The dosage of Zyprexa (olanzapine) for elderly patients is typically lower compared to younger adults due to factors such as decreased metabolism and increased sensitivity to medications. The usual starting dose for elderly patients with schizophrenia or bipolar disorder is often 5 mg once daily. However, the dosage may be adjusted based on individual response and tolerance, with increments of 2.5 to 5 mg at intervals of at least 24 hours.
For elderly patients with dementia-related psychosis, the recommended starting dose is usually 2.5 mg once daily, with the possibility of increasing the dose cautiously if necessary and if well-tolerated. It’s important for healthcare providers to closely monitor elderly patients for potential adverse effects, including sedation, dizziness, orthostatic hypotension, and metabolic changes, and adjust the dosage accordingly.
The specific dosage and adjustments should be determined by a healthcare professional based on the individual’s medical history, current health status, and response to treatment, while considering the balance between potential benefits and risks. Regular monitoring and communication between the patient, caregiver, and healthcare provider are essential for optimal management of elderly patients receiving Zyprexa therapy.