Queta 25 mg (Tablet)

Unit Price: ৳ 3.00 (5 x 14: ৳ 210.00)
Strip Price: ৳ 42.00

Medicine Details

Indications

  • Treatment of acute and chronic psychoses
  • Treatment of schizophrenia
  • Treatment of bipolar disorder
  • Treatment of manic episodes
  • Treatment of depressive episodes
  • Maintenance treatment of bipolar I disorder
  • Use in combination with mood stabilizers
  • Prevention of recurrence of manic, depressive or mixed episodes

Pharmacology

  • Belongs to dibenzothiazepine derivatives chemical class
  • Antagonist at serotonin 5HT1A and 5HT2 receptors
  • Antagonist at dopamine D1 and D2 receptors
  • Antagonist at histamine H1 receptors
  • Antagonist at adrenergic α1 and α2 receptors
  • No appreciable affinity at cholinergic muscarinic and benzodiazepine receptors
  • Mechanism of action is unknown
  • Efficacy in schizophrenia is mediated through dopamine D2 and serotonin 5HT2 antagonism
  • Antagonism of histamine H1 receptors may cause somnolence
  • Antagonism of adrenergic α receptors may cause orthostatic hypotension

Dosage & Administration

  • Administered twice daily
  • First four days dosage titration
  • Dosage range of 300-450 mg/day for acute and chronic psychoses
  • Dosage range of 400-800 mg/day for manic episodes associated with bipolar disorder
  • Usual dose of 300 mg/day for depressive episodes associated with bipolar disorder
  • Total daily dose for the first four days of therapy
  • Can be titrated based on clinical response and tolerability
  • Maintenance therapy dosage adjustment based on clinical response

Interaction

  • Caution with medicines causing electrolyte imbalance
  • Caution with medicines increasing QT interval
  • Co-administration with thioridazine or carbamazepine increases Quetiapine clearance
  • Co-administration with phenytoin increases Quetiapine clearance

Contraindications

  • Contra-indicated in patients hypersensitive to Quetiapine

Side Effects

  • Common adverse drug reactions include somnolence, dizziness, dry mouth, withdrawal symptoms, elevated serum triglyceride levels, elevated total cholesterol, decreased HDL cholesterol, weight gain, decreased haemoglobin, extrapyramidal symptoms

Pregnancy & Lactation

  • Safety and efficacy during human pregnancy not established
  • Use during pregnancy only if benefits justify potential risks
  • Administered dose and duration of treatment should be as low and short as possible
  • Excretion into human milk is unknown
  • Breast-feeding should be avoided while taking Quetiapine

Precautions & Warnings

  • Increased risk of suicidal thoughts, self-harm and suicide with depression
  • Caution in patients with known cardiovascular disease
  • Caution in patients with cerebrovascular disease
  • Caution in patients predisposed to hypotension
  • Caution in patients with a history of seizures
  • Consider dose reduction or discontinuation if signs of tardive dyskinesia appear
  • Discontinue in case of neuroleptic malignant syndrome
  • Exercise caution in patients with cardiovascular disease or family history of QT prolongation
  • Severe neutropenia uncommonly reported
  • Increases in blood glucose and hyperglycemia observed in clinical trials

Use in Special Populations

  • Use with caution in the elderly
  • Slower dose titration and lower daily therapeutic dose may be needed in the elderly
  • Not indicated for use in children and adolescents below 18 years of age

Overdose Effects

  • Survival reported in acute overdoses of up to 30 grams
  • No specific antidote
  • Consider multiple drug involvement in severe intoxication cases
  • Intensive care procedures recommended
  • Treatment of refractory hypotension with appropriate measures

Therapeutic Class

  • Atypical neuroleptic drugs

Storage Conditions

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

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