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Quatiapine ppt
1. generic name or chemical name:
quetiapine
Brand name
(Seroquel®, Seroquel XR®)
“atypical antipsychotics” or “second-generation antipsychotics”.
Irazul Rustico
(CSW Student/ Drake Medox College)
Taranjeet Dhaliwal
(Instructor)
2. Is generic medication inferior compared to
brand?
› All generic forms of medications without exception are thoroughly
tested and compared with corresponding brand original. U.S. FDA
(Food and Drug Administration) analyzes test results and issues a
rating of equivalency of the generic form to the brand medicine.
› Rating that reads "AB" denotes a FDA's conclusion that generic
medicine is equivalent to its brand original. At this point, all
available generic Seroquel tablets are rated "AB", which states
their equivalency to brand Seroquel.
› Unlike brand ones, generic medicines have no restrictions related
to inactive ingredients though. These inactive ingredients can
include aromas, dyes, fillers etc., which may be unwanted for
patients with certain sensitivities or allergies.
3. The amount PharmaCare actually pays depends on
PharmaCare coverage rules and PharmaCare plan rules
DIN/PIN/NPN
Generic
Name
Brand Name,
Strength &
Dosage Form
Manufacturer RDP
Max. Day
Supply
per fill
Maximum
PharmaCare
Covers
Unit
Special
Authority
Needed
Quantity
Limits
02236951
QUETIAPINE
FUMARATE
Seroquel Tab
25mg 25
MG TABLET
ASTRAZENECA CA No 100 $0.0960 Each No No
02236952
QUETIAPINE
FUMARATE
Seroquel Tab
100mg 100
MG TABLET
ASTRAZENECA CA No 100 $0.2562 Each No No
02236953
QUETIAPINE
FUMARATE
Seroquel Tab
200mg 200
MG TABLET
ASTRAZENECA CA No 100 $0.5145 Each No No
02244107
QUETIAPINE
FUMARATE
Seroquel 300
Mg 300
MG TABLET
ASTRAZENECA CA No 100 $0.7509 Each No No
02284235
QUETIAPINE
FUMARATE
Teva-
Quetiapine 25
MG TABLET
TEVA CANADA LI No 100 $0.0960 Each No No
02284243
QUETIAPINE
FUMARATE
Teva-
Quetiapine 100
MG TABLET
TEVA CANADA LI No 100 $0.2562 Each No No
02284278
QUETIAPINE
FUMARATE
Teva-
Quetiapine 200
MG TABLET
TEVA CANADA LI No 100 $0.5145 Each No No
02284286
QUETIAPINE
FUMARATE
Teva-
Quetiapine 300
MG TABLET
TEVA CANADA LI No 100 $0.7509 Each No No
02296551
QUETIAPINE
FUMARATE
Pms-
Quetiapine 25
MG TABLET
PHARMASCIENCE No 100 $0.0960 Each No No
02296578
QUETIAPINE
FUMARATE
Pms-
Quetiapine 10
0 MG TABLET
PHARMASCIEN
CE
No 100 $0.2562 Each No No
Note: All drugs that PharmaCare covers will be shown. Some drugs that PharmaCare has reviewed but that are not covered
may be included. "NB" in the "Maximum PharmaCare Covers" column indicates the drug is not covered.
4. What is quetiapine used for?
To treat several conditions such as:
• Schizophrenia and other thought disorders
• Bipolar disorder (including depressive symptoms of bipolar disorder)
• Symptoms associated with autism
• Depression
• Anxiety disorders
• Some sleep disorders
• Conduct disorder (aggression)
5. quetiapine affects the levels of certain chemicals
in the brain called dopamine and serotonin.
How does quetiapine work?
How well does quetiapine work?
• Shown in a study to be better than placebo (an inactive pill that
looks like the medication) in treating schizophrenia and bipolar
disorder.
• Shown to be better than placebo for treatment of conduct disorder
(aggression).
• Shown to be better than placebo for treatment of depression after
standard antidepressants have failed.
• Has been observed in practice to promote sleep.
6. How should quetiapine be taken?
› Regularly it is prescribed for taking 1-3
times per day by mouth
› Quetiapine is available in tablets and
extended release (XR) tablets.
› It is usually taken once daily (XR tablet) or
twice daily (regular tablet) with or without
food.
› should be taken at the same time(s) each day
as directed by your doctor
› avoid alcohol while taking quetiapine.
› Usually, start with a low dose of quetiapine
that is best suited to age and weight. then be
slowly increased over several days or weeks
based on how an individual respond to it.
› Regularly discuss about the best dosage to
stay on based on how an individual tolerate
this medication (how well it helps decrease
the symptoms and how they are doing with
side effects).
Quetiapine extended release (XR)
tablets should be swallowed whole with
fluids. Do NOT crush, chew or divide
quetiapine extended release (XR)
tablets.
