Seroquel (quetiapine)

Seroquel (quetiapine)

Brand name: Seroquel®

Active ingredient: Quetiapine / Quetiapine XR

Type: Atypical antipsychotic

Available from: AstraZeneca Canada Inc.

Form: Oral tablets

Generic: Yes — extensive list (Apo, Auro, Accord, JAMP, Mint, PMS, Sandoz, Teva, etc.)

Listed on Ontario formulary: Yes

OHIP+ coverage: Yes

What is Seroquel used for?

Used to treat schizophrenia in adults.
Also used for bipolar disorder (mania & depression) and major depressive disorder (as adjunct).
Sometimes used for withdrawal management.

How should I take Seroquel?

Available in 25 mg, 100 mg, 200 mg, 300 mg tablets.
Usual starting dose: 25 mg twice daily.
Typical daily dose: 50–800 mg, depending on condition.

Common side effects

  • Dizziness/lightheadedness
  • Drowsiness
  • Weight gain
  • Headache
  • Stomach upset
  • Blurred vision
  • Abnormal dreams
  • Irritability

Rare but serious side effects

  • Agranulocytosis
  • Stroke
  • Severe allergic reaction
  • Sudden cardiac death
  • Torsades de pointes
  • DKA
  • NMS

Warnings/Precautions

Not approved for dementia‑related psychosis.

Medication interactions

Possible interactions with:

  • Diphenhydramine
  • Lorazepam/zopiclone
  • Fentanyl
  • Protease inhibitors
  • Ketoconazole

Avoid alcohol and illegal drugs.