Quetiapin Medical Valley
Quetiapin Medical Valley is a medicine that contains quetiapine. It is used to treat mental health problems like depression, mania, and schizophrenia.
Form
depottabletti
Strength
50 mg
Active Ingredient
Quetiapine fumarate
Manufacturer
Medical Valley Invest AB
How to Use
Dosage
Your doctor will tell you how much medicine to take; the dose is usually between 150 mg and 800 mg per day.
Method
Take the tablet once a day whole with water. Do not chew, split, or crush it. Take it on an empty stomach (at least one hour before food or at bedtime).
Important
Your doctor will set your maximum daily dose; it is usually no more than 800 mg.
Possible Side Effects
COMMON
- •Dizziness (can lead to falls), headache, dry mouth.
- •Sleepiness (can lead to falls).
- •Symptoms from stopping the medicine: insomnia, nausea, headache, diarrhea, vomiting, dizziness, and irritability.
- •Weight gain.
- •Abnormal muscle movements, such as difficulty starting movements, tremors, restlessness, or muscle stiffness without pain.
- •Changes in blood fat levels (triglycerides and total cholesterol).
- •Increased blood pressure.
RARE
- •Fast pulse.
- •Palpitations, pounding, or skipping heartbeat.
- •Constipation, digestive problems.
- •Weakness.
- •Swelling in hands or feet.
- •Low blood pressure, especially when standing up, which can cause dizziness or weakness and risk of falls.
- •High blood sugar.
- •Blurred vision.
- •Abnormal dreams and nightmares.
- •Increased appetite.
- •Irritability.
- •Speech and language disorders.
- •Suicidal thoughts and worsening depression.
- •Shortness of breath.
- •Vomiting (mainly in older people).
- •Fever.
- •Changes in blood thyroid hormone levels.
- •Decrease in certain types of blood cells.
- •Increased liver enzymes in blood tests.
- •Increased prolactin hormone in blood, which can cause breast swelling and unexpected milk production in men and women, or missed/irregular periods in women.
- •Seizures.
- •Allergic reactions, such as hives and swelling of the skin or mouth.
- •Unpleasant feeling in legs (restless legs syndrome).
- •Difficulty swallowing.
- •Uncontrolled movements, especially in face or tongue.
- •Sexual dysfunction.
- •Diabetes.
- •Change in heart's electrical activity, seen on ECG (QT prolongation).
- •Slower than normal heart rate, which may be associated with low blood pressure and fainting.
- •Difficulty urinating.
- •Fainting (can lead to falls).
- •Nasal congestion.
- •Decrease in red blood cells.
- •Decrease in blood sodium.
- •Worsening of diabetes.
- •Confusion.
- •Fever, sweating, muscle stiffness, significant drowsiness or weakness (neuroleptic malignant syndrome).
- •Yellowing of skin and eyes (jaundice).
- •Liver inflammation (hepatitis).
- •Prolonged and painful erection.
- •Breast swelling and unexpected milk production.
- •Menstrual disorders.
- •Blood clot, especially in leg veins (swelling, pain and redness in the leg), which may travel to the lungs and cause chest pain and breathing difficulties. Seek medical help immediately if you get these symptoms.
- •Sleepwalking, -talking, -eating, or other activities during sleep.
- •Decrease in body temperature (hypothermia).
- •Pancreatitis.
- •Metabolic syndrome (at least three symptoms: central obesity, low 'good' cholesterol, high triglycerides, high blood pressure, and high blood sugar).
- •Fever, flu-like symptoms and sore throat or other infection, along with a very low white blood cell count (agranulocytosis).
- •Bowel obstruction.
- •Increased creatine phosphokinase (muscle substance) levels in blood.
- •Severe rash, blisters, or red patches on the skin.
- •Severe allergic reaction (anaphylaxis), which may cause breathing difficulties or shock.
- •Rapid swelling of the skin, usually around the eyes, lips, or throat (angioedema).
- •Severe blistering of the skin, mouth, eyes, or genital area (Stevens-Johnson syndrome).
- •Abnormal secretion of hormone regulating urine volume.
- •Muscle fiber damage and muscle pain (rhabdomyolysis).
