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Medically Verified MonographPrescriptionClass: Atypical Antipsychotics

Quetiapine

Generic Name: Quetiapine

Common Brand Names: Seroquel, Seroquel XR
Dosage Form:Tablet, ER Tablet
Route:Oral
Pregnancy Category:C
Last Reviewed:9/21/2026

Seek Urgent Medical Attention If:

You experience severe allergic reaction symptoms (swelling of the face, lips, tongue, or throat causing difficulty breathing), severe rash with skin peeling, sudden intense chest pain, or symptoms of overdose. Call emergency medical services immediately.

Uses & Medical Indications

Schizophrenia, bipolar disorder, adjunct for major depressive disorder

Medical Conditions Treated:

Schizophrenia, Bipolar Mania, Bipolar Depression

Dosage & Administration Guidelines

Adult Dosage

50 mg daily, titrated to 300-800 mg/day based on indication

Pediatric Dosage

25 mg twice daily for schizophrenia (13-17 yrs)

Elderly / Geriatric Considerations

Start at 25 mg/day, titrate slowly

Maximum Dose Limit

800 mg/day

Renal Impairment:

No adjustment necessary

Hepatic Impairment:

Start at 25 mg/day in hepatic impairment, titrate slowly

Side Effects & Safety Warnings

Common Side Effects

Somnolence, dry mouth, dizziness, constipation, weight gain

Serious Adverse Reactions

Tardive dyskinesia, NMS, metabolic syndrome, suicidal thoughts, QT prolongation

Contraindications:

Hypersensitivity to quetiapine

Important Warnings & Precautions:

Increased mortality in elderly patients with dementia-related psychosis

Interactions (Drugs, Food & Alcohol)

Drug-Drug Interactions:

CYP3A4 inhibitors/inducers, CNS depressants, QTc prolonging drugs

Food & Dietary Interactions:

Take XR without food or with a light meal

Alcohol Interaction Warning:

Increases CNS depression

Pregnancy & Breastfeeding Safety

Pregnancy Safety

Risk of extrapyramidal/withdrawal symptoms in neonates

Breastfeeding / Lactation

Use caution; present in human milk

Patient Counseling & Practical Advice

How to Take:

Take XR without food. Rise slowly to prevent dizziness. Report abnormal movements.

What to Do if You Miss a Dose:

Take as soon as remembered. Skip if near next dose.

Recommended Monitoring & Lab Tests:

Lipids, fasting glucose, weight, eye exam (cataracts)

Related Medicines in Atypical Antipsychotics

Trustworthy Sources & Medical Review

Content for Quetiapine was synthesized and fact-checked against standardized regulatory monographs, official pharmacopoeias, and national health authorities:

  • Central Drugs Standard Control Organization (CDSCO) — National List of Essential Medicines
  • World Health Organization (WHO) — Model List of Essential Medicines 23rd List
  • Indian Pharmacopoeia Commission (IPC) — Indian Pharmacopoeia Drug Monographs
  • National Health Service (NHS) — Medicines A to Z Clinical Guidelines
Reviewer Credentials: PharmD, Clinical PharmacologistLast Reviewed Date: 9/21/2026

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