Drug intelligence / Profile preview

Zyprexa Adhera

Development stage
Phase 3
Lead developer
Eli Lilly
Modality
Small Molecules
Administration
Intramuscular
01

Overview

Zyprexa Adhera is a long-acting intramuscular injectable formulation of the atypical antipsychotic olanzapine, developed by Eli Lilly. It consists of the salt olanzapine pamoate monohydrate, which is designed to provide sustained therapeutic levels of olanzapine over a period of two to four weeks. The drug is primarily indicated for the treatment of schizophrenia and has been evaluated for schizoaffective disorder. Its mechanism of action involves potent antagonism at dopamine D2 and serotonin 5-HT2A receptors, which helps manage both positive and negative symptoms of psychosis. Due to the risk of post-injection delirium sedation syndrome (PDSS), a rare but serious condition characterized by sedation and/or delirium following injection, Zyprexa Adhera is administered under a restricted distribution program (REMS in the United States) that requires patients to be monitored for at least three hours post-administration in a healthcare facility.

Brand names
Zyprexa AdheraZypadhera
Other names
olanzapine pamoateolanzapine pamoate monohydrateolanzapine long-acting injectionolanzapine depot
02

Targets

ADRA1A (α1A)DRD2 (Dopamine D2 Receptor)HRH1 (Histamine H1 Receptor)HTR2A (Serotonin receptor 5-HT2A)HTR2C (5-hydroxytryptamine 2C receptor)HTR3A (5-hydroxytryptamine receptor 3A)HTR6 (5-hydroxytryptamine receptor 6)

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