Getting off of Seroquel

Posted by anniegk @anniegk, Jun 8, 2018

I have been on 300 mgs. Seroquel ER for over a year for augmenting my antidepressant which is 45 mgs. Of Mirtazapine. I decided to try and get off of the Seroquel. I was on 300mgs ER (extended release). I titrated down to 250 mg ER for 2 months without too many problems.than i titrated down to 200mgs ER just 5 days ago. My plan is to try to titrate off using ER tablets. My thinking is that perhaps the drug will remove its self from my system more gradually. I have had some nausea and a couple of episodes of diarrhea. I also have a very irregular heart beat and was started on 60 mgs of Propranolol ER (extended release) 4 weeks ago. It seems to be helping my heartbeat. I have wondered if the nausea and light headness is from the Propranolol, a Beta Blocker, or the dose reduction of the Seroquel. I also wonder if the way iam titrating the Seroquel is safe. My doctor says it will only take a couple of weeks...I think that is too fast of a taper after being on a drug for over a year. What do you think?

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Profile picture for radams3928 @radams3928

My son was recently in a psychiatric facility for severe depression and anxiety. While in the facility they started him on Lexapro 10 mg and Seroquel 100 mg. They were giving my son 200-300 mg of Seroquel per day. When they discharged him they only gave him a script for the Lexapro and when my son asked about the Seroquel they said they wouldn’t give him a script for that due to it being habit forming. On the 2 1/2 hr drive home I could tell he had some anxiety. He said he did not take the Seroquel that morning at the facility since he was being discharged. So that same night my son takes his Lexapro about 8 pm and literally hour later a full on panic attack. He has never had panic attacks just anxiety. He was freaking out , hyperventilating, sweating profusely, his legs went numb, his hands and finger tips were tingling , his chest got tight , his blood pressure shot up. He was crying. It was absolutely awful. He has had the shakes and I could literally see his legs trembling as he went down the stairs of the house. I’m so worried that this could be a withdrawal from the Seroquel. He was taking 200-300 mg a day for about 5 days. Is it possible that he is having withdrawals only after being on it for 5 days ?

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Profile picture for zesta @zesta

My doctor advised me to stop Seroquel. I’ve only been taking 25 mg for the past 10 days. He said it was OK just to go ahead and stop it. I told him that they mean rather nervous. Should I stop taking it totally like you suggested or should I do it every other day for a while? any help would be appreciated!

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Hi @zesta, I moved your question about stopping Seroquel to this existing discussion:
- Getting off of Seroquel: https://connect.mayoclinic.org/discussion/getting-off-of-seroquel/

Tapering slowly is the standard advice - "the medication should be tapered with a planned, incremental lowering of the dosage taken over the course of months." https://www.verywellmind.com/seroquel-withdrawal-5114540

However, in your case, you have taken a low dose (25mg) for only 10 days, if I'm reading your post correctly. Tapering for months will not be applicable in your case :-). Did your doctor say you could start with every other day as you suggested?

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Profile picture for Colleen Young, Connect Director @colleenyoung

Hi @zesta, I moved your question about stopping Seroquel to this existing discussion:
- Getting off of Seroquel: https://connect.mayoclinic.org/discussion/getting-off-of-seroquel/

Tapering slowly is the standard advice - "the medication should be tapered with a planned, incremental lowering of the dosage taken over the course of months." https://www.verywellmind.com/seroquel-withdrawal-5114540

However, in your case, you have taken a low dose (25mg) for only 10 days, if I'm reading your post correctly. Tapering for months will not be applicable in your case :-). Did your doctor say you could start with every other day as you suggested?

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My Doctor said since I just took it for 10 days at 25 mg. I should just stop it.
Thank you for your response!

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Profile picture for Colleen Young, Connect Director @colleenyoung

Hi @zesta, I moved your question about stopping Seroquel to this existing discussion:
- Getting off of Seroquel: https://connect.mayoclinic.org/discussion/getting-off-of-seroquel/

Tapering slowly is the standard advice - "the medication should be tapered with a planned, incremental lowering of the dosage taken over the course of months." https://www.verywellmind.com/seroquel-withdrawal-5114540

However, in your case, you have taken a low dose (25mg) for only 10 days, if I'm reading your post correctly. Tapering for months will not be applicable in your case :-). Did your doctor say you could start with every other day as you suggested?

