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Quetiapine
Overview
Active ingredients
Source: NDC Directory| Ingredient | Strength | RxCUI | Monograph |
|---|---|---|---|
| Quetiapine Fumarate | 150 mg/1 | 312743 | View |
| Quetiapine Fumarate | 200 mg/1 | 312743 | View |
| Quetiapine Fumarate | 300 mg/1 | 312743 | View |
| Quetiapine Fumarate | 400 mg/1 | 312743 | View |
| Quetiapine Fumarate | 50 mg/1 | 312743 | View |
Forms, strengths and routes
Source: NDC DirectoryPharmacologic classes are listed in the class section below.
Pharmacologic class
Source: NDC Directory| Class | Type | Browse |
|---|---|---|
| Atypical Antipsychotic [EPC] | EPC | All 62 members |
Regulatory status
Source: Drugs@FDANDC Directory| Product | Trade name | Form | Strength | Ingredient | Status | TE | Flags |
|---|---|---|---|---|---|---|---|
| 209635-001 | QUETIAPINE FUMARATE | TABLET, EXTENDED RELEASE | QUETIAPINE FUMARATE | Prescription | AB | ||
| 209635-002 | QUETIAPINE FUMARATE | TABLET, EXTENDED RELEASE | QUETIAPINE FUMARATE | Prescription | AB | ||
| 209635-003 | QUETIAPINE FUMARATE | TABLET, EXTENDED RELEASE | QUETIAPINE FUMARATE | Prescription | AB | ||
| 209635-004 | QUETIAPINE FUMARATE | TABLET, EXTENDED RELEASE | QUETIAPINE FUMARATE | Prescription | AB | ||
| 209635-005 | QUETIAPINE FUMARATE | TABLET, EXTENDED RELEASE | QUETIAPINE FUMARATE | Prescription | AB |
Therapeutic equivalence
Source: Orange BookWhat this rating means: Therapeutically equivalent — bioequivalence demonstrated by in vivo or in vitro testing
Codes beginning with “A” indicate products the FDA considers therapeutically equivalent. Codes beginning with “B” indicate bioequivalence has not been established. See methodology.
Approval history
Source: Drugs@FDA| Type | No. | Action | Status | Date | Review |
|---|---|---|---|---|---|
| Supplement | 13 | Labeling | Approved | May 11, 2023 | Standard |
| Supplement | 10 | Labeling | Approved | October 30, 2020 | Standard |
| Supplement | 9 | Labeling | Approved | October 30, 2020 | Standard |
| Supplement | 8 | Labeling | Approved | October 30, 2020 | Standard |
| Supplement | 6 | Labeling | Approved | January 27, 2020 | Standard |
| Supplement | 3 | Labeling | Approved | January 27, 2020 | Standard |
| Original application | 1 | Approved | November 29, 2017 | Standard |
Prescribing information
Source: openFDA Drug LabelingReproduced verbatim from the Structured Product Labeling submitted to the FDA (effective 20260716). This is the manufacturer's labelling text, not a summary and not advice.
Boxed Warning
openFDA Drug LabelingWARNING: INCREASED MORTALITY IN ELDERLY PATIENTS WITH DEMENTIA-RELATED PSYCHOSIS; and SUICIDAL THOUGHTS AND BEHAVIORS Increased Mortality in Elderly Patients with Dementia-Related Psychosis Elderly patients with dementia-related psychosis treated with antipsychotic drugs are at an increased risk of death [see Warnings and Precautions (5.1) ] . Quetiapine extended-release tablets are not approved for the treatment of patients with dementia-related psychosis [see Warnings and Precautions (5.1) ]. Suicidal Thoughts and Behavior Antidepressants increased the risk of suicidal thoughts and behavior in children, adolescents, and young adults in short-term studies. These studies did not show an increase in the risk of suicidal thoughts and behavior with antidepressant use in patients over age 24; there was a reduction in risk with antidepressant use in patients aged 65 and older [see Warnings and Precautions (5.2) ] . In patients of all ages who are started on antidepressant therapy, monitor closely for worsening, and for emergence of suicidal thoughts and behaviors. Advise families and caregivers of the need for close observation and communication with the prescriber [see Warnings and Precautions (5.2) ] Quetiapine extended-release tablets are not approved for use in pediatric patients under ten years of age [see Use in Specific Populations (8.4) ]. WARNING: INCREASED MORTALITY IN ELDERLY PATIENTS WITH DEMENTIA-RELATED PSYCHOSIS; and SUICIDAL THOUGHTS AND BEHAVIORS See full prescribing information for complete boxed warning. Increased Mortality in Elderly Patients with Dementia-Related Psychosis Elderly patients with dementia-related psychosis treated with antipsychotic drugs are at an increased risk of death. Quetiapine extended-release tablets are not approved for elderly patients with dementia-related psychosis. ( 5.1 ) Suicidal Thoughts and Behaviors Increased risk of suicidal thoughts and behavior in children, adolescents and young adults taking antidepressants. ( 5.2 ) Monitor for worsening and emergence of suicidal thoughts and behaviors. ( 5.2 )
