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Seroquel XR® Extended-Release Tablets for Schizophrenia
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This extended-release quetiapine tablet is used for schizophrenia and bipolar disorder. It releases medicine slowly to support once-daily dosing. Below, you will find practical details on use, safety, and access.
What Seroquel XR® Is and How It Works
This medicine belongs to the atypical antipsychotic class and treats certain mood and thought disorders. YouDrugstore is a licensed Canadian pharmacy in Manitoba. Pharmacists review prescriptions before dispensing. We provide US delivery from Canada on approved orders, with options for people paying without insurance. Quetiapine XR helps balance dopamine and serotonin activity in the brain. The extended-release matrix releases the medicine gradually, which may reduce peak-related drowsiness for some people. The treatment is taken once daily, typically in the evening, to keep levels steady.
Quetiapine fumarate extended-release acts on multiple receptors, including 5-HT2 and D2. This activity may help with hallucinations, delusions, mood symptoms, and sleep-wake rhythms in the approved conditions. Learn more about related treatments in our Antipsychotics category.
Who It’s For
This treatment is indicated for adults with schizophrenia. It is also used for bipolar disorder, including manic and depressive episodes, and as add-on therapy for major depressive disorder when prescribed by a clinician. People with dementia-related psychosis should not use it, due to increased mortality risk. The medicine may not be suitable if you have a history of severe low white blood cell counts, uncontrolled diabetes, significant heart rhythm problems, or severe liver impairment.
If you experience psychotic symptoms or mood episodes, your clinician may consider this therapy after an evaluation. Read more about the condition in Schizophrenia and Bipolar Disorder. For background, see What Is Schizophrenia. If you have suicidal thoughts, seek immediate help. Antidepressant use can increase suicidal thinking in young people; close monitoring is important when used as adjunctive therapy for depression.
Dosage and Usage
Follow your prescriber’s instructions and the product label. Take the tablet once daily in the evening, with or without a light meal. Swallow whole; do not cut, crush, or chew. Avoid grapefruit products unless your clinician says otherwise. Titration is common to reach a target dose suited to the indication and your response. Some patients start at Quetiapine XR 50 mg during titration as directed. For schizophrenia and bipolar disorder, the total daily dose is adjusted over several days to the maintenance range. If used with certain other medicines, your prescriber may adjust the dose.
Do not stop suddenly without medical advice. Dizziness or drowsiness can occur; use caution driving until you know how you respond. Alcohol and other sedatives can increase sleepiness. If you miss doses often or feel over-sedated, speak with your healthcare professional about timing and schedule.
Strengths and Forms
This product is available as extended-release tablets. Availability may vary by manufacturer and timing. Many adults stabilize at Seroquel XR 300 mg depending on the indication and clinical response.
- XR tablets: 50 mg
- XR tablets: 150 mg
- XR tablets: 200 mg
- XR tablets: 300 mg
- XR tablets: 400 mg
Color and imprint can differ by manufacturer. Your prescriber and pharmacist will match the strength to your treatment plan.
Missed Dose and Timing
If you miss a dose, take it when you remember unless it is close to the next dose. If it is almost time for the next dose, skip the missed tablet and resume your regular schedule. Do not double the dose. If you miss more than one dose, ask your clinician for guidance. For refills approved by your prescriber, you can request Seroquel XR online through your account.
Storage and Travel Basics
Store at room temperature in the original container. Protect from moisture and excessive heat. Keep out of reach of children and pets. Close the cap securely after each use. When traveling, carry tablets in your hand luggage with the labeled pharmacy container. Bring a copy of your prescription or a photo of the label. Stay consistent with your dosing time as you cross time zones. Do not store tablets in a hot car or a damp bathroom. If a tablet looks damaged or discolored, ask your pharmacist before use.
Benefits
The extended-release design supports once-daily use, which can simplify routines. The treatment covers schizophrenia symptoms and certain mood symptoms in bipolar disorder under approved indications. As an add-on for major depressive disorder, it may help when first-line antidepressants are not enough. Nighttime dosing can fit people who experience daytime sedation. Continuous 24-hour coverage may help reduce peaks and troughs in drug levels.
If you want more context on how antipsychotics are used, see Psychosis And Antipsychotics.
Side Effects and Safety
- Sleepiness or fatigue
- Dizziness or lightheadedness
- Dry mouth or constipation
- Increased appetite and weight gain
- Indigestion or nausea
- Headache
Serious but less common risks include high blood sugar, changes in cholesterol, low blood pressure on standing, abnormal movements (tardive dyskinesia), neuroleptic malignant syndrome, low white blood cell counts, seizures, and eye lens changes. There is an increased risk of death in elderly patients with dementia-related psychosis. Antidepressant use in young people can increase suicidal thoughts; monitoring is important when used as adjunctive therapy for depression. Combining with insulin or sulfonylureas may raise hypoglycemia risk indirectly by appetite changes; monitor glucose if you have diabetes.
Drug Interactions and Cautions
Strong CYP3A4 inhibitors (such as ketoconazole, clarithromycin, some HIV protease inhibitors) can raise levels. Strong CYP3A4 inducers (such as carbamazepine or phenytoin) can lower levels. Your prescriber may adjust therapy when these are used together. Avoid grapefruit unless your clinician agrees. Use caution with other medicines that cause drowsiness, lower blood pressure, or prolong the QT interval. If you have diabetes, heart disease, a history of fainting, seizures, or liver problems, tell your clinician before starting. Report signs of severe rash, fever, rigid muscles, confusion, suicidal thoughts, or uncontrolled movements right away.
