Therapeutic drug monitoring of olanzapine: Easy and reliable method for clinical correlation

Indian J Pharmacol. 2021 Jan-Feb;53(1):2-5. doi: 10.4103/ijp.IJP_114_20.

Abstract

Aim: The current work establishes an easy, reliable technique for the estimation of serum Olanzapine concentration which correlates it clinically.

Subjects and methods: The work was agreed in 61 schizophrenic patients who were on olanzapine. Serum drug amount was estimated by normal-phase high-performance liquid chromatography and brief psychiatry rating scale was used to determine disease progression.

Results: Samples provided 61 patients, 40 were under sub-therapeutic range, 18 were under therapeutic range and 3 were above the therapeutic range.

Conclusion: Therapeutic drug monitoring must be a part of clinical practice in psychiatric hospitals for optimizing the dose of an individual patient along with the correlation of serum concentration with the clinical assessment scales.

Keywords: High-performance liquid chromatography and therapeutic range; olanzapine; schizophrenia; therapeutic drug monitoring.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Antipsychotic Agents / administration & dosage
  • Antipsychotic Agents / blood
  • Antipsychotic Agents / pharmacokinetics
  • Antipsychotic Agents / therapeutic use*
  • Drug Administration Schedule
  • Drug Monitoring
  • Female
  • Humans
  • Male
  • Middle Aged
  • Olanzapine / administration & dosage
  • Olanzapine / blood
  • Olanzapine / pharmacokinetics
  • Olanzapine / therapeutic use*
  • Psychiatric Status Rating Scales
  • Schizophrenia / drug therapy*
  • Schizophrenic Psychology
  • Young Adult

Substances

  • Antipsychotic Agents
  • Olanzapine