Conclusion: This is, to our knowledge, the largest network meta-analysis of pharmacotherapy for bipolar depression to date. Olanzapine plus fluoxetine, quetiapine, olanzapine, lurasidone, lumateperone, cariprazine, and lamotrigine were found to be more efficacious than placebo in adults with acute bipolar depression, with good confidence in the evidence, and to differ in their side-effect profiles. These findings can inform evidence-based care and the development of treatment guidelines internationally.
Quetiapine side effects
Across 57 first-hand reports, people mentioned a side effect 20 times (about 35 per 100 reports). The most common: drowsiness, weight gain, fatigue. User reports show what people notice — they can't tell you whether Quetiapine is safe for you.
Reported side effects
drowsiness7
weight gain3
fatigue3
tolerance2
brain fog2
fast resting1
vasoconstriction1
panic1
In their own words
“it turned me into a complete fucking zombie with no emotional affect. I also gained 30 lbs in those 3 months.”
“Seroquel is fucked up, nearly killed me...Sorry to hear about your experience with Seroquel. It's worked pretty good for me.”
“I absolutely believe the quitiapene helps prevent me from tolerating my Adderall dose too much... However, it numbs the effect of Adderall overall”
“my seroquel stopped working and I had to go up on that, which is causing my appetite to come back and I'm starting to gain weight”
“Seroquel, which improved mood, but took away all motivation and made me very sleepy”
“Readily puts me to sleep at the cost of an extremely groggy morning; no impact on anxiety”
Is Quetiapine safe? What the research covers
AResearch: Strong468 meta-analyses · 524 randomized trials on PubMed
Lancet Psychiatry · 2023
Comparative efficacy and tolerability of pharmacological interventions for acute bipolar depression in adults: a systematic review and network meta-analysis