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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It Safe For Dementia Patients To Consume Quetiapine 25mg?

My mother is 84 years of age and is diagnosed with dementia and rheumatoid arthritis. She is taking tramadol 50mg. She was recently prescribed quetiapine 25mg and told to take 2 before bedtime. I am concerned with the quetiapine because I do not understand the beneficial significance of the intake, however, I understand the side effects and the WebMD states not for patients with dementia.Please give your opinion, her weight is 135 lbs.
Fri, 10 Mar 2017
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General & Family Physician,  's  Response
Hello.
Thank You for the query at Healthcare Magic

Seroquel is a second generation/newer antiphyscotic. It is used in dementia patients to control behavioral problems, agitation, hallucinations, aggression etc.It also has a sedative effect which helps with sleeping.
Antipsychotics have a warning that it increases risk of death in elderly patients with dementia. However seroquel is safest among all antipsychotics in elderly with dementia.
Common side effects include sedation, headache, and orthostatic hypotension(decreased pressure/light headedness on standing up from lying down position) and Cataract formation.Screening for cataract formation is recommended at the initiation of therapy and at six-month intervals thereafter.
It is recommended to start seroquel at dose of 12.5 mg daily and gradually titrating up to the desired dose .

Your doctor must have prescribed the medication because he/she decided that benefits from seroquel outweigh the risks.
Please follow up with your doctor to discuss his/her reasons for starting the medication and regarding dose titration .

Hope I was able to answer your question
Please feel free to address any more concerns
Regards,
Dr.Lekshmi
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Is It Safe For Dementia Patients To Consume Quetiapine 25mg?

Hello. Thank You for the query at Healthcare Magic Seroquel is a second generation/newer antiphyscotic. It is used in dementia patients to control behavioral problems, agitation, hallucinations, aggression etc.It also has a sedative effect which helps with sleeping. Antipsychotics have a warning that it increases risk of death in elderly patients with dementia. However seroquel is safest among all antipsychotics in elderly with dementia. Common side effects include sedation, headache, and orthostatic hypotension(decreased pressure/light headedness on standing up from lying down position) and Cataract formation.Screening for cataract formation is recommended at the initiation of therapy and at six-month intervals thereafter. It is recommended to start seroquel at dose of 12.5 mg daily and gradually titrating up to the desired dose . Your doctor must have prescribed the medication because he/she decided that benefits from seroquel outweigh the risks. Please follow up with your doctor to discuss his/her reasons for starting the medication and regarding dose titration . Hope I was able to answer your question Please feel free to address any more concerns Regards, Dr.Lekshmi