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Dr. Z
Dr. Z, Psychologist
Category: Mental Health
Satisfied Customers: 10643
Experience:  Psy.D. in Clinical Forensic Psychology with a background in treating severe mental illnesses.
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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: 1 year ago.
Category: Mental Health
Expert:  Dr. Z replied 1 year 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 1 year ago.
Is it ok to cut the tablets in half as they are instant release not extended release?
Expert:  Dr. Z replied 1 year ago.

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

Expert:  Dr. Z replied 1 year 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.

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