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I’ve stopped it for three days and the only side effect I’ve had is not to my surprise is insomnia.

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Profile picture for tinkeringtech @tinkeringtech

I'm in dire nead of some type of documentation / instructions on how to successfully taper / titrate / reduce Seroquel / Quetapine in order to completely discontinue this medication all together with minimal side effects and withdrawal symptoms. I'm looking for this as I need to stop this medication for health reasons. I have been on this medication since 2005 and since 2008 at a high dosage of 1200mg up until 2019 where I made it to 400mg after an 8 month failed tapering attempt from 1200mg but had to stop as the side effects and withdrawal symptoms became much worse at lower dosages bellow 500mg and intolerable for me. Since that failed attempt in late 2019 I have been at 800mg daily ever since. This is the single solo psych medication I'm taking since 2019. Although I have tried in the past on many occasions to either reduce my dosage,discontinue or cross-taper to another medication for various reasons I have never been successful. With the last failed taper which was at a 2% reduction although I was initially started at 12% than 6%! Eventually got to 2% tape from a daily 1200mg dosage. Over the last couple of years I have been experience some of the more dangerous potential and possible side effects of this medication. This causing cardiac, nervous system and metabolic related side effects which has put me in the hospital in the past and has been happening more frequently lately which has become scary as hell. The only thing good is that this is the only medication that I take regularly on a daily basis so it's very obvious what is causing me such negative health issues along with make some existing health conditions much worse. I really need off of this medication ASAP. I'm so scared and anxious with just the thought of trying to do this once again because of what it's done to me and put me through pure brutality in the past. I would almost rather be put in a medically induced coma in order to be detoxed off of this medication or at least an IV drip of versed while trying to accomplish what to me has become nearly impossible to do. I do not plan to attempt any changes of this medication on my own but only under the guidance and assistance of hopefully some medical professional that is familar with the process of tapering off of this medication that will minimal negative impact as well as address my concerns and expectations..

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@tinkeringtech, to find discussions, including resources members have shared about getting off Seroquel, see the search results here: https://connect.mayoclinic.org/search/

Do you have a doctor to help guide you through tapering?

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How do I deal with nervousness and not able to sleep?

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I never wanted to be on seroquel because it’s horrible for the liver and it can lead to diabetes. Plus. I’m def not bipolar. My doc was giving it to calm my nerves. It has a sedative effect. I was on high doses, 300-500 mg I think. I began to get a stopped up nose and start sneezing uncontrollably within 5 minutes of taking it. I was using Afrin daily to just breathe!! All this caused post nasal drip to get into my upper lungs and I had to use a nebulizer to get the gunk out. I had to cold turkey seroquel. Plus it raised my lipids fast. The withdrawals were horrible, chills and cold sweats for 2 weeks. It was horrible. Some of these meds are toxic but docs will put you on them “off label” sometimes to avoid controlled substances.

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I’ve been on Seroquel on and off for 7 years now. For the last 4 years I’ve been on 150mg. I really wanna get off it, however, if I do not take seroquel I cannot sleep. Any advice on what else I might try? It has causes a lot of issues including induced diabetes and 60lbs weight gained ( I was only 105lbs before taking seroquel).
I have been doing great, rarely any depression or anxiety and I actually sleep but the diabetes and weight gain is so drastic even though I eat extremely healthy and walk for at least 30 mins a day.
Any advice would be so helpful. I would love to get off it but anytime I even missed a dose I don’t sleep. I forgot my meds once on vacation and I didn’t sleep for 5 days.

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I'm thinking you first when the doctors are mixing and making my body an experiment...

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You dont say why you want off the drug.

Are you having troubling side effects?

Agree about your titration rate. Shrinks are guessing at the rates. They only know about averages and means. Individual reactions to changes in dose of pretty much any antidepressant vary dramatically.

As long as your side effects aren't too bothersome, GO SLOW!

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