Managing Schizophrenia: Is Quetiapine Still Effective for Your Symptoms? - Psychiatry

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Medication for schizophrenia?


I have been taking quetiapine (fumarate) 250mg, but recently I have been experiencing constant daydreaming, talking to myself, and laughing with heightened emotions.
Is this a serious condition that requires a change in medication?

xin, 20~29 year old female. Ask Date: 2010/01/07

Dr. Dai Wanxiang reply Psychiatry


Hello, based on your description, if there are unusual thoughts and emotional changes, it is indeed necessary to assess whether the condition has worsened.
I recommend that you schedule a follow-up appointment with your physician to discuss this and determine if a medication adjustment is needed.

Reply Date: 2010/01/07

More Info


Managing schizophrenia can be a complex and nuanced process, particularly when it comes to medication like Quetiapine (fumarate). Quetiapine is an atypical antipsychotic commonly prescribed to manage symptoms of schizophrenia, including hallucinations, delusions, and mood disturbances. However, the effectiveness of this medication can vary significantly from person to person, and it is not uncommon for patients to experience fluctuations in their symptoms even while on a stable dose.

In your case, the emergence of new symptoms such as persistent fantasies, self-talk, and heightened emotional states (like excessive laughter) could indicate that your current dosage of Quetiapine is no longer adequately controlling your symptoms. This situation can arise for several reasons, including the development of tolerance to the medication, changes in your mental health condition, or even external stressors that may exacerbate your symptoms.

It is essential to recognize that experiencing these symptoms does not necessarily mean that your condition has worsened to a severe level; however, it does warrant a thorough evaluation by your healthcare provider. It is crucial to communicate openly with your psychiatrist about these changes. They may consider adjusting your medication dosage, switching to a different medication, or adding adjunctive therapies to better manage your symptoms.

When managing schizophrenia, it is also important to consider the role of therapy in conjunction with medication. Psychotherapy, such as cognitive behavioral therapy (CBT), can provide valuable coping strategies and support, helping you navigate the challenges of your condition. Engaging in therapeutic practices can enhance the effectiveness of medication and provide a more holistic approach to treatment.

If you are experiencing side effects or feel that your current treatment plan is not effective, do not hesitate to reach out to your healthcare provider. They can help assess your symptoms, review your medication regimen, and determine the best course of action. It is also worth noting that any changes to your medication should be made under the supervision of a qualified healthcare professional to ensure safety and efficacy.

In summary, while Quetiapine can be effective for many individuals with schizophrenia, it is not uncommon for patients to experience changes in their symptoms over time. If you find yourself struggling with new or worsening symptoms, it is vital to consult with your psychiatrist to explore potential adjustments to your treatment plan. Remember, managing schizophrenia is a collaborative process, and open communication with your healthcare team is key to finding the most effective strategies for your individual needs.

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