Recent Major Changes
openFDA Drug Labeling---------------------------RECENT MAJOR CHANGES ------------- Warnings and Precautions (5.15) 1/2025
Indications and Usage
openFDA Drug Labeling1 INDICATIONS AND USAGE Quetiapine extended-release tablets is an atypical antipsychotic indicated for the treatment of: •Schizophrenia (1.1) •Bipolar I disorder, manic or mixed episodes (1.2) •Bipolar disorder, depressive episodes (1.2) •Major depressive disorder, adjunctive therapy with antidepressants (1.3) 1.1 Schizophrenia Quetiapine extended-release tablets is indicated for the treatment of schizophrenia. The efficacy of quetiapine extended-release tablets in schizophrenia was established in one 6-week and one maintenance trial in adults with schizophrenia. Efficacy was supported by three 6-week trials in adults with schizophrenia and one 6-week trial in adolescents with schizophrenia (13 to 17 years) treated with quetiapine tablets [see Clinical Studies (14.1) ]. 1.2 Bipolar Disorder Quetiapine extended-release tablets is indicated for the acute treatment of manic or mixed episodes associated with bipolar I disorder, both as monotherapy and as an adjunct to lithium or divalproex. The efficacy of quetiapine extended-release tablets in manic or mixed episodes of bipolar I disorder was established in one 3-week trial in adults with manic or mixed episodes associated with bipolar I disorder. Efficacy was supported by two 12-week monotherapy trials and one 3-week adjunctive trial in adults with manic episodes associated with bipolar I disorder as well as one 3-week monotherapy trial in children and adolescents (10 to 17 years) with manic episodes associated with bipolar I disorder treated with quetiapine tablets [see Clinical Studies (14.2) ]. Quetiapine extended-release tablets is indicated for the acute treatment of depressive episodes associated with bipolar disorder. The efficacy of quetiapine extended-release tablets was established in one 8-week trial in adults with bipolar I or II disorder and supported by two 8-week trials in adults with bipolar I or II disorder treated with quetiapine tablets [see Clinical Studies (14.2) ]. Quetiapine extended-release tablets is indicated for the maintenance treatment of bipolar I disorder, as an adjunct to lithium or divalproex. Efficacy was extrapolated from two maintenance trials in adults with bipolar I disorder treated with quetiapine tablets. The effectiveness of monotherapy for the maintenance treatment of bipolar I disorder has not been systematically evaluated in controlled clinical trials [see Clinical Studies (14.2) ]. 1.3 Adjunctive Treatment of Major Depressive Disorder (MDD) Quetiapine extended-release tablets is indicated for use as adjunctive therapy to antidepressants for the treatment of MDD. The efficacy of quetiapine extended-release tablets as adjunctive therapy to antidepressants in MDD was established in two 6-week trials in adults with MDD who had an inadequate response to antidepressant treatment [see Clinical Studies (14.3) ]. 1.4 Special Considerations in Treating Pediatric Schizophrenia and Bipolar I Disorder Pediatric schizophrenia and bipolar I disorder are serious mental disorders, however, diagnosis can be challenging. For pediatric schizophrenia, symptom profiles can be variable, and for bipolar I disorder, patients may have variable patterns of periodicity of manic or mixed symptoms. It is recommended that medication therapy for pediatric schizophrenia and bipolar I disorder be initiated only after a thorough diagnostic evaluation has been performed and careful consideration given to the risks associated with medication treatment. Medication treatment for both pediatric schizophrenia and bipolar I disorder is indicated as part of a total treatment program that often includes psychological, educational and social interventions.
