Tapering off quetiapine

Posted by semisane @semisane, Apr 3, 2024

I was on 800mg quentiapine and 5 other mood meds. Im off all except 400mg quentiapine.
I went to 200mg to 100mg to 50mg to off over a month and half. I was feeling good besides a few physical effects. I did notice a heart flutter at times, lots of tension in my face and very irritable. I was also going through a tough life situation. I went back up gradually to 400 mg over a relatively short time. Im wantinng to give it another shot and this time do it more gradullay , sit with whatever withdrawal symptoms there may be and let it level out. I may not go off it entirely but I would like to drop the dose radically.
Any advice or similar experience would be appreciated -Thanks

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Profile picture for Randy Shields @randallshields56

Like a dad, stop with the what if, worrying. Life is two short anyway. Try to make some one smile or flirt a little, maybe help them with a issue they are trying to solve. Ill be 69 this year and shooting for many more years to come. Just can't drive for another year no worry, I got this and so do you. Enjoy being yourself and alive to help.

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@randallshields56 ummm…overall good advice but not helpful to the context of the thread

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Profile picture for albv9 @albv9

Hi. I'm hoping to get some help or reassurance that what I'm experiencing is fairly common and that it will improve with time. I was prescribed Seroquel/Quetiapine for insomnia (IR, regular, not XR) to take nightly or as needed, 25 or 50mgs, by a nurse practitioner. I took it most nights anywhere between 12.5 and 50 mg doses from October 2024 until June 2025, about a total of 220 x25mg pills over about 9 months.

It helped insomnia tremendously with no other side effects (that I could notice). Around June 29, 2025 I stopped cold turkey as I was becoming worried about potential side effects of long term use. About 11 days after stopping I suddenly started feeling dizzy. Not a regular dizzy, more like a persistent and consistent "stoned in a bad way" dizzy, feeling really drugged, that isn't going away, it is now day 13 of feeling this way. Secondary (not as persistent, consistent, or bothersome) sensations are a weird internal body buzz and a strange bitter taste in my mouth. No other symptoms, blood pressure and temperature are fine, as are nutrition and hydration, no other meds (other than Reactine for allergies, and supplements - nothing new in the last few months however), nothing new ingested. I have been under a tremendous amount of stress and anxiety for years, plus perimenopause, but I have never experienced anything like this persistent "stoned" feeling. It feels too coincidental to stopping Seroquel, though I never thought that quitting it after only on it 9ish months at low dose would cause something this horrendous. The NP who prescribed it said that it is very safe, non addictive, can just use it as needed for sleep or discontinue.

Is there anyone out there who has experienced something similar? Please put my mind at ease and tell me for how long, and what helped you, this is terrifying, and I can't help but spiral into worrying about things like MS or brain tumours or some other scary causes, even though the onset of this awful "stoned" feeling came shortly after discontinuing Seroquel. Thank you.

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Most anti depressants and will have bad withdrawal side effects. You should never stop them cold turkey without medical assistance. You need to work with your doctor and set up a withdrawal plan. It can take a long time to do it safely and with as few side effects as possible. Effexor is very hard to get off of, and I took a good 9 months to slowly wean off of it. By the end, I was taking just a crumb of a pill. This has to be done very slowly, or you will be in bad shape for a long time.

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Profile picture for Randy Shields @randallshields56

Like a dad, stop with the what if, worrying. Life is two short anyway. Try to make some one smile or flirt a little, maybe help them with a issue they are trying to solve. Ill be 69 this year and shooting for many more years to come. Just can't drive for another year no worry, I got this and so do you. Enjoy being yourself and alive to help.

Jump to this post

@randallshields56 Huh? This is not helpful at all. Smile or flirt? I dont think so - most of us are just trying to live another day. This is a medical issue, and all the smiling and flirting in the world is not going to help.

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Profile picture for misskristhefifth @misskristhefifth

@randallshields56 ummm…overall good advice but not helpful to the context of the thread

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@misskristhefifth
Was kind of wondering, had activity with a seizure trying to rear its ugly head so just ended when I did, hopefully didn't hurt anyone's feelings. Thank you

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Profile picture for lylii @lylii

Most anti depressants and will have bad withdrawal side effects. You should never stop them cold turkey without medical assistance. You need to work with your doctor and set up a withdrawal plan. It can take a long time to do it safely and with as few side effects as possible. Effexor is very hard to get off of, and I took a good 9 months to slowly wean off of it. By the end, I was taking just a crumb of a pill. This has to be done very slowly, or you will be in bad shape for a long time.

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@lylii I don't believe i said anything about flirting.

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Profile picture for lylii @lylii

@randallshields56 Huh? This is not helpful at all. Smile or flirt? I dont think so - most of us are just trying to live another day. This is a medical issue, and all the smiling and flirting in the world is not going to help.