7. When will quetiapine start working?
› Some improvements may be seen in as little as 1 to 2 weeks.
› However, it can sometimes take up to 6 weeks to see the full
benefits of the medication.
When quetiapine is working well, the individual may notice the
following:
• thoughts are clearer and more organized.
• Agitation may be decreased and hearing voices or seeing things
no one else sees (hallucinations) may stop completely or happen
much less.
• Mood may be more settled and may see a reduction of intense
fears and worries
8. How long quetiapine should take ?
• Most people will need to take quetiapine for several
months. This allows time for symptoms to stabilize and to
regain functioning.
• Doctor will discuss the benefits and risks of taking
quetiapine. also discuss how long might need to take this
medication.
• Do not increase, decrease, or stop taking this medication
without discussing it with doctor.
• If the individual stop taking quetiapine suddenly, it is
possible that symptoms may return or may have a bad
reaction.
9. Common Side Effects
Usually more common when starting a medication or after a dose increase
please discuss them with your doctor, nurse or pharmacist.
• Agitation (avoid caffeine from energy drinks, colas and coffee)
• Constipation (increase exercise, fluids, vegetables, fruits and fiber. If this persists,
contact your doctor or pharmacist for recommendations about use of a laxative.)
• Dizziness (try getting up slowly from a sitting or lying down position)
• Drowsiness (try taking the dose at bedtime)
• Dry mouth (try chewing sugarless gum, sour candies, ice chips, or popsicles)
• Headache (try using a pain reliever like acetaminophen (plain Tylenol® )
• Increase in hunger (avoid high calorie foods) • Stomach ache (try taking the
medication with food) • Weight gain (monitor your food intake, increase your exercise)
10. Contact your doctor IMMEDIATELY if you have any of these side effects:
• Fainting, feeling lightheaded or difficulties with balance
• Difficulty with urination
• Fast or irregular heart beat
• Feelings of restlessness, weakness or severe muscle pain.
• Fever or excessive sweating
• Frequent urination accompanied by excessive thirst
• Seizures
• Severe abdominal pain
• Shaking, stiffness or difficulty moving, muscle spasm or
stiffness in your throat or tongue
• Signs of infection (fever, sore throat, productive cough, flu-like
symptoms)
• Stop breathing for short periods during your normal nightly
sleep (sleep apnea)
• Thoughts of hurting yourself, suicide, increased
irritability/hostility or feeling worse
11. Precautions when taking quetiapine?
• Have any allergies or have experienced a reaction to a medication.
• Are lactose intolerant (quetiapine tablets contain lactose)
• Are taking or plan to start taking any other prescription or non-prescription
medications (including herbal products).
• Some medications can interact with quetiapine, such as some sedatives, blood
pressure medications, some antibiotics, medications that can cause constipation and
several others.
• Have a history of heart disease, seizures, kidney or liver disease, trouble urinating
(urinary retention), severe constipation or a bowel obstruction, diabetes (or a family
history of diabetes), low white blood cell (WBC) count or drug-induced reduction in
WBCs, glaucoma
• Miss a period, are pregnant (or are planning to become pregnant) or are breast-
feeding.
• Are currently using alcohol or street drugs as these substances can decrease how well
quetiapine works for you and/or make you feel drowsy.
Tell your doctor or pharmacist if you:
12. PRINCIPLES FOR WORKING WITH FAMILIES
These principles are particularly relevant for countries where there is a mental health workforce able to be trained in 'family interventions’.
Many of these principles are relevant regardless of differing social, economic and cultural conditions.
› The following principles, drawn from positive evidence found in research, state the need to:
• Coordinate all elements of treatment and rehabilitation to ensure that everyone is
working towards the same goals in a collaborative, supportive relationship.
• Pay attention to the social, as well as the clinical needs of the individual.
• Provide optimum medication management. Clinicians should be alert to signs of
overmedication and to the unpleasant and disabling side effects of antipsychotics. There
should be regular reviews of the medication with the patient and family. Education
about medications plus regular assessment, particularly in relation to side effects, will
encourage compliance.
• Provide training for the family in structured problem-solving techniques.
• Advocates for community acceptance of mental illness. Carer organizations have an
important role in mental health advocacy, particularly through community awareness
campaigns aimed at reducing the stigma associated with mental illness.
13. CSW Roles
• CSW should follow the CARE PLAN and MAR.
• CSW should observe, report if needed and write documentation properly.
• CSW should know and put into practice the NINE RIGHTS in giving medication to
avoid errors that may cause serious harm to individual.
• CSW should know important information about the medication the person served
is taking, its side effects and management to support individual to reduce side
effects.
( management in side effect as mention in Common side effects slide.)
• Since this medication may have difficulty regulating body temperature CSW
should ensure the person served drink lots of fluids to avoid dehydration also to
ensure less physical activities is given on hot day.