1.1 Schizophrenia Quetiapine extended-release tablets is indicated for the treatment of schizophrenia. The efficacy of quetiapine extended-release tablets in schizophrenia was established in one 6-week and one maintenance trial in adults with schizophrenia. Efficacy was supported by three 6-week trials in adults with schizoph …
Dosage and Administration
openFDA Drug Labeling2 DOSAGE AND ADMINISTRATION • Swallow tablets whole and do not split, chew or crush ( 2.1 ) • Take without food or with a light meal (approx. 300 calories) ( 2.1 ) • Administer once daily, preferably in the evening ( 2.1 ) • Geriatric Use: Consider a lower starting dose (50 mg/day), slower titration, and careful monitoring during the initial dosing period in the elderly. ( 2.3 , 8.5 ) • Hepatic Impairment: Lower starting dose (50 mg/day) and slower titration may be needed ( 2.4 , 8.7 , 12.3 ) Indication Initial Dose Recommended Dose Maximum Dose Schizophrenia- Adults ( 2.2 ) 300 mg/day 400 to 800 mg/day 800 mg/day Schizophrenia-Adolescents (13 to 17 years) ( 2.2 ) 50 mg/day 400 to 800 mg/day 800 mg/day Bipolar I Disorder manic or mixed-Acute monotherapy or adjunct to lithium or divalproex-Adults ( 2.2 ) 300 mg/day 400 to 800 mg/day 800 mg/day Bipolar I Disorder, manic Acute monotherapy -Children and Adolescents (10 to 17 years) ( 2.2 ) 50 mg/day 400 to 600 mg/day 600 mg/day Bipolar Disorder, Depressive Episodes-Adults ( 2.2 ) 50 mg/day 300 mg/day 300 mg/day Major Depressive Disorder, Adjunctive Therapy with Antidepressants-Adults ( 2.2 ) 50 mg/day 150 to 300 mg/day 300 mg/day 2.1 Important Administration Instructions Quetiapine extended-release tablets USP should be swallowed whole and not split, chewed, or crushed. It is recommended that quetiapine extended-release tablet USP be taken without food or with a light meal (approximately 300 calories) [see CLINICAL PHARMACOLOGY ( 12.3 )]. Quetiapine extended-release tablet USP should be administered once daily, preferably in the evening. 2.2 Recommended Dosing The recommended initial dose, titration, dose range and maximum Quetiapine extended-release tablet USP dose for each approved indication is displayed in Table 1 below. After initial dosing, adjustments can be made upwards or downwards, if necessary, depending upon the clinical response and tolerability of the patient [see CLINICAL STUDIES ( 14.1 , 14.2 and 14.3 )]. Table 1: Recommended Dosing for Quetiapine extended-release tablet USP Indication Initial Dose and Titration Recommended Dose Maximum Dose Schizophrenia-Adults Day 1: 300 mg/day Dose increases can be made at intervals as short as 1 day and in increments of up to 300 mg/day 400 to 800 mg/day 800 mg/day Schizophrenia-Adolescents (13 to 17 years) Day 1: 50 mg/day Day 2: 100 mg/day Day 3: 200 mg/day Day 4: 300 mg/day Day 5: 400 mg/day 400 to 800 mg/day 800 mg/day Schizophrenia Maintenance-Monotherapy-Adults Not applicable 400 to 800 mg/day 800 mg/day Bipolar I Disorder manic or mixed-Acute monotherapy or adjunct to lithium or divalproex-Adults Day 1: 300 mg/day Day 2: 600 mg/day Day 3: between 400 and 800 mg/day 400 to 800 mg/day 800 mg/day Bipolar I Disorder, manic -Acute monotherapy -Children and Adolescents (10 to 17 years) Day 1: 50 mg/day Day 2: 100 mg/day Day 3: 200 mg/day Day 4: 300 mg/day Day 5: 400 mg/day 400 to 600 mg/day 600 mg/day Bipolar Disorder, Depressive Episodes-Adults Day 1: 50 mg/day Day 2: 100 mg/day Day 3: 200 mg/day Day 4: 300 mg/day 300 mg/day 300 mg/day Bipolar I Disorder Maintenance-Adjunct to lithium or divalproex-Adults Not applicable 400 to 800 mg/day 800 mg/day Major Depressive Disorder- Adjunctive Therapy with Antidepressants-Adults Day 1: 50 mg/day Day 2: 50 mg/day Day 3: 150 mg/day 150 to 300 mg/day 300 mg/day Maintenance Treatment for Schizophrenia and Bipolar I Disorder Maintenance Treatment: Patients should be periodically reassessed to determine the need for maintenance treatment and the appropriate dose for such treatment [see CLINICAL STUDIES ( 14.1 , 14.2 )]. 2.3 Dose Modifications in Elderly Patients Consideration should be given to a slower rate of dose titration and a lower target dose in the elderly and in patients who are debilitated or who have a predisposition to hypotensive reactions [see USE IN SPECIFIC POPULATIONS ( 8.5 , 8.7 ), and CLINICAL PHARMACOLOGY ( 12.3 )]. When indicated, dose escalation should be performed wi …
Dosage Forms and Strengths
openFDA Drug Labeling3 DOSAGE FORMS AND STRENGTHS • Quetiapine extended-release tablets USP, 50 mg are peach to red colored, capsule shaped, biconvex, film coated tablets debossed with "LU" on one side and "K71" on the other side. • Quetiapine extended-release tablets USP, 150 mg are white colored, capsule shaped, biconvex, film coated tablets debossed with "LU" on one side and "K72" on the other side. • Quetiapine extended-release tablets USP, 200 mg are yellow colored, capsule shaped, biconvex, film coated tablets debossed with "LU" on one side and "K73" on the other side. • Quetiapine extended-release tablets USP, 300 mg are pale yellow colored, capsule shaped, biconvex, film coated tablets debossed with "LU" on one side and "K74" on the other side. • Quetiapine extended-release tablets USP, 400 mg are white colored, capsule shaped, biconvex, film coated tablets debossed with "LU" on one side and "K75" on the other side. Extended-Release Tablets: 50 mg, 150 mg, 200 mg, 300 mg, and 400 mg ( 3 )