What to Expect Over Time
Your clinician will usually increase the dose over several days to improve tolerability. Sleepiness can occur early and often improves with time and dose adjustments. Mood, thinking, and behavior changes may be gradual. Keep a simple log of sleep, appetite, and energy to share at follow-up visits. Regular checks of weight, blood sugar, and lipids are common. If side effects affect daily life, contact your prescriber; adjustments or supportive measures may help.
Compare With Alternatives
Many patients do well on the same active ingredient in a different brand or as a generic. Ask your prescriber whether the once-daily generic formulation could suit your plan, such as Quetiapine XR.
Another option in the atypical class is aripiprazole, which has a different receptor profile and dosing approach. Some people prefer it due to activating properties, while others do not. Review whether it fits your history with your prescriber. See Aripiprazole for details.
Pricing and Access
We list current options so you can compare Seroquel XR price and generics when available. With Canadian pricing and US delivery from Canada, many patients see meaningful out-of-pocket savings. You can review strength options and quantity choices in your account, then proceed to checkout.
Looking for deals? See our latest offers on the Promotions page. We support secure, encrypted checkout. Final costs depend on dose, quantity, and manufacturer.
Availability and Substitutions
Supply can vary by strength and manufacturer. Your prescriber may consider the Generic for Seroquel XR if it suits your treatment plan. If a specific strength is unavailable, your clinician may recommend a different tablet strength or an alternative in the same class. We cannot provide restock dates, but we will display available options on the product page.
Patient Suitability and Cost-Saving Tips
This treatment could be appropriate if you need once-daily maintenance for schizophrenia or bipolar disorder and can tolerate potential drowsiness or metabolic changes. It may not be a good fit if you have uncontrolled diabetes, a history of severe orthostatic hypotension, or are at high risk for QT prolongation. Pregnant or breastfeeding patients should discuss risks and benefits with their prescriber.
To manage expenses, consider larger fills when stable, use refill reminders, and compare generic options. People maintained on Quetiapine XR 200 mg may be able to schedule multi-month refills after the prescriber confirms stability. Keep your profile current so our team can coordinate prescription renewals in time.
Questions to Ask Your Clinician
- Indication and goals: Which symptoms are we targeting first?
- Dose plan: How will we titrate, and when will we reassess?
- Monitoring: What labs or weight checks should I expect?
- Side effects: What should I report right away?
- Interactions: Are any of my medicines a concern?
- Alternatives: Would a different atypical fit my history better?
- Duration: How long might I continue maintenance therapy?
Authoritative Sources
Seroquel XR Prescribing Information (AstraZeneca)FDA DailyMed: Quetiapine Fumarate Extended-ReleaseHealth Canada Drug Product Database
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Can I take this medicine with food or at bedtime?
Extended-release quetiapine is usually taken once daily in the evening. You can take it without food or with a light meal, as directed by your clinician. Swallow the tablet whole to preserve the slow-release mechanism. Taking it at night may help if you feel drowsy. Avoid alcohol and grapefruit products unless your prescriber says otherwise. If you feel too sleepy in the morning, discuss timing and dose adjustments with your healthcare professional rather than changing it on your own.
How long does it take to notice changes?
Response varies by person, dose, and indication. Some people notice better sleep or reduced agitation early, while thinking and mood changes may take longer. Your prescriber will usually increase the dose over several days to improve tolerability. Keep taking it as directed, and attend follow-up visits to review benefits and side effects. If you feel worse, or have troubling symptoms, contact your clinician promptly for guidance.
What should I avoid while using it?
Until you know how it affects you, avoid driving or operating machinery because drowsiness and dizziness can occur. Do not drink alcohol, and avoid grapefruit unless your clinician agrees. Be cautious with over-the-counter sleep aids or antihistamines, as they can add to sedation. If you take other medicines that lower blood pressure or affect heart rhythm, ask your prescriber about interactions. Continue any lab monitoring your clinician recommends.
Is it different from immediate-release quetiapine?
Yes. The extended-release formulation is designed for once-daily dosing, releasing the medicine gradually through the day. Immediate-release tablets are usually taken two or three times daily. Your prescriber chooses a formulation based on your diagnosis, prior response, tolerability, and routine. Do not switch between forms without medical advice, because the dose and schedule are not interchangeable.
What are the most common side effects?
Common effects include sleepiness, dizziness, dry mouth, constipation, increased appetite, and weight gain. Indigestion and headache can also occur. Many effects are dose-related and sometimes lessen over time. Report severe dizziness, fainting, high blood sugar symptoms, fever with muscle stiffness, uncontrolled movements, or suicidal thoughts right away. Your clinician may monitor weight, blood sugar, and lipids during treatment, especially if you have risk factors for metabolic changes.
Can I stop taking it once I feel better?
Do not stop suddenly unless your prescriber tells you to. Stopping abruptly can lead to symptom return or withdrawal-like effects such as insomnia or nausea. If you and your clinician decide to discontinue, they may taper the dose gradually. Keep appointments so your healthcare professional can review progress and adjust the plan safely. If side effects are bothersome, ask about mitigation strategies rather than stopping on your own.
What if I miss more than one dose?
If you miss several doses, contact your clinician for advice before restarting. They may adjust your schedule or suggest a retitration plan depending on how many doses were missed and your current condition. Avoid doubling doses. Keep pills in a visible, safe place and set reminders to stay on track. For future travel or holidays, plan ahead and bring enough tablets to cover your trip.
