Quetiapine for primary insomnia: Consider the risks

Cleve Clin J Med. 2021 May 3;88(5):286-294. doi: 10.3949/ccjm.88a.20031.

Abstract

The second-generation antipsychotic drug quetiapine (Seroquel) is increasingly being used off-label for treating insomnia in the general population, possibly to avoid standard medications with known addictive qualities and adverse side effects. However, evidence to support using it in this way is scant, and quetiapine is associated with weight gain and other metabolic effects. It must be used cautiously and with appropriate monitoring for adverse effects and abuse.

Publication types

  • Review

MeSH terms

  • Antipsychotic Agents* / adverse effects
  • Humans
  • Quetiapine Fumarate / adverse effects
  • Sleep Initiation and Maintenance Disorders* / drug therapy

Substances

  • Antipsychotic Agents
  • Quetiapine Fumarate