Contraindications
openFDA Drug Labeling4 CONTRAINDICATIONS Hypersensitivity to quetiapine or to any excipients in the quetiapine extended-release tablets formulation. Anaphylactic reactions have been reported in patients treated with quetiapine extended-release tablets. Known hypersensitivity to quetiapine extended-release tablets or any components in the formulation. ( 4 )
Warnings and Cautions
openFDA Drug Labeling5 WARNINGS AND PRECAUTIONS • Cerebrovascular Adverse Reactions: Increased incidence of cerebrovascular adverse reactions (e.g., stroke, transient ischemic attack) has been seen in elderly patients with dementia-related psychoses treated with atypical antipsychotic drugs (5.3) • Neuroleptic Malignant Syndrome (NMS): Manage with immediate discontinuation and close monitoring (5.4) • Metabolic Changes: Atypical antipsychotics have been associated with metabolic changes. These metabolic changes include hyperglycemia, dyslipidemia, and weight gain (5.5) • Hyperglycemia and Diabetes Mellitus: Monitor patients for symptoms of hyperglycemia including polydipsia, polyuria, polyphagia, and weakness. Monitor glucose regularly in patients with diabetes or at risk for diabetes • Dyslipidemia: Undesirable alterations have been observed in patients treated with atypical antipsychotics. Appropriate clinical monitoring is recommended, including fasting blood lipid testing at the beginning of, and periodically, during treatment • Weight Gain: Gain in body weight has been observed; clinical monitoring of weight is recommended • Tardive Dyskinesia: Discontinue if clinically appropriate (5.6) • Hypotension: Use with caution in patients with known cardiovascular or cerebrovascular disease (5.7) • Increased Blood Pressure in Children and Adolescents: Monitor blood pressure at the beginning of, and periodically during treatment in children and adolescents (5.9) • Leukopenia, Neutropenia and Agranulocytosis: Monitor complete blood count frequently during the first few months of treatment in patients with a pre-existing low white cell count or a history of leukopenia/neutropenia and discontinue quetiapine extended-release tablets at the first sign of a decline in WBC in absence of other causative factors (5.10) • Cataracts: Lens changes have been observed in patients during long-term quetiapine treatment. Lens examination is recommended when starting treatment and at 6-month intervals during chronic treatment (5.11) • Anticholinergic(antimuscarinic) Effects: Use with caution with other anticholinergic drugs and in patients with urinary retention, prostatic hypertrophy, or constipation (5.20) . 5.1 Increased Mortality in Elderly Patients with Dementia-Related Psychosis Elderly patients with dementia-related psychosis treated with antipsychotic drugs are at an increased risk of death. Analysis of 17 placebo-controlled trials (modal duration of 10 weeks), largely in patients taking atypical antipsychotic drugs, revealed a risk of death in drug-treated patients of between 1.6 to 1.7 times the risk of death in placebo-treated patients. Over the course of a typical 10-week controlled trial, the rate of death in drug-treated patients was about 4.5%, compared to a rate of about 2.6% in the placebo group. Although the causes of death were varied, most of the deaths appeared to be either cardiovascular (e.g., heart failure, sudden death) or infectious (e.g., pneumonia) in nature. Observational studies suggest that, similar to atypical antipsychotic drugs, treatment with conventional antipsychotic drugs may increase mortality. The extent to which the findings of increased mortality in observational studies may be attributed to the antipsychotic drug as opposed to some characteristic(s) of the patients is not clear. Quetiapine extended-release tablets are not approved for the treatment of patients with dementia-related psychosis [see Boxed Warning ]. 5.2 Suicidal Thoughts and Behaviors in Adolescents and Young Adults Patients with major depressive disorder (MDD), both adult and pediatric, may experience worsening of their depression and/or the emergence of suicidal ideation and behavior (suicidality) or unusual changes in behavior, whether or not they are taking antidepressant medications, and this risk may persist until significant remission occurs. Suicide is a known risk of depression and certain other psychiatric disorders, and these disorders themselves are t …
Adverse Reactions
