Reported Reactions

Drugs › Atypical antipsychotic

Generic name

Olanzapine: adverse event reports filed with FDA

46,837 reports list it as a suspect or interacting product, 2004–2026. Class: Atypical antipsychotic. Also reported as Olanzapine 10mg, Olanzapine Tablets, Olanzapine Tablet.

46,837
reports as suspect product
0.2% of all reports · about 2,082 a year
4,087
reports, 12 months to June 2026
4,626 in the 12 months before
95.3%
marked serious by the reporter
70.7% across the class
14.1%
record death among outcomes, as reported
6,587 reports · not verified by FDA

46,837 adverse event reports received by FDA list olanzapine, a generic name as a suspect or interacting product, from January 2004 to June 2026. A further 22,258 reports list it only as a concomitant medication, and those are not counted in the figures on this page.

In the 12 months to June 2026, 4,087 reports listed it, down 12% from 4,626 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 2,082 reports a year and 0.2% of the 20,646,523 reports in the database, and 6.9% of the reports for the atypical antipsychotic class. How many people take it is not in the data, so a count is not a rate of occurrence.

The MedDRA terms listed most often are drug ineffective (10.6%), toxicity to various agents (7.5%) and off label use (6%). A report can list several reactions, so shares add to more than 100%; 2,884 different terms appear across these reports. Drug ineffective is recorded in 10.6% of these reports, a larger share than in the median atypical antipsychotic drug (6.4%).

95.3% of the reports are marked serious by the reporter (70.7% across the class); 14.1% record death among the outcomes and 46.8% record hospitalisation, as reported. 38.3% of the reports came from other health professionals, and the largest patient age group is 18 to 44 (34.7%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

Reports by month, five years

0274548Jul 2021: 245Aug 2021: 307Sep 2021: 259Oct 2021: 272Nov 2021: 299Dec 2021: 5382022Jan 2022: 338Feb 2022: 335Mar 2022: 341Apr 2022: 284May 2022: 224Jun 2022: 411Jul 2022: 333Aug 2022: 321Sep 2022: 332Oct 2022: 307Nov 2022: 548Dec 2022: 4792023Jan 2023: 376Feb 2023: 365Mar 2023: 309Apr 2023: 234May 2023: 306Jun 2023: 323Jul 2023: 343Aug 2023: 325Sep 2023: 395Oct 2023: 386Nov 2023: 443Dec 2023: 3722024Jan 2024: 343Feb 2024: 327Mar 2024: 377Apr 2024: 404May 2024: 368Jun 2024: 285Jul 2024: 462Aug 2024: 365Sep 2024: 343Oct 2024: 422Nov 2024: 428Dec 2024: 4062025Jan 2025: 335Feb 2025: 447Mar 2025: 321Apr 2025: 433May 2025: 327Jun 2025: 337Jul 2025: 409Aug 2025: 242Sep 2025: 270Oct 2025: 280Nov 2025: 444Dec 2025: 4542026Jan 2026: 316Feb 2026: 265Mar 2026: 401Apr 2026: 343May 2026: 320Jun 2026: 343

Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

By year received

02,2654,5302004: 28820042005: 3712006: 3042007: 32220072008: 2782009: 3632010: 42620102011: 5612012: 9042013: 1,14720132014: 1,3422015: 1,6322016: 1,89420162017: 2,5422018: 3,6922019: 4,17620192020: 3,6322021: 3,7162022: 4,25320222023: 4,1772024: 4,5302025: 4,29920252026: 1,988

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Olanzapine reports recording the termmedian drug in atypical antipsychotic

  1. Drug ineffectivethe medicine did not work as expected10.6%4,947
  2. Toxicity to various agentspoisoning or toxic effect of one or more substances7.5%3,494
  3. Off label useused for a purpose or in a way not on the label6%2,800
  4. Drug interactionan interaction between medicines5.8%2,713
  5. Weight increasedweight gain5.2%2,436
  6. Somnolencedrowsiness4.6%2,161
  7. Suicide attempta suicide attempt4.3%1,999
  8. Neuroleptic malignant syndromea rare severe reaction with fever and rigidity4.2%1,971
  9. Condition aggravatedthe condition being treated got worse4%1,884
  10. Overdosea dose above the recommended amount3.9%1,807
  11. Completed suicidedeath by suicide3.8%1,802
  12. Intentional overdosea deliberate overdose3.8%1,785
  13. Drug abusemisuse of a medicine3.8%1,778
  14. Sedationdrowsiness from a medicine3.5%1,662
  15. Schizophreniaschizophrenia3.4%1,570
  16. Electrocardiogram QT prolongeda QT prolongation on the ECG3.3%1,532
  17. Confusional stateconfusion3.2%1,495
  18. Agitationrestlessness3.1%1,462
  19. Psychotic disordera loss of contact with reality3%1,428
  20. Tachycardiafast heart rate2.9%1,381
  21. Extrapyramidal disordermovement problems such as stiffness or tremor2.7%1,287
  22. Anxietyanxiety2.7%1,275
  23. Hypotensionlow blood pressure2.6%1,236
  24. Vomitingbeing sick2.5%1,191
  25. Coma2.4%1,126
  26. Tremorshaking2.4%1,113
  27. Neutropenialow neutrophils, a type of white blood cell2.3%1,082
  28. Akathisiainner restlessness and an urge to move2.3%1,057
  29. Nauseafeeling sick2.3%1,057
  30. Suicidal ideationthoughts of suicide2.3%1,054