- •Rash with irregular red patches (erythema multiforme).
- •Rapidly appearing red skin areas filled with small pus-filled blisters (acute generalized exanthematous pustulosis (AGEP)).
- •Severe, sudden allergic reaction with fever, skin blisters, and skin peeling (toxic epidermal necrolysis).
- •Systemic eosinophilia syndrome (DRESS), associated with flu-like symptoms, rash, fever, enlarged lymph nodes, and abnormal blood values.
- •Withdrawal symptoms may occur in a newborn if the mother has used this medicine during pregnancy.
- •Stroke.
- •Heart muscle disease (cardiomyopathy).
- •Heart muscle inflammation (myocarditis).
- •Vasculitis, often associated with a red or purplish spotted rash.
Important Warnings
- Do not use if you are allergic to quetiapine or any other ingredient in this medicine.
- Do not use if you are taking medicines for HIV, certain antifungal medicines (azoles), certain antibiotics (erythromycin or clarithromycin), or the antidepressant nefazodone.
- Tell your doctor if you or your family have had heart problems, like an irregular heartbeat or weak heart, or if you take medicines that affect your heart rhythm.
- Tell your doctor if you have low blood pressure.
- Tell your doctor if you have had a stroke, especially if you are older.
Show 27 more warnings
- Tell your doctor if you have liver problems.
- Tell your doctor if you have had seizures (epilepsy).
- Tell your doctor if you have diabetes or are at risk of getting it.
- Tell your doctor if you have had a low white blood cell count.
- If you are elderly and have dementia, this medicine can increase the risk of stroke or, in some cases, death.
- Tell your doctor if you are elderly and have Parkinson's disease or parkinsonism.
- Tell your doctor if you or your family have had blood clots.
- Tell your doctor if you have had sleep apnea or take medicines that slow down brain activity.
- Tell your doctor if you have urinary retention, an enlarged prostate, a blocked intestine, or high eye pressure.
- Tell your doctor if you have had alcohol or drug abuse issues.
- Contact your doctor right away if you get a fever, severe muscle stiffness, sweating, or decreased consciousness at the same time.
- Contact your doctor right away if you have uncontrolled movements, especially in your face or tongue.
- Contact your doctor right away if you feel dizzy or very sleepy, as this can increase the risk of falls, especially in older people.
- Contact your doctor right away if you have seizures (epilepsy).
- Contact your doctor right away if you have a long-lasting and painful erection.
- Contact your doctor right away if you have a fast or irregular heartbeat, palpitations, breathing problems, chest pain, or unexplained tiredness.
- Tell your doctor as soon as possible if you have a fever, flu-like symptoms, sore throat, or other infection, as this could mean a low white blood cell count.
- Tell your doctor as soon as possible if you have constipation or long-lasting stomach pain that doesn't get better.
- Tell your doctor as soon as possible if you have suicidal thoughts or your depression worsens, especially if you are a young adult.
- Stop using this medicine and contact your doctor immediately if you experience severe skin reactions such as widespread blistering, skin peeling, flu-like symptoms with rash, small pus-filled blisters, or itchy red patches.
- Weight gain has been seen in patients taking this medicine. You and your doctor should regularly monitor your weight.
- Quetiapin Medical Valley should not be given to children and adolescents under 18 years.
- Do not drink grapefruit juice while taking this medicine, as it can affect how the medicine works.
- Be careful with alcohol, as it can make you sleepy when combined with this medicine.
- If you are pregnant, breastfeeding, or planning to become pregnant, ask your doctor before using this medicine, as it should not be used in these situations without discussing it with your doctor.
- This medicine can make you sleepy; do not drive or use machines until you know how it affects you.
- Do not suddenly stop taking the medicine even if you feel better; talk to your doctor first.
Use in Elderly Patients
Category D
Avoid use in older adults. Anticholinergic. Sedative. For treatment of psychosis only. Inappropriate as a hypnotic. Increases the risk of cardiovascular events, QT prolongation and orthostatic hypotension. Increases risk of falls, extrapyramidal symptoms and cognitive impairment. Reduces the effectiveness of drugs for Alzheimer’s disease. Avoid grapefruit. (updated 15.1.2024)