openFDA Drug Labeling6 ADVERSE REACTIONS The following adverse reactions are discussed in more detail in other sections of the labeling: Increased mortality in elderly patients with dementia-related psychosis [see Warnings and Precautions (5.1) ] Suicidal thoughts and behaviors in adolescents and young adults [see Warnings and Precautions (5.2) ] Cerebrovascular adverse reactions, including stroke in elderly patients with dementia- related psychosis [see Warnings and Precautions (5.3) ] Neuroleptic Malignant Syndrome (NMS) [see Warnings and Precautions (5.4) ] Metabolic changes (hyperglycemia, dyslipidemia, weight gain) [see Warnings and Precautions (5.5) ] Tardive dyskinesia [see Warnings and Precautions (5.6) ] Hypotension [see Warnings and Precautions (5.7) ] Falls [see Warnings and Precautions (5.8) ] Increases in blood pressure (children and adolescents) [see Warnings and Precautions (5.9) ] Leukopenia, neutropenia and agranulocytosis [see Warnings and Precautions (5.10) ] Cataracts [see Warnings and Precautions (5.11) ] QT Prolongation [see Warnings and Precautions (5.12) ] Seizures [see Warnings and Precautions (5.13) ] Hypothyroidism [see Warnings and Precautions (5.14) ] Hyperprolactinemia [see Warnings and Precautions (5.15) ] Potential for cognitive and motor impairment [see Warnings and Precautions (5.16) ] Body temperature regulation [see Warnings and Precautions (5.17) ] Dysphagia [see Warnings and Precautions (5.18) ] Discontinuation Syndrome [see Warnings and Precautions (5.19) ] Anticholinergic (antimuscarinic) Effects [see Warnings and Precautions (5.20) ] Most common adverse reactions (incidence ≥5% and twice placebo): Adults: somnolence, dry mouth, constipation, dizziness, increased appetite, dyspepsia, weight gain, fatigue, dysarthria, and nasal congestion ( 6.1 ) Children and Adolescents: somnolence, dizziness, fatigue, increased appetite, nausea, vomiting, dry mouth, tachycardia, weight increased ( 6.1 ) To report SUSPECTED ADVERSE REACTIONS, contact ACI Healthcare USA, Inc. at 1-888-802-1213 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch 6.1 Clinical Studies Experience Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in clinical practice. Adults The information below is derived from a clinical trial database for quetiapine extended-release tablets consisting of approximately 3400 patients exposed to quetiapine extended-release tablets for the treatment of Schizophrenia, Bipolar Disorder, and Major Depressive Disorder in placebo- controlled trials. This experience corresponds to approximately 1020.1 patient-years. Adverse reactions were assessed by collecting adverse reactions, results of physical examinations, vital signs, body weights, laboratory analyses and ECG results. The stated frequencies of adverse reactions represent the proportion of individuals who experienced, at least once, an adverse reaction of the type listed. Adverse Reactions Associated with Discontinuation of Treatment in Short-Term, Placebo-Controlled Trials: Schizophrenia: There were no adverse reactions leading to discontinuation that occurred at an incidence of ≥ 2% for quetiapine extended-release tablets in schizophrenia trials. Bipolar I Disorder, Manic or Mixed Episodes: There were no adverse reactions leading to discontinuation that occurred at an incidence of ≥ 2% for quetiapine extended-release tablets in the bipolar mania trial. Bipolar Disorder, Depressive Episode: In a single clinical trial in patients with bipolar depression, 14% (19/137) of patients on quetiapine extended-release tablets discontinued due to an adverse reaction compared to 4% (5/140) on placebo. Somnolence 1 was the only adverse reaction leading to discontinuation that occurred at an incidence of ≥ 2% in quetiapine extended- release tablets in the bipolar depression trial. M …
Drug Interactions
openFDA Drug Labeling7 DRUG INTERACTIONS • Concomitant use of strong CYP3A4 inhibitors: Reduce quetiapine dose to one sixth when coadministered with strong CYP3A4 inhibitors (e.g., ketoconazole, ritonavir) ( 2.5 , 7.1 , 12.3 ) • Concomitant use of strong CYP3A4 inducers: Increase quetiapine dose up to 5 fold when used in combination with a chronic treatment (more than 7 to 14 days) of potent CYP3A4 inducers (e.g. phenytoin, rifampin, St. John's wort) ( 2.6 , 7.1 , 12.3 ) • Discontinuation of strong CYP3A4 inducers: Reduce quetiapine dose by 5 fold within 7 to 14 days of discontinuation of CYP3A4 inducers ( 2.6 , 7.1 , 12.3 ) 7.1 Effect of Other Drugs on Quetiapine The risks of using quetiapine extended-release tablet in combination with other drugs have not been extensively evaluated in systematic studies. Given the primary CNS effects of quetiapine extended-release tablet, caution should be used when it is taken in combination with other centrally acting drugs. Quetiapine potentiated the cognitive and motor effects of alcohol in a clinical trial in subjects with selected psychotic disorders, and alcoholic beverages should be limited while taking quetiapine. Quetiapine exposure is increased by the prototype CYP3A4 inhibitors (e.g., ketoconazole, itraconazole, indinavir, ritonavir, nefazodone, etc.) and decreased by the prototype of CYP3A4 inducers (e.g., phenytoin, carbamazepine, rifampin, avasimibe, St. John's wort etc.). Dose adjustment of quetiapine will be necessary if it is co-administered with potent CYP3A4 inducers or inhibitors. CYP3A4 inhibitors Coadministration of ketoconazole, a potent inhibitor of cytochrome CYP3A4, resulted