How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask Dr. Z Your Own Question
Dr. Z
Dr. Z, Psychologist
Category: Mental Health
Satisfied Customers: 10566
Experience:  Psy.D. in Clinical Forensic Psychology with a background in treating severe mental illnesses.
74815544
Type Your Mental Health Question Here...
Dr. Z is online now
A new question is answered every 9 seconds

I am on 200mg Quetiapine and stress. My mental health worker

Customer Question

Hi I am on 200mg Quetiapine for anxiety and stress. My mental health worker has now increased it to 300mg to help with my current insomnia. Last night I took it and my body almost felt paralysed by the sedation and my hear was racingI couldn't get off to sleep. previous times I have increased the dosage by 50mg each time and I was able to sleep well until the sedation wears off.... Is it best to increase at 50mg? Is 100mg too big an increase?
Submitted: 11 months ago.
Category: Mental Health
Expert:  Dr. Z replied 11 months ago.

*This website DOES NOT constitute treatment and only provides information and advice in a Q&A format. For treatment (therapy and/or medications) you must go to a licensed professional in your area. Please note that anything said here is not private or confidential, as this is a public forum.

Hello and thank you for using JustAnswer. I am very sorry that you experienced these symptoms with the 300mg of the Quetiapine, I can understand how distressing this can be for you. While Quetiapine does have strong sedative and muscle relaxant properties, you should not want to feel paralyzed, so it sounds like the 300mg dose was too much for you and that it would be better to try 250mg to see how you react so that you can better adjust to the increased dose of the Quetiapine. Overall I do agree that you most likely did not respond well to the 100mg increased dose and that decreasing by 50mg to 250mg may be better suited for you.

Customer: replied 11 months ago.
Is it ok to cut the tablets in half as they are instant release not extended release?
Expert:  Dr. Z replied 11 months ago.

Yes you can cut the tablets in half if they are the immediate release form of the Quetiapine

Expert:  Dr. Z replied 11 months ago.

I hope this answers your question and gives you some guidance on this issue. Please let me know if you have any questions or concerns as I am happy to assist and support you regarding this issue.

*Please do not forget to leave a positive rating at the top of the page so that I can get credit for helping you. Thank you, ***** ***** appreciate it.