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What Is The Dosage Of Quetiapine For Bipolar Disorder?

Posted on Fri, 20 May 2016

Question: I AM SUFFERING FROM CYCLONIC BIPOLAR DISORDER. I HAVE BEEN PRESCRIBED FLUXIT 0.5 MG AT MORNING AND 100 MG QUETIAPIN PLAIN WITH 50 MG LIBRIUM AT NIGHT.I AM OKAY BUT STILL MY SLEEP DISORDER IS THE.RE. I CAN SLEEP FOR 4 TO 5 HOURS AT NIGHT. SO MAY I INCREASE QUETIAPIN PLAIN UP TO 200 MG OR WHAT SHOUID I DO? I M NOT SUFFERING FROM ANY DISEASE NOR BLOOD TENTION NOR DIABETES.I HAVE BEEN UNDERGONE THROUGH SELF TEST BY PSYCHOLOGY FOR BIPOLAR DISORDER AND DEPRESSION ON PSYCH CENTRE WHICH RESULT ON 11/03/2016 ARE 6 AND 26 NUMBERS OUT OF 100 POINTS. SO PLEASE PUT MY QUESTION TO PSYCHIATRIST AND GUIDE ME ACCORDINGLY . MY HEIGHT IS 168CM AND WEIGHT IS 70 KG

Answered by Dr. Seikhoo Bishnoi (4 hours later)

Brief Answer:
Yes the dose can be increased.

Detailed Answer:
Hello thanks for asking from HCM for your health related queries

Quetiapine is an antipsychotic drug that helps in good sleep also. You are on 50 mg Librium and 100 mg Quetiapine and still the sleep is not proper. In such case you can think of increasing the dose of Quetiapine to 150 (100 SR+50 mg tablet) and this should help in good sleep. If sleep problems persist then dose can be increased further to 200 mg per day. The drug is a safe drug and doesn't cause dependence so there is no need to worry.

Please discuss with your doctor for prescription of increased doses.

Thanks, Take care

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Seikhoo Bishnoi (7 hours later)

Sir-Quetiapin SR? not plain? Sir u mean to say quetiapine SR 100mg with quetiapine plain 50 mg?If necessary quetiapine 200mg (100mg SR +100mg plain). Right Sir?

Answered by Dr. Seikhoo Bishnoi (2 hours later)

Brief Answer:
Quetiapine 100 SR and 50 plain

Detailed Answer:
Hello again

Yes Quetiapine 100 sustained release and 50 plain or if needed then 200 sustained release.

Thanks

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. Seikhoo Bishnoi (36 minutes later)

I was taking clonazepam 2mg since 1998.so can I be tolerant to it?Now may I take quetiapine SR 200mg either with clonazepam 2mg or with Librium 50mg? Can quetiapine 200mg sR may gain weight?howmuch?Please Sir guide me.

Answered by Dr. Seikhoo Bishnoi (2 hours later)

Brief Answer:
Clonazepam can cause tolerance

Detailed Answer:
Hello again

Yes persistent continued use of Clonazepam results in development of tolerance. You can take 50 mg Librium but keep the tablet use on SOS basis only.

Quetiapine is known to cause weight gain. The drug can help you to come out of benzodiazepine dependence.

Thanks

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Above answer was peer-reviewed by : Dr. Sonia Raina