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Quetiapine

Brand name: Seroquel

Generic name: Quetiapine fumarate

Quetiapine combats the symptoms of schizophrenia, a mental disorder marked by delusions, hallucinations, disrupted thinking, and loss of contact with reality. It is the first in a new class of antipsychotic medications. Researchers believe that it works by diminishing the action of dopamine and serotonin, two of the brain's chief chemical messengers

Most important fact about Quetiapine

Quetiapine may cause tardive dyskinesia - a condition characterized by uncontrollable muscle spasms and twitches in the face and body. This problem can be permanent, and appears to be most common among older adults, especially women.

How should you take Quetiapine ?

Your doctor will increase your dose gradually until the Quetiapine takes effect. If you stop Quetiapine for more than 1 week, you'll need to build up to your ideal dosage once again.

If you miss a dose of Quetiapine

Take it as soon as you remember. If it is almost time for the next dose, skip the one you missed and go back to your regular schedule. Do not take 2 doses at once.

Storage instructions for Quetiapine

Store at room temperature.

What side effects may occur with Quetiapine ?

Side effects of Quetiapine cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Quetiapine.

More common side effects of Quetiapine may include:
Abdominal pain, constipation, diminished movement, dizziness, drowsiness, dry mouth, excessive muscle tone, headache, indigestion, low blood pressure, nasal inflammation, neck rigidity, rapid heartbeat, rash, tremor, uncontrollable movements, weakness

Less common side effects of Quetiapine may include:
Back pain, cough, difficulty breathing, difficulty speaking, ear pain, fever, flu, loss of appetite, palpitations, sore throat, sweating, swelling, weight gain

Rare side effects of Quetiapine may include:
Abnormal dreams, abnormal ejaculation, abnormal vision, abnormal gait, abnormal thinking, acne, alcohol intolerance, amnesia, arthritis, asthma, bleeding gums, bone pain, bruising, chills, confusion, conjunctivitis (pinkeye), dehydration, delusions, diabetes, difficulty swallowing, dry eyes, ear ringing, eczema, eye pain, face swelling, fungal infection, gas, gum inflammation, hallucinations, heavy menstruation, hemorrhoids, impotence, increased appetite, increased sex drive, increased salivation, irregular pulse, itching, jerky or irregular movement, joint pain, lack of emotion, lack of coordination, leg cramps, loss of menstruation, low blood sugar, manic reaction, migraine, mouth sores, muscle weakness, neck pain, nosebleeds, painful menstruation, painful urination, paralysis, paranoia, pelvic pain, pneumonia, rash, rectal bleeding, seborrhea, sensitivity to light, skin inflammation or ulcer, slow heart rate, stomach and intestinal inflammation, stupor, swollen testicles, taste disturbances, teeth grinding, thirst, tongue swelling, twitching, uncontrollable bowel movements, underactive thyroid, urinary frequency or incontinence, urinary retention, urinary tract infection, vaginal bleeding, vaginal inflammation, vaginal yeast infection, vertigo, and weight loss.

Why should Quetiapine not be prescribed ?

If Quetiapine gives you an allergic reaction, you will not be able to use Quetiapine.

Special warnings about Quetiapine

If you develop muscle stiffness, confusion, irregular or rapid heartbeat, excessive sweating, and high fever call your doctor immediately. These are signs of a serious,and potentially fatal,reaction to the drug. Be especially wary if you have a history of heart attack, heart disease, heart failure, circulation problems, or irregular heartbeat.

Particularly during the first few days of therapy, Quetiapine can cause low blood pressure, with accompanying dizziness, fainting, and rapid heartbeat. To minimize these effects, your doctor will increase your dose gradually. If you are prone to low blood pressure, take blood pressure medication, or become dehydrated, use Quetiapine with caution.

Quetiapine also tends to cause drowsiness, especially at the start of therapy, and can impair your judgment, thinking, and motor skills. Until you are certain of Quetiapine's effect, use caution when operating machinery or driving a car.

If you are having problems with your vision, tell your doctor. There is a chance that Quetiapine may cause cataracts, and you may be asked to see an eye doctor when you start Quetiapine therapy, and every 6 months thereafter.

Quetiapine poses a very slight risk of seizures, especially if you are over 65, or have epilepsy or Alzheimer's disease. Quetiapine can also suppress an underactive thyroid, and generally causes a minor increase in cholesterol levels. There is also a remote chance that it will trigger a prolonged and painful erection.

Other antipsychotic medications have been known to interfere with the body's temperature-regulating mechanism, causing patients to overheat. Although this problem has not occurred with Quetiapine, caution is still advisable. Avoid exposure to extreme heat, strenuous exercise, and dehydration.

Possible food and drug interactions when taking Quetiapine

Quetiapine increases the effects of alcohol. Avoid alcoholic beverages while on Quetiapine therapy.

If Quetiapine is taken with certain other drugs, the effects of either could be increased, decreased, or altered.

It is especially important to check with your doctor before combining Quetiapine with the following:

Barbiturates such as phenobarbital
Carbamazepine (Tegretol)
Cimetidine (Tagamet)
Erythromycin (Eryc, Ery-Tab)
Fluconazole (Diflucan)
Itraconazole (Sporanox)
Ketoconazole (Nizoral)
Levodopa (Laradopa, Sinemet)
Lorazepam (Ativan)
Phenytoin (Dilantin)
Rifampin (Rifadin, Rifamate, Rimactane)
Steroid medications such as hydrocortisone and prednisone
Thioridazine (Mellaril)

Special information if you are pregnant or breastfeeding

The possibility of harm to a developing baby has not been ruled out. You should take Quetiapine during pregnancy only if the benefits outweigh this potential risk. Notify your doctor as soon as you become pregnant or decide to become pregnant.

It is not known whether Quetiapine appears in breast milk, and breastfeeding is not recommended.

Recommended dosages of Quetiapine

ADULTS

On the first day of therapy, you'll take 2 doses of 25 milligrams each. On the second and third day, doses are usually increased by 25 to 50 milligrams apiece. Frequency may be increased to 3 times daily.
Long-term, the usual dosage is 300 to 400 milligrams a day, taken as 2 or 3 smaller doses. Doses as low as 150 milligrams a day sometimes prove effective, and daily dosage rarely exceeds 750 milligrams. Doses of 800 milligrams or more per day have not been tested for safety.

Dosage is increased more gradually and is maintained at a lower level for older adults, those with liver disease, those prone to low blood pressure reactions, and the debilitated.

Overdosage of Quetiapine

Any medication taken in excess can have serious consequences. If you suspect an overdose of Quetiapine , seek medical help immediately.

Symptoms of Quetiapine overdose may include:

Dizziness, drowsiness, fainting, rapid heartbeat