Olanzapine and Diazepam Interaction
Drug interaction information between Olanzapine and Diazepam.
Olanzapine and Diazepam have a documented minor interaction in FDA labeling.
FDA drug labeling documents a minor-severity interaction between Olanzapine and Diazepam. Major interactions are generally avoided, moderate ones may need monitoring or a dose adjustment, and minor ones are usually low-risk. This page shows the documented mechanism and guidance. Label-documented interactions are not a complete safety review, so always confirm your own medications with a pharmacist or doctor. Educational information, not medical advice.
How They Interact
Taking these medicines together can cause a sudden drop in blood pressure when you stand up. This can lead to dizziness or fainting.
What To Do
Move slowly when standing up from a sitting or lying position and report any dizziness to your healthcare provider.
FDA Label Information
Diazepam: May potentiate orthostatic hypotension. ( 7.2 ) 7.1 Potential for Other Drugs to Affect Olanzapine Diazepam — The co-administration of diazepam with olanzapine potentiated the orthostatic hypotension observed with olanzapine [see Drug Interactions ( 7.2 )] . Diazepam — Olanzapine did not influence the pharmacokinetics of diazepam or its active metabolite N-desmethyldiazepam.
Olanzapine Also Interacts With
- Fluoxetine major
- Tetrabenazine moderate
- Omeprazole minor
- Warfarin minor
- Carbamazepine minor
Diazepam Also Interacts With
- Clonazepam moderate
- Fluoxetine moderate
- Mirtazapine moderate
- Raloxifene moderate
- Omeprazole minor
Frequently Asked Questions
Can I take Olanzapine and Diazepam together?
This is a minor interaction. Move slowly when standing up from a sitting or lying position and report any dizziness to your healthcare provider.
How serious is the interaction between Olanzapine and Diazepam?
This interaction is classified as "minor" severity by the FDA. Minor interactions are unlikely to cause significant problems but should still be mentioned to your healthcare provider.
Why do Olanzapine and Diazepam interact?
Taking these medicines together can cause a sudden drop in blood pressure when you stand up. This can lead to dizziness or fainting.
Understanding the Olanzapine and Diazepam Interaction
FDA-approved prescribing information for these two drugs flags their combination as a minor-severity interaction. Olanzapine belongs to the Atypical Antipsychotic class and Diazepam belongs to the Benzodiazepine class - two categories that can collide when co-prescribed. The mechanism described in FDA labeling is: Taking these medicines together can cause a sudden drop in blood pressure when you stand up. Severity tiers matter: major flags generally advise avoidance, moderate flags often require monitoring or dose adjustment, and minor flags may only call for awareness.
Context around a specific patient determines real-world impact. Olanzapine has 26 total documented interactions on file in this dataset, and Diazepam has 26. Each additional medication compounds the interaction surface, which is why pharmacists run full-profile checks rather than evaluating one pair at a time. FDA-derived guidance for this pair is: Move slowly when standing up from a sitting or lying position and report any dizziness to your healthcare provider. Timing of doses, renal and hepatic function, age, and other concurrent prescriptions all shape whether a labeled interaction matters clinically.
An interaction flag is not a verdict. A large share of labeled interactions are managed routinely in clinical practice, the fix may be as simple as spacing doses or adding a monitoring test. Others require the prescriber to choose a different medication entirely. This page surfaces FDA-sourced labeling and openFDA data for educational purposes only; it is not medical advice and cannot account for your full clinical picture. Never start, stop, or adjust either Olanzapine or Diazepam based on a web page, speak with your prescriber or pharmacist before making any change.
Sources: FDA Drug Labels (SPL) via openFDA (2026). This is for informational purposes only and is not medical advice. Always consult your healthcare provider about drug interactions.
Read our methodology - how this data is sourced, computed, and verified.