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Drug Signature

Indication Dosage (Max 1500 mg/d)
Acute Mania 600 mg PO daily (dose range 400 to 800 mg)
25 mg BID to start; maint. 900-1200mg/d
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Generic name Quetiapine Immediate Release (IR) Quetiapine Extended Release (XR)
Tradename Seroquel IR Seroquel XR
Dosage Strengths 25 mg, 50 mg, 100 mg, 150 mg, 200 mg, 300 mg, 400 mg tablets 50 mg, 150mg, 200mg, 300mg, 400mg tablets
Half-life Shorter Longer
Dosing BID dosing Once daily dosing
Starting Dose (Bipolar Mania) 50 mg BID (increase by 100-200 mg/day) 300 mg PO daily (can increase by 300 mg/day)
Target Dose (Bipolar Mania) 400-800 mg PO daily[5] 400-800 mg PO daily
Advantages May be more beneficial in acute mania and psychosis due to more sedating features Faster dose titration and less sedating.[6]
Disadvantages More sedating Lower side effect profile