Alcohol and Olanzapine interaction

Alcohol and Olanzapine: the Olanzapine prescribing label flag this combination with the strongest language, such as a contraindication, a boxed warning, or an instruction to avoid it.

Major

Do not combine without a prescriber's guidance. The label language below is the strongest FDA uses.

What the FDA labels say

Curated guidance for Alcohol

Major

Combining alcohol with sedating medicines (opioids, benzodiazepines, sleep medicines, muscle relaxants) can cause dangerous drowsiness, slowed breathing, and overdose.

From the Olanzapine (Zyprexa) label · effective 2026-02-11

Moderate

Alcohol: May potentiate orthostatic hypotension.

Drug interactionsnames AlcoholView label on DailyMed
Moderate

CNS Acting Drugs: Caution should be used when taken in combination with other centrally acting drugs and alcohol.

Drug interactionsnames AlcoholView label on DailyMed
Moderate

The co-administration of alcohol (i.e., ethanol) with olanzapine potentiated the orthostatic hypotension observed with olanzapine [see Drug Interactions ( 7.2 )] .

Drug interactionsnames AlcoholView label on DailyMed
Moderate

Potential for Olanzapine to Affect Other Drugs CNS Acting Drugs — Given the primary CNS effects of olanzapine, caution should be used when olanzapine is taken in combination with other centrally acting drugs and alcohol.

Drug interactionsnames AlcoholView label on DailyMed
Moderate

Alcohol — Multiple doses of olanzapine did not influence the kinetics of ethanol [see Drug Interactions ( 7.1 )] .

Drug interactionsnames AlcoholView label on DailyMed

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.