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Quetiapine

Common Brand Names: Seroquel

Drug Information

Medically reviewed by Jessica Swirble, PharmD
Last updated on April 18, 2025

Drug Information | Side Effects | Use & Dosage | Request an Online Prescription

Quick Facts:

  • Brand Name: Seroquel
  • Generic Name: Quetiapine
  • Uses: Treatment for schizophrenia, bipolar disorder, and major depressive disorder (as an adjunct therapy)
  • Drug Class: Atypical antipsychotic
  • Availability: Prescription only
  • Generic Status: Yes
  • Controlled Substance: No

What is quetiapine?

Quetiapine is an atypical antipsychotic drug that is used to treat patients with schizophrenia as well as mania and depression related to bipolar disorder. Extended-release quetiapine is prescribed to treat depression.

What is quetiapine used to treat?

Quetiapine is prescribed to treat symptoms of schizophrenia. It is also prescribed to treat mania and depression symptoms associated with bipolar disorder. When prescribed as an extended-release tablet, quetiapine can be used to treat depression in adults.

How does quetiapine work?

Quetiapine is classified as an atypical antipsychotic. It works by increasing levels of serotonin and dopamine in the brain. Serotonin and dopamine are neurotransmitters that help regulate mood. Balancing these chemicals’ levels in the brain can work to reduce symptoms of schizophrenia, bipolar disorder, and major depressive disorder (depression).

Quetiapine is prescribed in conjunction with other medications and psychotherapy (“talk therapy”).

How do I take quetiapine?

Quetiapine is available as an oral tablet and an extended-release tablet.

Follow your healthcare provider's instructions regarding dosage and schedule. Do not exceed the prescribed dose or frequency of use without consulting your provider.

How long until I feel better?

Quetiapine is used to manage schizophrenia, bipolar disorder, and major depressive disorder (as an adjunct therapy). The effects can be noticeable within a few weeks, but it may take up to four to twelve weeks for the full therapeutic effect to occur.

Continue using quetiapine as prescribed, even if you start feeling better. Regular use according to your prescription is crucial for the management of your condition.

Are there any other uses for quetiapine?

While quetiapine is primarily used for treating schizophrenia, bipolar disorder, and major depressive disorder, healthcare providers may prescribe it off-label for other conditions such as anxiety or insomnia.

Discuss any alternative uses of quetiapine with your healthcare provider.

Dosage forms of quetiapine

Quetiapine is available in the following dosage forms:

  • Oral tablets
  • Extended-release tablets

Quetiapine is a prescription medication. You must have a valid prescription from a licensed healthcare provider to obtain it.

Side Effects and Precautions for Quetiapine


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What are the side effects of quetiapine?

The use of quetiapine can lead to various side effects in some individuals.

Common mild side effects of quetiapine use include:

  • Dizziness
  • Drowsiness
  • Tiredness
  • Headache
  • Increased appetite
  • Weight gain
  • Difficulty with speech
  • Upset stomach
  • Nausea and vomiting
  • Constipation
  • Stuffy or runny nose
  • Dry mouth
  • Sexual problems

More severe side effects include:

  • Uncontrollable movements in the face, arms, or legs
  • Faintness
  • Numbness or weakness
  • Blurred vision
  • Seizures
  • Breast tenderness or swelling
  • Missed menstrual periods
  • Sweating
  • Fast or irregular heartbeats
  • Low blood pressure upon standing
  • Unusual bleeding or bruising
  • High blood sugar
  • Blood disorders
  • Increases in cholesterol
  • Signs of an infection (fever, mouth sores, sore throat, chills)
  • Signs of an allergic reaction (rash, hives, swelling, difficulty breathing)

If you experience any severe or concerning side effects while taking quetiapine, contact your healthcare provider right away.

What should I tell my healthcare provider before using quetiapine?

Inform your healthcare provider about any existing medical conditions, allergies, or other medications you are taking before starting treatment with quetiapine. This includes prescription drugs, over-the-counter medications, and dietary supplements, as they may interact with quetiapine.

