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Drug intelligence / Profile preview
Zyprexa Relprevv is a long-acting intramuscular depot formulation of **olanzapine pamoate monohydrate** developed by Eli Lilly for the treatment of schizophrenia in adults. It is a **small molecule** atypical antipsychotic formulated as an extended-release injectable suspension for deep gluteal administration every 2 to 4 weeks, providing sustained exposure to olanzapine. Olanzapine exerts antipsychotic effects through multi-receptor antagonism in the central nervous system, with clinically important activity at **dopamine D2** and **serotonin 5-HT2A** receptors, along with additional antagonism at histamine H1, muscarinic acetylcholine, and adrenergic alpha1 receptors. The product was approved in the United States for schizophrenia and is associated with a boxed safety concern for post-injection delirium/sedation syndrome, requiring administration in registered healthcare settings with post-injection observation.
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