Qutap 25 mg (Tablet)

Unit Price: ৳ 3.00 (5 x 10: ৳ 150.00)
Strip Price: ৳ 30.00

Medicine Details

Indications

  • Treatment of acute and chronic psychoses
  • Treatment of schizophrenia
  • Bipolar disorder treatment
  • Maintenance treatment of bipolar I disorder
  • Prevention of recurrence of manic, depressive or mixed episodes

Pharmacology

  • Belongs to chemical class of dibenzothiazepine derivatives
  • Antagonist at serotonin, dopamine, histamine, and adrenergic receptors
  • No appreciable affinity at cholinergic muscarinic and benzodiazepine receptors
  • Mechanism of action is unknown
  • Efficacy in schizophrenia mediated through dopamine D2 and serotonin 5HT2 antagonism

Dosage & Administration

  • Administered twice daily, with or without food
  • Total daily dose for first four days of therapy is titrated
  • Dosage adjustments based on clinical response and tolerability
  • Usual effective dose range 300-450 mg/day for schizophrenia
  • Usual effective dose range 400-800 mg/day for manic episodes
  • Usual dose for depressive episodes 300 mg/day

Interaction

  • Caution when used with medicines causing electrolyte imbalance
  • Increases in clearance of Qutap observed with thioridazine, carbamazepine, and phenytoin

Contraindications

  • Contra-indicated in patients hypersensitive to Quetiapine

Side Effects

  • Common adverse reactions include somnolence, dizziness, dry mouth, weight gain, and extrapyramidal symptoms

Pregnancy & Lactation

  • Safety and efficacy during human pregnancy not established
  • Use during pregnancy only if benefits justify potential risks
  • Avoid breastfeeding while taking Quetiapine

Precautions & Warnings

  • Caution for increased risk of suicidal thoughts and self-harm
  • Use with caution in patients with cardiovascular disease or predisposition to hypotension
  • Risk of seizures and tardive dyskinesia
  • Caution in patients with history of seizures
  • Discontinue if signs of neuroleptic malignant syndrome appear
  • Exercise caution in patients with cardiovascular disease or family history of QT prolongation

Use in Special Populations

  • Use with caution in the elderly
  • Dosing may need to be slower and lower in the elderly
  • Not indicated for use in children and adolescents below 18 years of age

Overdose Effects

  • Survival reported in acute overdoses up to 30 grams
  • No specific antidote
  • Consider possibility of multiple drug involvement in severe intoxication
  • Intensive care procedures recommended
  • Close medical supervision and monitoring

Therapeutic Class

  • Atypical neuroleptic drugs

Storage Conditions

  • Keep out of the reach of children
  • Do not use after expiry date
  • Store in a cool and dry place away from light

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