrenia, Bipolar disorder, Depression
Boxed warningYesYes
Pharmacy cost (NADAC)n/a$0.147 per tablet 20 mg tablet
Shortage nowNo current entryNo current entry

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?