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@lylii - if you look that post was almost a year ago, as to remembering putting that response out i would not try to be funny about withdrawals as i have had to come off many to make others work or hope i don't stroke out before the new med takes root , or worse case scenario like my doctor recently told me, was have a seizure that i would not come back from. Sorry if i hurt your feelings, i don't remember that posting- Sounds like i was responding to a wrong post. Regardless your response was- i wont say anything now as still adapting to the new med for seizures and fighting to stay alive long enough for the other one to not go bad and have to start infusions. Gritting my teeth, have a blessed day today.

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Profile picture for Randy Shields @randallshields56

@lylii - if you look that post was almost a year ago, as to remembering putting that response out i would not try to be funny about withdrawals as i have had to come off many to make others work or hope i don't stroke out before the new med takes root , or worse case scenario like my doctor recently told me, was have a seizure that i would not come back from. Sorry if i hurt your feelings, i don't remember that posting- Sounds like i was responding to a wrong post. Regardless your response was- i wont say anything now as still adapting to the new med for seizures and fighting to stay alive long enough for the other one to not go bad and have to start infusions. Gritting my teeth, have a blessed day today.

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@randallshields56 Don't even worry about it - it's all water under the bidge now. I hope you get your medications worked out, and can start feeling better and can enjoy your life. Sounds like you were having a very hard time, and I hope things are better now. I apologize if I said anything that hurt you - to tell you the truth, I don't remember it either. I wish only the best for you!

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Profile picture for Randy Shields @randallshields56

@lylii I don't believe i said anything about flirting.

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@randallshields56
I am so sorry! I must have replying to someone else. I send my sincere apology for saying that - you most definitely did not say anything about flirting!
Again, I apologize!

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Profile picture for lylii @lylii

@randallshields56 Don't even worry about it - it's all water under the bidge now. I hope you get your medications worked out, and can start feeling better and can enjoy your life. Sounds like you were having a very hard time, and I hope things are better now. I apologize if I said anything that hurt you - to tell you the truth, I don't remember it either. I wish only the best for you!

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you did but thank you for the post. i get chewed about twice a week and yes
you hit the nail on the head and i am going through some serious issues so
thank you for backing off.

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Profile picture for albv9 @albv9

Hi. I'm hoping to get some help or reassurance that what I'm experiencing is fairly common and that it will improve with time. I was prescribed Seroquel/Quetiapine for insomnia (IR, regular, not XR) to take nightly or as needed, 25 or 50mgs, by a nurse practitioner. I took it most nights anywhere between 12.5 and 50 mg doses from October 2024 until June 2025, about a total of 220 x25mg pills over about 9 months.

It helped insomnia tremendously with no other side effects (that I could notice). Around June 29, 2025 I stopped cold turkey as I was becoming worried about potential side effects of long term use. About 11 days after stopping I suddenly started feeling dizzy. Not a regular dizzy, more like a persistent and consistent "stoned in a bad way" dizzy, feeling really drugged, that isn't going away, it is now day 13 of feeling this way. Secondary (not as persistent, consistent, or bothersome) sensations are a weird internal body buzz and a strange bitter taste in my mouth. No other symptoms, blood pressure and temperature are fine, as are nutrition and hydration, no other meds (other than Reactine for allergies, and supplements - nothing new in the last few months however), nothing new ingested. I have been under a tremendous amount of stress and anxiety for years, plus perimenopause, but I have never experienced anything like this persistent "stoned" feeling. It feels too coincidental to stopping Seroquel, though I never thought that quitting it after only on it 9ish months at low dose would cause something this horrendous. The NP who prescribed it said that it is very safe, non addictive, can just use it as needed for sleep or discontinue.

Is there anyone out there who has experienced something similar? Please put my mind at ease and tell me for how long, and what helped you, this is terrifying, and I can't help but spiral into worrying about things like MS or brain tumours or some other scary causes, even though the onset of this awful "stoned" feeling came shortly after discontinuing Seroquel. Thank you.

Jump to this post

You never cold turkey stop Seroquel. I weaned myself from 100 mg to zero after 8 weeks. Then the first few nights even taking lunesta which is a sleep aid I didn't sleep for 3 days. Then I'd get two and a half 3 4 hours of sleep the first week. The second week my doctor added Prazosin. It's a BP medication, but it helps the core. Anyways it takes weeks, sometimes months for your nervous system to calm down it's saying hey where's the Seroquel I'm missing the Seroquel? It suppressed your emotions and your nervous system. I took it for 10 to 15 years and tried to wean myself off it for the last eight or nine and couldn't do it. Because I couldn't sleep. But I started feeling so groggy and so depressed on wake up the last 2 years I had to bite the bullet and wean myself off. It was hell. I'm still not sleeping a full night's sleep but I'm getting 7 hours here and there waking up to use the bathroom but normally fall back asleep. Didn't you talk to your doctor about this first? Are you sleeping? I feel a little flat not stoned myself. But I think it'll be better in time. Are you taking any sleep aids?

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