Quetiapine, an increasingly popular medication, has generated substantial discussion surrounding its classification as a controlled substance. As a widely prescribed drug for various psychiatric conditions, understanding its legal status and potential for abuse is critical for both patients and healthcare providers. 

Quetiapine: a brief overview

Quetiapine, marketed under the brand name Seroquel, is an atypical antipsychotic medication primarily prescribed for the treatment of various psychiatric conditions such as schizophrenia, bipolar disorder, and major depressive disorder. It helps balance specific neurotransmitters in the brain, like serotonin and dopamine, to improve mood, reduce anxiety, and alleviate symptoms of psychosis.

Is quetiapine a controlled substance?

In the US, the Drug Enforcement Administration (DEA) classifies drugs into different schedules based on their potential for abuse and medical uses. Controlled substances fall into one of five schedules (Schedule I to V), with Schedule I drugs having the highest potential for abuse and no accepted medical use, while Schedule V drugs have the lowest potential for abuse and accepted medical uses.

Quetiapine is not considered a controlled substance under the Controlled Substances Act in the US. It is a prescription medication, meaning that it can only be obtained with a valid prescription from a licensed healthcare provider. However, just because quetiapine is not a controlled substance does not mean it is without risks or potential for misuse.

Quetiapine misuse and abuse

Although quetiapine is not classified as a controlled substance, there have been reports of misuse and abuse. People may misuse quetiapine for various reasons, such as self-medicating for anxiety or depression, attempting to achieve a sedative or calming effect, or in some cases, seeking a euphoric high.

When taken at higher-than-prescribed doses, quetiapine can cause feelings of relaxation, drowsiness, and in some cases, a mild sense of euphoria. This has led to its recreational use and abuse, which can result in serious health risks and even death.

Common side effects of quetiapine misuse may include:

1. Drowsiness or sedation
2. Dizziness or lightheadedness
3. Increased heart rate
4. Low blood pressure
5. Weight gain
6. Dry mouth
7. Constipation

In severe cases, quetiapine misuse can lead to more serious health complications such as:

1. Heart problems or irregular heartbeat
2. Seizures
3. Prolonged QT interval (a heart rhythm disorder)
4. Tardive dyskinesia (involuntary muscle movements)
5. Neuroleptic malignant syndrome (a life-threatening neurological disorder)

It is crucial to take quetiapine only as prescribed by a healthcare professional and to avoid sharing the medication with others.

The role of healthcare providers in preventing misuse

Healthcare providers play a vital role in preventing the misuse of quetiapine. They are responsible for thoroughly assessing patients, providing accurate diagnoses, and prescribing the appropriate medications and dosages. Additionally, healthcare providers should educate patients on the proper use of quetiapine and the risks associated with misuse or abuse.

If you or someone you know is misusing quetiapine or any other prescription medication, it is essential to seek help from a healthcare professional or addiction specialist. Treatment options may include therapy, medication-assisted treatment, or inpatient rehabilitation programmes.

Takeaway

Quetiapine is not classified as a controlled substance under the Controlled Substances Act in the US. But this does not mean it is without risks or potential for misuse. While it is an effective medication for treating various psychiatric conditions, it is essential to use quetiapine only as prescribed by a healthcare professional to prevent potential abuse and associated health risks.

It is crucial to understand the importance of responsible use of quetiapine and other prescription medications. Misuse can lead to dangerous side effects, addiction, and even death. Healthcare providers must be vigilant in assessing patients, prescribing appropriate medications and dosages, and educating patients about the potential risks and proper use of their prescribed medications.

If you suspect that you or someone you know may be misusing quetiapine, it is essential to seek help from a healthcare professional or addiction specialist. Early intervention can prevent severe health complications and guide individuals on the path to recovery.

While quetiapine is not a controlled substance, it is still essential to be aware of its potential for misuse and the importance of taking the medication only as prescribed. By staying informed and using prescription medications responsibly, we can reduce the risks associated with misuse and ensure that these medications continue to serve as valuable tools in the treatment of psychiatric conditions.

David Radar, a psychology graduate from the University of Hertfordshire, has a keen interest in the fields of mental health, wellness, and lifestyle.