Tell your provider if you are taking these medications or supplements:

  • Antidepressants
  • Antifungals
  • Antihistamines
  • Barbiturates
  • Anticonvulsants
  • Antipsychotics
  • Antiarrhythmics
  • Dopamine agonists
  • Macrolide antibiotics
  • Fluoroquinolones
  • Opioids
  • Medications for anxiety
  • Antihypertensives
  • Medications for irritable bowel disease
  • Medications for mental illness
  • Medications for motion sickness
  • Medications for Parkinson's disease
  • Medications for ulcers
  • Medications for urinary problems
  • Antiretrovirals
  • Sedatives
  • Oral steroids
  • Sleeping pills
  • Tranquilizers

You should also mention medical conditions such as:

  • Heart attacks
  • Stroke
  • High or low blood pressure
  • Long QT syndrome
  • Low levels of potassium or magnesium
  • Low white blood cell counts
  • Urination problems
  • An enlarged prostate
  • Seizures
  • Glaucoma or cataracts
  • Breast cancer
  • Heart disease
  • Liver disease
  • Kidney disease
  • Diabetes
  • High cholesterol

If you are pregnant, planning to become pregnant, or breastfeeding, discuss the potential risks and benefits of using quetiapine with your healthcare provider.

Are there any other special instructions I should follow?

Take quetiapine exactly as prescribed by your healthcare provider. Do not exceed the recommended dose or duration of treatment.

Your provider may direct you to avoid alcohol while taking quetiapine, as it can increase the risk of side effects.

Quetiapine can cause drowsiness. Do not drive or operate machinery until you know how this medication affects you.

Complete the full course of treatment, even if you feel better, to ensure the medication's effectiveness in managing your symptoms.

What should I do in case of an overdose?

In case of a quetiapine overdose, seek medical attention immediately. Symptoms of overdose may include severe drowsiness, dizziness, fainting, or rapid heartbeat. If you suspect an overdose, contact the poison control helpline at 1-800-222-1222 or call emergency services.

Proper Use & Dosage Information for Quetiapine


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What is the typical starting dose for quetiapine?

Quetiapine is available in the following forms:

  • Oral tablets (25 mg, 50 mg, 100 mg, 200 mg, 300 mg, 400 mg)
  • Extended-release tablets (50 mg, 150 mg, 200 mg, 300 mg, 400 mg)

The typical starting dose of quetiapine varies depending on the condition being treated, the severity of symptoms, and individual patient factors. It is crucial to follow your healthcare provider's instructions regarding dosage and administration.

For schizophrenia:

  • Adults: The typical starting dose is 25 mg twice daily, increasing as directed.

For bipolar disorder, depressive episode:

  • Adults: The typical starting dose is 50 mg once daily, usually in the evening.

For bipolar disorder, acute mania:

  • Adults: The typical starting dose is 100 to 200mg daily at bedtime.

The dosage may be adjusted based on the response and tolerance to the medication. Your healthcare provider will determine the most appropriate dose based on your medical history and your response to the medication.

Quetiapine should be taken as prescribed by your healthcare provider. Do not exceed the recommended dose or duration of treatment without consulting your provider.

If you have any questions about your dosage or need adjustments, contact your healthcare provider for guidance. If you want to talk to a provider right away, consider scheduling an online doctor appointment through a telehealth platform like Sesame.

What should I do if I miss a dose of quetiapine?

If you miss a dose of quetiapine, take it as soon as you remember unless it is close to the time for your next scheduled dose. In that case, skip the missed dose and continue your regular dosing schedule. Do not double the dose to make up for a missed one.

Take quetiapine around the same time every day to maintain a consistent amount of medication in your body.

What should I do if I'm feeling better while taking quetiapine?

Continue taking quetiapine as prescribed by your healthcare provider, even if you start feeling better. It's important to keep taking the medication as directed to manage your condition effectively.

Do not suddenly stop taking quetiapine; this can cause withdrawal symptoms and a return of your symptoms.

If you have any concerns or questions about your medication, discuss them with your healthcare provider for medical advice and recommendations.

How should I store quetiapine?

Store quetiapine according to the instructions provided by your healthcare provider or pharmacist. Keep it at room temperature, away from light and moisture. Ensure the container is tightly closed and out of reach of children.

Do not use expired medication or medications that appear damaged or discolored. If you have any questions about storage, consult your healthcare provider or pharmacist for guidance.

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