Antidepressiva

Seroquel (Quetiapine)

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Seroquel (Quetiapine)

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Seroquel (Quetiapine) 300mg 30pillen 30 pillen

24,330.40 ¥

Seroquel (Quetiapine) 300mg 60pillen 60 pillen

35,950.89 ¥

Seroquel (Quetiapine) 300mg 90pillen 90 pillen

47,752.94 ¥

Seroquel (Quetiapine) 300mg 120pillen 120 pillen

59,555.00 ¥

Seroquel (Quetiapine) 300mg 180pillen 180 pillen

83,159.12 ¥

Seroquel (Quetiapine) 300mg 240pillen 240 pillen

119,110.01 ¥

Seroquel (Quetiapine) 300mg 270pillen 270 pillen

130,730.49 ¥

Seroquel (Quetiapine) 300mg 360pillen 360 pillen

166,136.67 ¥

Seroquel (Quetiapine) 200mg 30pillen 30 pillen

21,606.85 ¥

Seroquel (Quetiapine) 200mg 60pillen 60 pillen

30,685.35 ¥

Seroquel (Quetiapine) 200mg 90pillen 90 pillen

39,763.86 ¥

Seroquel (Quetiapine) 200mg 120pillen 120 pillen

48,842.37 ¥

Seroquel (Quetiapine) 200mg 180pillen 180 pillen

66,999.38 ¥

Seroquel (Quetiapine) 200mg 240pillen 240 pillen

97,503.16 ¥

Seroquel (Quetiapine) 200mg 270pillen 270 pillen

106,581.67 ¥

Seroquel (Quetiapine) 200mg 360pillen 360 pillen

133,817.19 ¥

Seroquel (Quetiapine) 100mg 30pillen 30 pillen

19,064.86 ¥

Seroquel (Quetiapine) 100mg 60pillen 60 pillen

25,782.96 ¥

Seroquel (Quetiapine) 100mg 90pillen 90 pillen

32,319.48 ¥

Seroquel (Quetiapine) 100mg 120pillen 120 pillen

38,856.01 ¥

Seroquel (Quetiapine) 100mg 180pillen 180 pillen

52,110.63 ¥

Seroquel (Quetiapine) 100mg 240pillen 240 pillen

77,712.02 ¥

Seroquel (Quetiapine) 100mg 270pillen 270 pillen

84,248.54 ¥

Seroquel (Quetiapine) 100mg 360pillen 360 pillen

104,221.26 ¥

Seroquel (Quetiapine) 50mg 30pillen 30 pillen

17,067.59 ¥

Seroquel (Quetiapine) 50mg 60pillen 60 pillen

21,606.85 ¥

Seroquel (Quetiapine) 50mg 90pillen 90 pillen

26,146.10 ¥

Seroquel (Quetiapine) 50mg 120pillen 120 pillen

30,685.35 ¥

Seroquel (Quetiapine) 50mg 180pillen 180 pillen

39,763.86 ¥

Seroquel (Quetiapine) 50mg 240pillen 240 pillen

61,189.13 ¥

Seroquel (Quetiapine) 50mg 270pillen 270 pillen

65,728.39 ¥

Seroquel (Quetiapine) 50mg 360pillen 360 pillen

79,346.15 ¥

Seroquel (Quetiapine) 25mg 30pillen 30 pillen

23,422.55 ¥

Seroquel (Quetiapine) 25mg 60pillen 60 pillen

26,146.10 ¥

Seroquel (Quetiapine) 25mg 90pillen 90 pillen

28,869.65 ¥

Seroquel (Quetiapine) 25mg 120pillen 120 pillen

31,411.63 ¥

Seroquel (Quetiapine) 25mg 180pillen 180 pillen

36,858.74 ¥

Seroquel (Quetiapine) 25mg 240pillen 240 pillen

62,823.27 ¥

Seroquel (Quetiapine) 25mg 270pillen 270 pillen

65,546.82 ¥

Seroquel (Quetiapine) 25mg 360pillen 360 pillen

73,535.90 ¥

24330.4

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Seroquel (Quetiapine)

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Common use

Seroquel is an oral antipsychotic (neuroleptic) medication used for treating schizophrenia and acute manic episodes associated with bipolar I disorder. It shows more affinity with serotonin receptors (5-HT2) than with dopamine receptors D1 and D2 in the brain. It also active toward the alpha 1 adrenoreceptor and less active toward alpha 2 adrenoreceptor. Duration of binding with 5-HT2-serotonin and D2 dopamine receptors is less than 12 hours. Mechanism of Quetiapine action is unknown. Though it is supposed that the therapeutic effect is mediated through a combination of dopamine type 2 (D2) and serotonin type 2 (5HT2) receptor antagonism. This medication is used to treat acute and chronic psychosis also ones in patients with schizophrenia.