Top 30 of 2,884 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 37 drugs in the atypical antipsychotic class; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Outcomes recorded

Death14.1%6,587
Life-threatening10.4%4,887
Hospitalisation (initial or prolonged)46.8%21,900
Disability3.3%1,561
Congenital anomaly1.2%561
Other serious60.8%28,457
Not serious4.7%2,218

Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 683,680 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."

Patients and reporters

Patient age

Under 20.7%305
2 to 110.7%310
12 to 174.2%1,962
18 to 4434.7%16,257
45 to 6423.4%10,968
65 to 747.9%3,692
75 and over6.1%2,873
Age not given22.4%10,470

Patient sex

Female41.8%19,566
Male46.1%21,581
Not given12.1%5,690

Who reported

Physician33.3%15,578
Pharmacist8.7%4,063
Other health professional38.3%17,961
Lawyer0.2%96
Consumer or non-health professional17.4%8,156
Not given2.1%983

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 20.6% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Schizophrenia6,30913.5%
Psychotic disorder2,8016%
Bipolar disorder2,1894.7%
Depression1,2792.7%
Schizoaffective disorder7611.6%
Mania4591%

The indication field is filled in by the reporter and is often blank; shares are of all 46,837 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Olanzapine reports
Risperidone6,07613%
Quetiapine5,25511.2%
Aripiprazole4,76810.2%
Lorazepam4,66310%
Clozapine4,2179%
Haloperidol3,8018.1%
Diazepam3,2136.9%
Mirtazapine2,8346.1%
Sertraline2,8096%
Clonazepam2,7825.9%

Other products listed in reports where Olanzapine is a suspect product, whatever their own role. Co-listing means the two were recorded together; it says nothing about either product's part in the event. Only the 2,500 most-reported names are counted here.

In context

MeasureOlanzapineAtypical antipsychoticAll reports
Reports as suspect product46,837683,68020,646,523
Share of that pool—6.9%0.2%
Reports, latest 12 months4,087—1,332,454
Marked serious95.3%70.7%57.4%
Death recorded among outcomes, per 1,000 reports14112191
Hospitalisation recorded, per 1,000 reports468304213
Consumer-filed share17.4%34%45.8%
Top term, share of reportsDrug ineffective 10.6%median 6.4%6.3%

Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Other drugs in the atypical antipsychotic class

DrugName typeReportsLatest 12 monthsMarked serious
Clozapinegeneric73,0233,25293.4%
Abilifybrand54,64562558%
Risperdalgeneric54,45488248.4%
Nuplazidbrand53,7539,60250.6%
Quetiapinegeneric52,3884,19097.6%
Seroquelbrand52,27226562.9%
Clozarilbrand47,9143,08898.4%
Risperidonegeneric44,9622,51176.9%
Aripiprazolegeneric30,1453,10287.8%
Zyprexabrand26,46912178.4%
Invega Sustennabrand23,6481,51335.8%
Quetiapine fumarategeneric19,5681,69790.7%
Invegabrand16,67223835.5%
Latudabrand16,08518340.7%
Rexultibrand12,68363032.3%

Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." A brand and its generic are separate rows because reporters name them separately.

Questions about Olanzapine reports

How many adverse event reports has FDA received for Olanzapine?

46,837 reports list Olanzapine as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 4,087 of them arrived in the latest 12 months. Another 22,258 list it only as a concomitant medication.

What reactions are recorded in Olanzapine reports?

drug ineffective (10.6%), toxicity to various agents (7.5%), off label use (6%), drug interaction (5.8%) and weight increased (5.2%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Olanzapine was responsible.

How serious are the reports?

95.3% are marked serious by the reporter. Among the outcomes recorded, 14.1% of reports include death and 46.8% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.

Who files these reports?

other health professional (38.3%), physician (33.3%) and consumer or non-health professional (17.4%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Olanzapine rising?

4,087 reports in the 12 months to June 2026, down 12% from 4,626 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.

Do these reports show that Olanzapine was responsible for these reactions?

No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.

Is this a list of the side effects of Olanzapine?

No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.

How do I report an adverse event?

Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Olanzapine as a suspect or interacting product; reports listing it only as a concomitant medication (22,258) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.