in significant increase in quetiapine exposure. The dose should be reduced to one sixth of the original dose in patients coadministered with a strong CYP3A4 inhibitor [see DOSAGE AND ADMINISTRATION ( 2.5 ) and CLINICAL PHARMACOLOGY ( 12.3 )]. CYP3A4 inducers Coadministration of quetiapine and phenytoin, a CYP3A4 inducer increased the mean oral clearance of quetiapine by 5-fold. Increased doses of quetiapine extended-release tablet up to 5 fold may be required to maintain control of symptoms of schizophrenia in patients receiving quetiapine and phenytoin, or other known potent CYP3A4 inducers [see DOSAGE AND ADMINISTRATION ( 2.6 ) and CLINICAL PHARMACOLOGY ( 12.3 )]. When the CYP3A4 inducer is discontinued, the dose of quetiapine extended-release tablet should be reduced to the original level within 7 to 14 days [see DOSAGE AND ADMINISTRATION ( 2.6 )]. Anticholinergic Drugs Concomitant treatment with quetiapine and other drugs with anticholinergic activity can increase the risk for severe gastrointestinal adverse reactions related to hypomotility. SEROQUEL should be used with caution in patients receiving medications having anticholinergic (antimuscarinic) effects [ see WARNINGS AND PRECAUTIONS ( 5.20 )]. The potential effects of several concomitant medications on quetiapine pharmacokinetics were studied studied [see CLINICAL PHARMACOLOGY ( 12.3 ) ]. 7.2 Effect of Quetiapine on Other Drugs Because of its potential for inducing hypotension, quetiapine extended-release tablet may enhance the effects of certain antihypertensive agents. Quetiapine extended-release tablet may antagonize the effects of levodopa and dopamine agonists. There are no clinically relevant pharmacokinetic interactions of SEROQUEL on other drugs based on the CYP pathway. SEROQUEL and its metabolites are non-inhibitors of major metabolizing CYP's (1A2, 2C9, 2C19, 2D6 and 3A4).
Use in Specific Populations
openFDA Drug Labeling8 USE IN SPECIFIC POPULATIONS Pregnancy: May cause extrapyramidal and/or withdrawal symptoms in neonates with third trimester exposure. ( 8.1 ) 8.1 Pregnancy Pregnancy Exposure Registry There is a pregnancy exposure registry that monitors pregnancy outcomes in women exposed to atypical antipsychotics, including quetiapine extended-release tablet, during pregnancy. Healthcare providers are encouraged to register patients by contacting the National Pregnancy Registry for Atypical Antipsychotics at 1-866-961-2388 or online at http://womensmentalhealth.org/clinical-and-research-programs/pregnancyregistry/. Risk Summary Neonates exposed to antipsychotic drugs, including quetiapine extended-release tablet, during the third trimester are at risk for extrapyramidal and/or withdrawal symptoms following delivery (see CLINICAL CONSIDERATIONS). Overall available data from published epidemiologic studies of pregnant women exposed to quetiapine have not established a drug-associated risk of major birth defects, miscarriage, or adverse maternal or fetal outcomes (see Data). There are risks to the mother associated with untreated schizophrenia, bipolar I, or major depressive disorder, and with exposure to antipsychotics, including, quetiapine extended-release tablet during pregnancy (see CLINICAL CONSIDERATIONS). In animal studies, embryo-fetal toxicity occurred including delays in skeletal ossification at approximately 1 and 2 times the maximum recommended human dose (MRHD) of 800 mg/day in both rats and rabbits, and an increased incidence of carpal/tarsal flexure (minor soft tissue anomaly) in rabbit fetuses at approximately 2 times the MRHD. In addition, fetal weights were decreased in both species. Maternal toxicity (observed as decreased body weights and/or death) occurred at 2 times the MRHD in rats and approximately 1 to 2 times the MRHD in rabbits. The estimated background risk of major birth defects and miscarriage for the indicated populations is unknown. All pregnancies have a background risk of birth defect, loss, or other adverse outcomes. In the U.S. general population, the estimated background risk of major birth defects and miscarriage in clinically recognized pregnancies is 2 to 4% and 15 to 20%, respectively. Clinical Considerations Disease-associated maternal and/or fetal risk: There is a risk to the mother from untreated schizophrenia, or bipolar I disorder, including increased risk of relapse, hospitalization, and suicide. Schizophrenia and bipolar I disorder are associated with increased adverse perinatal outcomes, including preterm birth. It is not known if this is a direct result of the illness or other comorbid factors. A prospective, longitudinal study followed 201 pregnant women with a history of major depressive disorder who were euthymic and taking antidepressants at the beginning of pregnancy. The women who discontinued antidepressants during pregnancy were more likely to experience a relapse of major depression than women who continued antidepressants. Consider the risk of untreated depression when discontinuing or changing treatment with antidepressant medication during pregnancy and postpartum. Fetal/neonatal adverse