Seroquel for Bipolar (Quetiapine)
by Sarah from Bipolar-Lives
(US)
US BRAND NAME: Seroquel
GENERIC NAME: Quetiapine
TYPE: Atypical antipsychotic
USE: Can reduce symptoms of mania, such as feeling upset, racing thoughts, and not being able to sleep. ALSO works on dopamine to reduce bipolar depression.
COMMENTS: Addresses both mania and depression, but carries significant risks to physical health, especially through weight gain and diabetes. Dr Jim Phelps suggests Seroquel is a good choice in situations of (1) both severe depression and agitation (2) severe sleep problems (3) anxiety is significant, and (4) no family history of diabetes.
EVIDENCE: Has been studied by the NIMH as well as the Astra Zeneca sponsored studies. Both Consumer Reports and the British Medical Journal rate Serquel as likely to do more good than harm in treating bipolar mania and depression. The FDA approved Seroquel XR for the treatment of bipolar depression and bipolar mania in early October, 2008. According to AstraZeneca, Seroquel XR is "the first medication approved by the FDA for the once-daily acute treatment of both depressive and manic episodes associated with bipolar."
SIDE EFFECTS: Include but not limited to: Diabetes, Dry mouth, Hyperglycemia, Sleepiness, Tiredness, Weight gain.
CAUTIONS: NOT to be used to treat behavioral problems in older adult patients who have dementia or Alzheimer's disease. Can lead to pronounced weight gain and diabetes so not a good choice for a patient who is already obese and has metabolic syndrome and/or diabetes.
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