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When taking this medication, older adults with dementia may face a slightly heightened risk of severe, potentially life-threatening side effects, including stroke, heart failure, irregular or rapid heartbeat, and pneumonia. It is important to note that this medication is not authorized for addressing behavior issues linked to dementia. It is crucial to discuss with a healthcare professional the potential risks and advantages of this medication, as well as alternative treatments that might be safer and more effective for managing dementia-related behavior issues.

Quetiapine is prescribed for the treatment of specific mental health disorders, such as schizophrenia, bipolar disorder, and sudden episodes of mania or depression associated with bipolar disorder. Medications used for depression can offer significant benefits, including the prevention of suicidal thoughts or actions. Nonetheless, research indicates that a small percentage of individuals, particularly those under 25, might experience worsening depression, other mood symptoms, or suicidal tendencies while on these medications. Therefore, consulting with a doctor about the potential risks and benefits of depression medications is essential, especially for those under 25, regardless of whether the treatment is for a mental health condition.

Immediate communication with a healthcare provider is necessary if there is a noticeable decline in depression or other psychiatric conditions, unusual alterations in behavior (such as emerging suicidal thoughts or attempts), or other mental health changes (including new or worsening anxiety, panic attacks, sleep disturbances, irritability, hostility, impulsivity, severe restlessness, or rapid speech). It is particularly important to monitor for these symptoms when initiating a new depression medication or adjusting the dosage.

This medication is not approved for use in children below the age of 10.

You might experience mild side effects such as constipation, drowsiness, an upset stomach, fatigue, weight gain, blurred vision, or a dry mouth. These effects are usually manageable, but if they persist or worsen, it's important to seek medical advice. Dizziness or lightheadedness, particularly when starting or adjusting the dose, is common and could increase the risk of falls. To minimize this, rise slowly from sitting or lying positions.

Serious side effects, though less common, require immediate medical attention. These include persistent constipation with abdominal pain, continuous nausea or vomiting, restlessness, tremors, mood changes like anxiety or depression, difficulty swallowing, loss of appetite, yellowing of the eyes or skin, interrupted breathing during sleep, and trouble urinating. Very serious side effects, such as fainting, seizures, or severe dizziness, also necessitate urgent medical care.

Sometimes, this medication may elevate blood sugar levels, potentially leading to or worsening diabetes. If you notice increased thirst or urination, contact your healthcare provider promptly. Regular monitoring of blood sugar levels is essential for individuals with diabetes, and adjustments to medication or lifestyle may be needed.

Quetiapine can rarely cause tardive dyskinesia, characterized by uncontrolled movements, which may be permanent. Seek medical advice immediately if you observe unusual movements. Another rare but serious condition is neuroleptic malignant syndrome (NMS), with symptoms like fever, muscle stiffness, confusion, irregular heartbeat, or dark urine. Immediate medical intervention is crucial if these occur.

An increase in prolactin levels may affect reproductive health, leading to symptoms such as unwanted breast milk, menstrual changes, or decreased sexual function. In rare cases, prolonged erections in males can occur, requiring immediate discontinuation of the medication and medical attention to prevent lasting issues. Allergic reactions are also rare but serious, with symptoms like rash, swelling, or breathing difficulties, which require prompt medical help. Always discuss any unusual symptoms with your healthcare provider.