Talk to your doctor before taking QTRIPIL SR 200MG, if you:

• are allergic to Quetiapine or to any of the other ingredients of this medicine
• have heart problems
• have low blood pressure
• had a stroke or fits (seizure)
• have liver problems
• have a history of blood clots
• have diabetes
• are an elderly person with dementia (loss of brain function)
• have or have had a condition called ‘sleep apnoea’where you stop breathing for short periods during your normal nightly sleep
• have a condition where you cannot completely empty your bladder (urinary retention)
• have eye problem
• have a history of problems with alcohol or drug use
• have a long-lasting and painful erection (priapism)
• have thoughts of suicide and worsening of your depression

• You should not take QTRIPIL SR 200MG during pregnancy unless this has been discussed with your doctor
• It should not be taken if you are breast-feeding

• QTRIPIL SR 200MG is not for use in children and adolescents below 18 years of age

• It may make you feel sleepy
• Do not drive or use any tools or machines until you know how the tablets affect you

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• rapid heartbeat
• constipation, stomach upset (indigestion)
• swelling of arms or legs
• low blood pressure when standing up. this may make you feel dizzy or faint (may lead to falls)
• increased levels of sugar in the blood
• blurred vision
• abnormal dreams and nightmares
• feeling more hungry
• feeling irritated
• disturbance in speech and language
• thoughts of suicide and worsening of your depression.
• shortness of breath
• vomiting (mainly in the elderly)
• changes in the amount of thyroid hormones in your blood
• decreases in the number of certain types of blood cells
• increases in the amount of liver enzymes measured in the blood
• increases in the amount of the hormone prolactin in the blood.
• irregular periods
• feeling weak, fainting (may lead to falls)
• stuffy nose
• dizziness (may lead to falls), headache, dry mouth
• feeling sleepy
• withdrawal symptoms include not being able to sleep, feeling sick, headache, diarrhoea, being sick, dizziness, and irritability. gradual withdrawal over a period of at least 1 to 2 weeks is advisable
• abnormal muscle movements
• changes in the amount of certain fats (triglycerides and total cholesterol)
• weight gain

• fits or seizures
• unpleasant sensations in the legs (also called restless legs syndrome)
• difficulty in swallowing
• uncontrollable movements, mainly of your face or tongue
• sexual dysfunction
• difficulty in passing urine
• stuffy nose
• decrease in the amount of red blood cells
• decrease in the amount of sodium in the blood
• worsening of pre-existing diabetes

• yellowing of the skin and eyes (jaundice), inflammation of the liver (hepatitis)
• a long-lasting and painful erection (priapism)
• swelling of breasts and unexpected production of breast milk (galactorrhoea)
• menstrual disorder
• blood clots in the veins especially in the legs (symptoms include swelling, pain and redness in the leg), which may travel through blood vessels to the lungs causing chest pain and difficulty in breathing
• walking, talking, eating or other activities while you are asleep
• decreased body temperature
• inflammation of the pancreas
• a condition (called “metabolic syndrome”) where you may have a combination of 3 or more of the following: an increase in fat around your abdomen, a decrease in “good cholesterol” (hdl-c), an increase in a type of fat in your blood called triglycerides, high blood pressure and an increase in your blood sugar
• bowel obstruction
• increased blood creatine phosphokinase (a substance from the muscles)

• severe rash, blisters, or red patches on the skin
• difficulty in breathing
• rapid swelling of the skin, usually around the eyes, lips and throat (angioedema)
• a serious blistering condition of the skin, mouth, eyes and genitals
• inappropriate secretion of a hormone that controls urine volume
• breakdown of muscle fibers and pain in muscles (rhabdomyolysis)

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• Keep this medicine out of reach of children
• Do not use this medicine after the expiry date
• Store at room temperature (15-25ºC)