These side effects may lead to falls which could cause bone fractures or other injuries. This risk is higher for people with conditions or other medications that could worsen these effects. If falls or any of these symptoms occur, contact your healthcare provider. Tardive dyskinesia TD is a side effect that develops with prolonged use of antipsychotics.
If you develop symptoms of TD, such as grimacing, sucking, and smacking of lips, or other movements that you cannot control, contact your healthcare provider immediately.
All patients taking either first or second generation antipsychotics should have an Abnormal Involuntary Movement Scale AIMS completed regularly by their healthcare provider to monitor for TD.
Second generation antipsychotics SGAs increase the risk of diabetes, weight gain, high cholesterol, and high triglycerides. It is very important to tell your doctor how you feel things are going during the first few weeks after you start taking quetiapine. It will probably take several weeks to see big enough changes in your symptoms to decide if quetiapine is the right medication for you.
Antipsychotic treatment is generally needed lifelong for persons with schizophrenia. Your doctor can best discuss the duration of treatment you need based on your symptoms and illness. Last Updated: January This information is being provided as a community outreach effort of the College of Psychiatric and Neurologic Pharmacists.
This information is for educational and informational purposes only and is not medical advice. This information contains a summary of important points and is not an exhaustive review of information about the medication. Always seek the advice of a physician or other qualified medical professional with any questions you may have regarding medications or medical conditions. Never delay seeking professional medical advice or disregard medical professional advice as a result of any information provided herein.
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Patients of all ages starting treatment should be watched closely for worsening of depression, suicidal thoughts or actions, unusual changes in behavior, agitation, and irritability. Patients, families, and caregivers should pay close attention to any changes, especially sudden changes in mood, behaviors, thoughts, or feelings. This is very important when an antidepressant medicine is started or when the dose is changed. These symptoms should be reported immediately to the doctor.
Please see additional information within the full Prescribing Information. By finding a treatment that works for you, and taking it regularly, you may experience improvement in your symptoms.
Be patient and follow the directions of your health care professional. Elderly patients with dementia-related psychosis having lost touch with reality due to confusion and memory loss treated with this type of medicine are at an increased risk of death, compared to placebo sugar pill.
Stop SEROQUEL XR and call your doctor right away if you have some or all of the following symptoms: high fever; excessive sweating; stiff muscles; confusion; changes in pulse, heart rate, and blood pressure. These may be symptoms of a rare, but very serious and potentially fatal, side effect called neuroleptic malignant syndrome NMS. If you develop symptoms of high blood sugar or diabetes, such as excessive thirst or hunger, increased urination, or weakness, contact your doctor. Complications from diabetes can be serious and even life threatening.
Your doctor should check your weight regularly. Tell your doctor about any movements you cannot control in your face, tongue, or other body parts, as they may be signs of a serious condition called tardive dyskinesia TD.
Other risks include feeling dizzy or lightheaded upon standing, falls which may cause serious injuries , trouble swallowing, or decreases in white blood cells which can be fatal. Fever, flu-like symptoms, or any other infection could be a result of a very low white blood cell count.
Tell your healthcare provider as soon as possible if you experience any of these. Before starting treatment, tell your doctor about all prescription and nonprescription medicines you are taking. Also tell your doctor if you have or have had low white blood cell count, seizures, abnormal thyroid tests, high prolactin levels, heart or liver problems, trouble emptying your bladder, enlarged prostate, constipation, increased pressure inside your eyes, or cataracts.
An eye exam for cataracts is recommended at the beginning of treatment and every 6 months thereafter. It works by affecting the actions of certain chemicals in the brain known as neurotransmitters. Any specific brand name of this medication may not be available in all of the forms or approved for all of the conditions discussed here. As well, some forms of this medication may not be used for all of the conditions discussed here.
Your doctor may have suggested this medication for conditions other than those listed in these drug information articles. If you have not discussed this with your doctor or are not sure why you are taking this medication, speak to your doctor.
Do not stop taking this medication without consulting your doctor. Do not give this medication to anyone else, even if they have the same symptoms as you do. It can be harmful for people to take this medication if their doctor has not prescribed it. Nonmedicinal ingredients: hydroxypropyl methylcellulose, lactose monohydrate, magnesium stearate, microcrystalline cellulose, and sodium citrate; coating: hydroxypropyl methylcellulose, polyethylene glycol , red ferric oxide, titanium dioxide, and yellow ferric oxide.
Nonmedicinal ingredients: hydroxypropyl methylcellulose, lactose monohydrate, magnesium stearate, microcrystalline cellulose, and sodium citrate; coating: hydroxypropyl methylcellulose, polyethylene glycol , titanium dioxide. Nonmedicinal ingredients: hydroxypropyl methylcellulose, lactose monohydrate, magnesium stearate, microcrystalline cellulose, and sodium citrate; coating: hydroxypropyl methylcellulose, polyethylene glycol , titanium dioxide, and yellow ferric oxide.
The usual recommend starting dose for schizophrenia or manic episodes associated with bipolar disorder is mg once daily on day one, mg once daily on day two, and up to a maximum of mg once daily from day three onwards. The usual recommended starting dose for depressive episodes associated with bipolar disorder is 50 mg once daily on day one, mg once daily on day two, mg once daily on day three, and mg once daily on day four and onwards.
The dose may be further increased depending on response and tolerability. The maximum dose is mg daily. When treating a manic episode of bipolar disorder, the usual recommended starting dose is mg taken once daily on day one, mg taken once daily on day two and up to a maximum of mg on day three and onwards.
The usual recommended starting dose for major depressive disorder is 50 mg once daily on days one and two, then mg once daily on day three and onwards. The dose may be further increased up to a maximum of mg per day depending on response and tolerability.
Many things can affect the dose of a medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are taking the medication without consulting your doctor.
Quetiapine can be taken with or without food. The tablet should be swallowed whole with some water or other fluid. Do not chew or crush this medication, as this will increase the amount of medication your body absorbs at a single time and will cause side effects.
Do not stop taking this medication or change the time of the day you take it without consulting your doctor. Quetiapine XR is usually taken in the evening. It is important to take this medication exactly as prescribed by your doctor to ensure that you are getting the maximum benefit from the medication. If you miss a dose by a few hours, take it as soon as possible and continue with your regular schedule. If most of the day has passed since the missed dose, skip the missed dose and continue with your regular dosing schedule.
Do not take a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice. Do not dispose of medications in wastewater e. Ask your pharmacist how to dispose of medications that are no longer needed or have expired. Quetiapine should not be taken by anyone who is allergic to quetiapine or to any of the ingredients of the medication. Many medications can cause side effects. A side effect is an unwanted response to a medication when it is taken in normal doses.
Side effects can be mild or severe, temporary or permanent. The side effects listed below are not experienced by everyone who takes this medication. If you are concerned about side effects, discuss the risks and benefits of this medication with your doctor. Many of these side effects can be managed, and some may go away on their own over time. Contact your doctor if you experience these side effects and they are severe or bothersome.
Your pharmacist may be able to advise you on managing side effects. Although most of the side effects listed below don't happen very often, they could lead to serious problems if you do not seek medical attention. Stop taking the medication and seek immediate medical attention if any of the following occur:.
Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are taking this medication. Before you begin taking a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should take this medication.
Blood cholesterol: Quetiapine has been associated with increased blood cholesterol and triglyceride levels.
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