reactions: Extrapyramidal and/or withdrawal symptoms, including agitation, hypertonia, hypotonia, tremor, somnolence, respiratory distress, and feeding disorder have been reported in neonates who were exposed to antipsychotic drugs, including quetiapine extended-release tablet, during the third trimester of pregnancy. These symptoms varied in severity. Monitor neonates for extrapyramidal and/or withdrawal symptoms and manage symptoms appropriately. Some neonates recovered within hours or days without specific treatment; others required prolonged hospitalization. Data Human Data: Published data from observational studies, birth registries, and case reports on the use of atypical antipsychotics during pregnancy do not report a clear association with antipsychotics and major birth defects. A retrospe …
Mechanism of Action
openFDA Drug Labeling12.1 Mechanism of Action The mechanism of action of quetiapine extended-release tablet in the listed indications is unclear. However, the efficacy of quetiapine in these indications could be mediated through a combination of dopamine type 2 (D 2 ) and serotonin type 2A (5HT 2A ) antagonism. The active metabolite, N-desalkyl quetiapine (norquetiapine), has similar activity at D 2 , but greater activity at 5HT 2A receptors, than the parent drug (quetiapine).
Description
openFDA Drug Labeling11 DESCRIPTION Quetiapine extended-release tablets are an atypical antipsychotic belonging to a chemical class, the dibenzothiazepine derivatives. The chemical designation is 2-[2-(4-dibenzo [ b,f ] [1,4] thiazepin-11-yl-1-piperazinyl)ethoxy]-ethanol fumarate (2:1) (salt). It is present in tablets as the fumarate salt. All doses and tablet strengths are expressed as milligrams of base, not as fumarate salt. Its molecular formula is C 42 H 50 N 6 O 4 S 2 •C 4 H 4 O 4 and it has a molecular weight of 883.11 (fumarate salt). The structural formula is: Quetiapine fumarate, USP is a white to off-white crystalline powder which is soluble in 0.1N hydrochloric acid, slightly soluble in water, in alcohol, and in methanol. Quetiapine extended-release tablets,USP are supplied for oral administration as 50 mg (peach), 150 mg (white), 200 mg (yellow), 300 mg (pale yellow), and 400 mg (white). All tablets are capsule shaped and film coated. Inactive ingredients for quetiapine extended-release tablets are lactose monohydrate, microcrystalline cellulose, sodium citrate dihydrate, hypromellose, and magnesium stearate. The film coating for all quetiapine extended-release tablets, USP contain hypromellose, polyethylene glycol 400 and titanium dioxide. In addition, yellow iron oxide (50 mg, 200 mg and 300 mg tablets) and red iron oxide (50 mg tablets) are included in the film coating of specific strengths. Each 50 mg tablet contains 57.56 mg of quetiapine fumarate equivalent to 50 mg quetiapine. Each 150 mg tablet contains 172.7 mg of quetiapine fumarate equivalent to 150 mg quetiapine. Each 200 mg tablet contains 230.26 mg of quetiapine fumarate equivalent to 200 mg quetiapine. Each 300 mg tablet contains 345.38 mg of quetiapine fumarate equivalent to 300 mg quetiapine. Each 400 mg tablet contains 460.5 mg of quetiapine fumarate equivalent to 400 mg quetiapine. FDA approved dissolution test specifications differ from USP. structural formula
Overdosage
openFDA Drug Labeling10 OVERDOSAGE 10.1 Human Experience In clinical trials, survival has been reported in acute overdoses of up to 30 grams of quetiapine. Most patients who overdosed experienced no adverse reactions or recovered fully from the reported events. Death has been reported in a clinical trial following an overdose of 13.6 grams of quetiapine alone. In general, reported signs and symptoms were those resulting from an exaggeration of the drug’s known pharmacological effects, i.e., drowsiness, sedation, tachycardia, hypotension, and anticholinergic toxicity including coma and delirium. Patients with pre-existing severe cardiovascular disease may be at an increased risk of the effects of overdose [see Warnings and Precautions (5.12) ]. One case, involving an estimated overdose of 9,600 mg, was associated with hypokalemia and first degree heart block. In post-marketing experience, there were cases reported of QT prolongation with overdose. 10.2 Management of Overdosage Establish and maintain an airway and ensure adequate oxygenation and ventilation. Cardiovascular monitoring should commence immediately and should include continuous electrocardiographic monitoring to detect possible arrhythmias. Appropriate supportive measures are the mainstay of management. For the most up-to-date information on the management of quetiapine extended-release tablets overdosage, contact a certified Regional Poison Control Center (1-800-222-1222). Quetiapine extended-release tablets overdose may lead to gastric bezoar formation and appropriate diagnostic imaging is recommended to further guide patient management. Routine gastric lavage may not be effective in the removal of the bezoar due to gum like sticky consistency of the mass. Endoscopic pharmacobezoar removal has been performed successfully.
