Olanzapine-induced hypertriglyceridemia in cancer care: A silent metabolic risk

Olanzapine (Zyprexa), an atypical antipsychotic, is used off-label for managing nausea in advanced cancer patients but is linked to severe metabolic side effects, including hypertriglyceridemia. This case involves a metastatic gastric carcinoma patient with no known metabolic disorder who developed...

Full description

Saved in:
Bibliographic Details
Main Authors: Bilal Kazi, Imaan Rumani, Marzooka Nazim Chishti Kazi, Prashant Manohar Gaikwad
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Current Problems in Cancer: Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666621924000668
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Olanzapine (Zyprexa), an atypical antipsychotic, is used off-label for managing nausea in advanced cancer patients but is linked to severe metabolic side effects, including hypertriglyceridemia. This case involves a metastatic gastric carcinoma patient with no known metabolic disorder who developed critically elevated triglycerides (2898 mg/dL) after starting olanzapine for nausea. Her lipid levels significantly improved with medical management, allowing her to proceed for apheresis for the planned CAR-T treatment. This case underscores the need for vigilant metabolic monitoring in patients on Olanzapine (Zyprexa), even those without known risk factors, to prevent serious complications.
ISSN:2666-6219