Quetobex XR 50, 150, 200, 300, & 400 50, 150, 200, 300, & 400 mg Prolonged release tablets
Clinical Summary
Quick overview from the medicine insert
Indication
Treatment of schizophrenia, bipolar disorder, and major depressive disorder.
Dosage (summary)
Initial dose for schizophrenia and manic episodes: 300 mg on Day 1, 600 mg on Day 2, up to 800 mg thereafter. For MDD: Start at 50 mg, titrate to 150 mg by Day 3.
Special Populations
- Elderly patients
- Hepatic impairment
- Renal impairment
Pregnancy & Breastfeeding
Contraindicated in pregnancy and lactation; safety not established.
Key Drug Interactions
- CYP3A4 inhibitors
- CYP3A4 inducers
- Alcohol
Contraindications
- Hypersensitivity to quetiapine
- Elderly patients with dementia
- Co-administration with CYP3A4 inhibitors
Common side effects
- Somnolence
- Dizziness
- Weight gain
- Dry mouth
- Constipation
Counselling Points
- Avoid driving if experiencing somnolence
- Monitor for signs of hyperglycemia
- Gradual withdrawal recommended
Serious warnings
- Increased risk of death in elderly patients with dementia
- QT prolongation
- Neutropenia
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