Preventing recurrence in bipolar disorder

Active Ingredient: Quetiapine

Indication for Quetiapine

Population group: only adults (18 years old or older)
Therapeutic intent: Preventive action

For this indication, competent medicine agencies globally authorize below treatments:

300-800 mg once a day

Route of admnistration

Oral

Defined daily dose

300 - 800 mg

Dosage regimen

From 300 To 800 mg once every day

Detailed description

For preventing recurrence of manic, mixed or depressive episodes in bipolar disorder, patients who have responded to quetiapine 50 mg for acute treatment of bipolar disorder should continue on quetiapine 50 mg at the same dose administered at bedtime. Quetiapine 50 mg dose can be adjusted depending on clinical response and tolerability of the individual patient within the dose range of 300 mg to 800 mg/day. It is important that the lowest effective dose is used for maintenance therapy.

Elderly

As with other antipsychotics and antidepressants, quetiapine should be used with caution in the elderly, especially during the initial dosing period. The rate of dose titration of quetiapine may need to be slower, and the daily therapeutic dose lower, than that used in younger patients. The mean plasma clearance of quetiapine was reduced by 30% to 50% in elderly patients when compared to younger patients. Elderly patients should be started on 50 mg/day. The dose can be increased in increments of 50 mg/day to an effective dose, depending on the clinical response and tolerability of the individual patient.

Dosage considerations

Should be administered at bedtime.

Active ingredient

Quetiapine

Quetiapine is an atypical antipsychotic agent. Quetiapine and the active human plasma metabolite, norquetiapine interact with a broad range of neurotransmitter receptors.

Read more about Quetiapine

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