Introduction
Expert Advice
- Do not dilute the medication with tea or cola.
- Empty bladder (where urine is stored) before taking medication.
- Take sufficient amount of fluids (2-3 liters per day) to maintain hydration, unless restricted by your doctor.
- Change position slowly from sitting or lying to standing.
Primary Uses
Bipolar disorders
Indications
This medication is used for the treatment of acute and chronic schizophrenia (a condition in which people perceive a different reality), other psychosis (fits), affective symptoms of schizophrenia
Side Effects
The adverse effects of this medication are orthostatic hypotension (decrease in blood pressure on standing up suddenly), reflex tachycardia (increased heart rate), extrapyramidal symptoms (symptoms of Parkinson’s disease), galactorrhea (spontaneous flow of milk from the breast without lactation) and menstrual disturbance. Sexual dysfunction, insomnia, anxiety, agitation, headache, fatigue, dizziness, impaired concentration, weight gain, gastrointestinal disturbance, rhinitis (allergic irritation in the nose), rash, blurred vision, depression, somnolence, RTI, ear infection, dyspnea (shortness of breath), epistaxis (sudden bleeding from the nose), cough, nasal congestion, pharyngolaryngeal pain (pain in throat), GI upset, dry mouth, tooth ache, priapism (a condition in which there is an excessive blood flow to the penis, causing prolonged erection), urinary incontinence (difficulty in passing urine), UTI (urinary tract infection), BP change, tachycardia (increased heart rate), AV block (problems with heart), amenorrhea (absence of periods), gynaecomastia (enlargement of breasts in males), skin reactions, altered LFTs, hyperglycemia (increased blood sugar), hyperprolactenemia (increased prolactin in blood), anemia, conjuctivitis, asthenia (weakness in muscles), fatigue, muscle spasm, musculoskeletal pain, pain in extremeties, pyrexia (fever), edema (accumulation of fluid in some parts of the body), chest pain, flu-like illness. Rarely, neuroleptic malignant syndrome (a condition in which there is fever, rigidity of muscles and altered mental status), water intoxication with hyponatraemia (decreased sodium in blood), seizures, tardive dyskinesia (stiff, jerky movements of your face and body that you can’t control) and intraoperative floppy eye syndrome ( a condition in which there is the colored part (iris) prolapse after surgery).
Warnings
Pregnancy
No definite data regarding pregnancy is available, therefore; be cautious. Consult your doctor before using this medicine.
Lactation
This medicine is contraindicated in breast feeding females.
Driving
Please avoid driving when taking this medicine as it may affect your ability to drive.
Alcohol
Please avoid consuming alcohol when taking this medicine.
Precautions
Use this medication cautiously in elderly, in kidney, liver and heart disease, in epilepsy (a condition in which patients are having seizures), parkinsonism (clinical syndrome characterized by tremor, slow movements, rigidity, and postural instability), dementia ( a condition in which there is a decline in memory and thinking skills) hyperprolactinemia (increase in prolactin levels), diabetes, bradycardia (decreased pulse), hypokalemia (decreased potassium levels), hypomagnesemia (decreased magnesium levels), family history of QT prolongation (problems in ECG), driving/operating machinery. Monitor for signs of tardive dyskinesia (stiff, jerky movements of your face and body that you can’t control) while using this drug. Withdraw the medicine if these occur. Monitor for hyperglycemia (increased blood sugar) and weight gain as well, while using this medication. Risk factors for stroke or VTE should also be assessed with the use. Monitor patients with a history of low WBC count or just drug-induced leucopenia/neutropenia (low WBC count). You should also monitor endocrinological status, sedative effects and for the development of extrapyramidal symptoms (symptoms of Parkinson’s disease) and other movement disorders in children. Withdraw the medication gradually after use.
Contraindications
This medication is contraindicated in patients with breast cancer , diabetes , a high prolactin level (hormone in the body that causes milk production from the breasts), excessive fat in the blood, dehydration (less water in the body), overweight, confusion, drug abuse , tardive dyskinesia(stiff, jerky movements of your face and body that you can’t control), priapism (a condition in which there is an excessive blood flow to the penis, causing prolonged erection), , neuroleptic malignant syndrome (a condition in which there is fever, rigidity of muscles and altered mental status), low blood pressure , liver problems and seizures among other conditions. Consult your doctor for more details.
FAQS
Can this medication be taken without meals?
This medication can be taken with or without meals
What should I avoid while using this medication?
Avoid grapefruit juice, alcohol and caffeine during therapy.
How do I take this medication?
Place orodispersible tablet on the tongue and swallow with or without water after it has disintegrated within seconds. The solution may be diluted with water, milk or orange juice.
Can diabetic patients take this medication?
Yes, you can take this medication if you have diabetes. However be sure to check your blood glucose level regularly and inform the doctor about any changes.
What should I do if I miss a dose?
If you miss a dose, take it as soon as you remember. However if it is too close to the time of your next dose, then you should skip the missed dose and take the next dose at the regular time. Do not double the dose.
What are the uses of Quetiapine?
This medication is used for treating disorders associated with mood and mental changes such as schizophrenia (mental disorder characterized by abnormal interpretation of reality), bipolar personality disorder, and episodes of depression associated with mental disorders. It can help elevate mood and concentrate. It may also help improve sleep patterns and be more active in everyday life.
How to store Quetiapine?
Please store this medicine at room temperature (20-25 Celsius). Keep medicine away from excessive light, moisture, and children. Please do not flush medicines down the toilet. Please read the leaflet provided with the medicine for further storage guidance.
Does this medicine have a lot of side effects?
This medicine does not have serious significant side effects if used according to the dose prescribed by your doctor. But make sure you do not abuse or over use the medicine. For further guidance, consult your healthcare provider.
Will I have conscious control of my actions/behavior if I use this medicine?
Yes, you will have conscious control of your actions. In case of misuse or abuse of medicine, you may lose conscious control of your actions.
Will this medicine help lessen depression?
This medicine is most likely to help lessen depression. But in some cases (for example, severe depression) it is best to seek out professional help. Please note misuse or medicine abuse is highly discouraged.
What are the precautions for taking Quetiapine?
• Patients with low white blood cell count must be cautious
• Patients with swallowing problems must be cautious
• Patients with breathing problems during sleep must be cautious
• Patients with drug abuse history must be cautious
• Avoid doing work that requires alertness such as driving immediately after taking this medicine as it may cause drowsiness
Does Quetiapine have any effect on pregnancy and lactation?
This medicine should only be used during pregnancy if no safer alternate is available. Consult your healthcare provider before use of this medicine. This medicine passes into breast-milk and may have undesirable effects on the nursing infant therefore use of this medicine is discouraged. Consult your health care provider before use of this medicine.
Disclaimer
Dawaai’s intention is to make sure that it’s consumers get information that is accurate, reviewed by an expert and error-free. However, the information mentioned here should not be used as a replacement for the advice of a qualified physician. The information given here is for informational purposes only, which may not cover all possible precautions, side effects, contraindications or drug interactions. Consult your doctor and discuss your queries related to any medicine or disease.
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