Quetiapine

Quetiapine is an atypical antipsychotic medication approved for the treatment of schizophrenia and bipolar disorder. The medication cannot cure these conditions; however, it is generally successful in helping people manage their symptoms. Quetiapine is believed to work by blocking or lessening the effect of certain chemicals in the brain. Possible side effects include dry mouth, headaches, and drowsiness.

What Is Quetiapine?

Quetiapine fumarate (Seroquel®) is a prescription medication that is used to treat schizophrenia and bipolar disorder.
 
(Click What Is Quetiapine Used For? for more information, including possible off-label uses for the drug.)
 

Side Effects of Quetiapine

As with any medicine, side effects are possible with quetiapine. However, not everyone who takes it will experience side effects. In fact, most people tolerate the drug quite well. If side effects do occur, in most cases, they are minor and either require no treatment or can easily be treated by you or your healthcare provider. Serious side effects are less common.
 
Common side effects of this medication include, but are not limited to:
 
(Click Side Effects of Quetiapine to learn more, including potentially serious side effects that you should report immediately to your healthcare provider.)
 
You can also read about specific side effects in the following eMedTV articles:
 
 

What Should I Tell My Healthcare Provider?

You should talk with your healthcare provider prior to taking this medication if you have:
 
In addition, let your healthcare provider know if you are:
 
You should also make sure to tell your healthcare provider about all of the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal supplements.
 
(Click Precautions and Warnings With Quetiapine to learn more, including information on who should not take the drug.)
 

How Does It Work?

Quetiapine belongs to a group of medications called atypical (or second-generation) antipsychotic medications. It is not entirely known how quetiapine works in the treatment of schizophrenia or bipolar disorder. However, it is known that the medication blocks or lessens the effects of several chemicals in the brain. These chemicals (such as dopamine and serotonin) may be elevated in people with schizophrenia or bipolar disorder (also known as manic depression).
 
Quetiapine is not a cure for bipolar disorder or schizophrenia. It only helps to control symptoms (see Symptoms of Schizophrenia or Bipolar Disorder Symptoms).
 

Effects

In previous clinical studies of quetiapine for the treatment of schizophrenia, people taking the drug experienced improvement in their schizophrenia symptoms (including hallucinations and suspiciousness) when compared to those not taking the drug.
 
Previous clinical studies have also shown quetiapine to be effective in the treatment of bipolar disorder. In these studies, the drug was effective for treating episodes of mania or depression and also helped prevent symptoms of bipolar disorder from returning. For bipolar depression episodes, quetiapine reduced suicidal thinking and improved the overall quality of life. For bipolar mania episodes, it helped to decrease the manic symptoms.
 

When and How to Take Quetiapine

General considerations for when and how to take the medication include the following:
 
  • Quetiapine comes in tablet form. It is usually taken by mouth one to three times a day. If you are taking the medication once a day, it is usually best to take it at bedtime.
     
  • You can take the medication with or without food. If it bothers your stomach, try taking it with food.
     
  • It should be taken at the same time(s) each day to maintain even levels in your blood.
     
  • For the drug to work properly, it must be taken as prescribed. Quetiapine will not work if you stop taking it.
 

Dosing Information

The dose of quetiapine that your healthcare provider recommends will vary, depending on a number of factors, including:
 
  • The medical condition being treated
  • The severity of your condition
  • Other medical conditions you may have
  • Other medications you may be currently taking.
     
As always, do not adjust your dose unless your healthcare provider specifically instructs you to do so.
 
(Click Quetiapine Dosing for more information.)
  

Drug Interactions With Quetiapine

Quetiapine can potentially interact with a number of other medicines (see Drug Interactions With Quetiapine).
  

What If I Take an Overdose of Quetiapine?

People who take too much quetiapine may have overdose symptoms that could include:
 
  • Drowsiness
  • Rapid heart rate (tachycardia)
  • Low blood pressure (hypotension)
  • Low blood potassium (hypokalemia)
  • Irregular heart rhythm (arrhythmia)
  • Coma
  • Loss of life.
     
If you happen to overdose on quetiapine, seek immediate medical attention.
 
(Click Seroquel Overdose for more information.)
 

How Should It Be Stored?

Quetiapine should be stored at room temperature, away from moisture and heat. The tablets should be stored in an airtight container.
 
Keep quetiapine and all other medications out of the reach of children.
 

What Should I Do If I Miss a Dose?

If you do not take your quetiapine as scheduled, take your missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose.
 

Who Makes It?

Quetiapine is manufactured by AstraZeneca Pharmaceuticals.
 

Strengths

Quetiapine tablets are available in the following strengths:
 
  • Quetiapine 25 mg
  • Quetiapine 50 mg
  • Quetiapine 100 mg
  • Quetiapine 200 mg
  • Quetiapine 300 mg
  • Quetiapine 400 mg.
 

Alternatives

Several alternatives to quetiapine are available for the treatment of bipolar disorder or schizophrenia. Other atypical antipsychotic medications for treating these conditions include:
 
Older, "typical" antipsychotics are also approved to treat schizophrenia. Haloperidol (Haldol®) and thioridazine (Mellaril®) are examples of typical antipsychotics.
 
Mood stabilizer bipolar medications (which are alternatives to quetiapine for treating bipolar disorder) can include:
 
Not all of the medications listed above are approved to treat schizophrenia or bipolar disorder. However, they are commonly used "off-label" for the treatment of these conditions.
 
(Click Seroquel Alternatives for more information, including non-medication alternatives to quetiapine.)
 

Generic Quetiapine

There is currently no generic quetiapine licensed for sale (see Generic Seroquel).
 
Written by/reviewed by: Kristi Monson, PharmD; Arthur Schoenstadt, MD
Last reviewed by: Kristi Monson, PharmD;
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