Dosage and direction

Seroquel should be taken twice or thrice daily with or without food with a full glass of water. Swallow the tablet whole, do not crush or chew an extended-release tablet. A daily dose of four first therapeutic days is 50 mg, 100 mg (second day), 200 mg (third day), 300 mg (fourth day). Starting from the fourth day the dosage should be adjusted to the level of effective one (which can reach 750 mg daily). In patients with liver or kidney failure, the initial dose is 25 mg/day increased gradually by 25-50 mg till the effective dose is reached. Take exactly as prescribed by your physician and do not exceed the recommended dose.

Precautions

This medication affects the ability to the high concentration of attention so it may affect your ability to drive a car or operate machinery. Before to take Seroquel to notify your doctor if you have liver or kidney disease, heart disease, high blood pressure, heart rhythm problems, heart attack or stroke in history, a history of low white blood cell counts, a thyroid disorder, high cholesterol or triglycerides, a personal or family history of diabetes, trouble swallowing, as you may need your dosage to be adjusted or pass special safety tests for this medication.

Contraindications

Hypersensitivity, pregnancy, breastfeeding. Seroquel should be used with cautiousness in patients with hypotension, epilepsy and epileptic seizures in history. Seroquel may contribute to the development of heart failure, pneumonia, sudden death, in older adults with conditions caused by dementia.

Possible side effect

Seroquel antagonism of adrenergic a1 receptors may explain the orthostatic hypotension observed with this drug. Most common and frequent adverse effects of Seroquel are headache, agitation, dizziness, drowsiness, weight gain and stomach upset. Long term use of this medication may cause irreversible tardive dyskinesia, a neurologic disease which consists of involuntary movements of the jaw, lips, and tongue. Other side effects concern nervous system: headache, anxiety, fatigue, hostility, agitation, insomnia, tremors, convulsions, depression, neuroleptic malignant syndrome (hyperthermia, muscle rigidity, altered mental status, the lability of the autonomic nervous system increased activity of CPK). Adverse effects of Quetiapine for cardiovascular system are tachycardia, prolongation of the interval QT. Dryness of the oral mucosa, nausea, vomiting, abdominal pain, diarrhoea or constipation, increased activity of "liver" transaminases, pharyngitis, rhinitis may also appear. Allergic reactions such as skin rash, eosinophilia are also not excluded.

Drug interaction

Phenytoin (Dilantin) and thioridazine (Mellaril) decrease absorption of Seroquel in intestines and decrease its effects. Seroquel interacts with narcotic pain relievers, medications for hypertension interact with and their activities add oxycodone and acetaminophen (Percocet, Roxicet, Tylox, Endocet), barbiturates, alprazolam (Xanax), clonazepam (Klonopin), ethanol, prazosin (Minipress) and terazosin (Hytrin). Toxicity of Quetiapine may increase if it is co-administered with the drugs able to influence work of cytochrome P450 which is responsible for the metabolism of Seroquel, these drugs are ketoconazole (Nizoral), itraconazole (Sporanox), fluconazole (Diflucan), erythromycin, clarithromycin (Biaxin), nefazodone (Serzone), verapamil (Calan, Isoptin, Verelan), diltiazem (Cardizem, Tiazac, Dilacor).

Missed dose

Take the missed dose as soon as you remember. If it is almost time of your next dose just skip the missed dose and return to your schedule. Do not double dose this medication to make up the missed dose.

Overdose

If you took too much of Seroquel you may experience such symptoms: extreme drowsiness, fast heart rate, feeling light-headed, or fainting. If you suppose that took too much for this medication seeks for immediate medical help.

Storage

Store Seroquel at room temperature, 15-30 C (59-86 F) away from sunlight, moisture, children and pets.

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