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What the FDA labels say about taking them together

Fluvoxamine and olanzapine

Olanzapine's FDA label of March 5, 2026 names fluvoxamine in its drug interactions section; the fluvoxamine labels PlainMeds reads (2) do not name olanzapine. The olanzapine label: “Increased clearance of olanzapine. Fluvoxamine: May increase olanzapine levels.”

Check it at the source: the fluvoxamine FDA label on DailyMed (effective June 27, 2026, Zydus Pharmaceuticals USA Inc.); the olanzapine FDA label on DailyMed (effective March 5, 2026, Macleods Pharmaceuticals Limited).

What does the fluvoxamine label say about olanzapine?

Fluvoxamine's label (effective June 27, 2026) and its 1 other brand-application label do not name olanzapine in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Fluvoxamine maleate extended-release), Zydus Pharmaceuticals USA Inc., effective June 27, 2026 (SPL set 6c71d4f6-54b5-4d3a-8d2f-b7773c92c32e), via openFDA; the full label on DailyMed

What does the olanzapine label say about fluvoxamine?

Olanzapine label, drug interactions

Inhibitors of CYP1A2 Fluvoxamine: Fluvoxamine, a CYP1A2 inhibitor, decreases the clearance of olanzapine.

Zyprexa label (H2-Pharma LLC, February 11, 2026), drug interactions

Increased clearance of olanzapine. ( 7.1 ) Fluvoxamine: May increase olanzapine levels. ( 7.1 ) ZYPREXA and Fluoxetine in Combination:

Zyprexa Relprevv label (H2-Pharma LLC, May 19, 2026), drug interactions

Increased clearance of olanzapine. ( 7.1 ) Fluvoxamine: May increase olanzapine levels.

Source: FDA drug label (Zyprexa, NDA020592), H2-Pharma LLC, effective February 11, 2026 (SPL set b418946a-1ab4-4d89-a012-d94fc361a3c4), via openFDA

Source: FDA drug label (Zyprexa Relprevv, NDA022173), H2-Pharma LLC, effective May 19, 2026 (SPL set 11544cba-64a9-49cb-8d74-da228053b252), via openFDA

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

16Fluvoxamine generic labelers
43Olanzapine generic labelers
FluvoxamineOlanzapine
Labeled forn/aSchizophrenia, Bipolar disorder, Depression
Boxed warningYesYes
Pharmacy cost (NADAC)$4.08 per capsule 100 mg capsule$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)

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