How Supplied / Storage and Handling
openFDA Drug Labeling16 HOW SUPPLIED/STORAGE AND HANDLING • Quetiapine extended-release tablets USP, 50 mg are peach to red colored, capsule shaped, biconvex, film coated tablets debossed with "LU" on one side and "K71" on the other side - Cartons of 100 film coated extended-release tablets (10 film coated extended-release tablets each blister pack x 10), NDC 0904-6801-61 • Quetiapine extended-release tablets USP, 150 mg are white colored, capsule shaped, biconvex, film coated tablets debossed with "LU" on one side and "K72" on the other side - Cartons of 100 film coated extended-release tablets (10 film coated extended-release tablets each blister pack x 10), NDC 0904-6802-61 • Quetiapine extended-release tablets USP, 200 mg are yellow colored, capsule shaped, biconvex, film coated tablets debossed with "LU" on one side and "K73" on the other side - Cartons of 100 film coated extended-release tablets (10 film coated extended-release tablets each blister pack x 10), NDC 0904-6803-61 • Quetiapine extended-release tablets USP, 300 mg are pale yellow colored, capsule shaped, biconvex, film coated tablets debossed with "LU" on one side and "K74" on the other side - Cartons of 100 film coated extended-release tablets (10 film coated extended-release tablets each blister pack x 10), NDC 0904-6804-61 • Quetiapine extended-release tablets USP, 400 mg are white colored, capsule shaped, biconvex, film coated tablets debossed with "LU" on one side and "K75" on the other side - Cartons of 100 film coated extended-release tablets (10 film coated extended-release tablets each blister pack x 10), NDC 0904-6805-61 WARNING: These Unit Dose packages are not child resistant and are Intended for Institutional Use Only. Keep this and all drugs out of the reach of children. Store quetiapine extended-release tablets USP at 25oC (77oF); excursions permitted to 15 to 30oC (59 to 86oF) [see USP Controlled Room Temperature].
Adverse event reports
Source: openFDA FAERSAttributed to this product's most-reported active ingredient: QUETIAPINE FUMARATE. Combination products with more than six active ingredients are not attributed, because a report count summed across a long ingredient list measures the list, not the medicine.
Recalls
Source: FDA Enforcement| Classification | Reported | Firm | Reason | Status |
|---|---|---|---|---|
| Class III | March 18, 2020 | The Harvard Drug Group | Labeling; Incorrect or Missing Package Insert: Product was packaged with the package insert for Quetiapine Fumarate Tablets not Quetiapine Fumarate Extended-Release Tablets. | Terminated |
| Class III | March 18, 2020 | The Harvard Drug Group | Labeling; Incorrect or Missing Package Insert: Product was packaged with the package insert for Quetiapine Fumarate Tablets not Quetiapine Fumarate Extended-Release Tablets. | Terminated |
| Class III | March 18, 2020 | The Harvard Drug Group | Labeling; Incorrect or Missing Package Insert: Product was packaged with the package insert for Quetiapine Fumarate Tablets not Quetiapine Fumarate Extended-Release Tablets. | Terminated |
| Class III | March 18, 2020 | The Harvard Drug Group | Labeling; Incorrect or Missing Package Insert: Product was packaged with the package insert for Quetiapine Fumarate Tablets not Quetiapine Fumarate Extended-Release Tablets. | Terminated |
Packaging and NDCs
Source: NDC Directory| Package NDC | Product NDC | Labeler | Description | Marketing start |
|---|---|---|---|---|
| 71093-135-02 | 71093-135 | ACI Healthcare USA, Inc. | 60 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (71093-135-02) | January 30, 2019 |
| 71093-136-02 | 71093-136 | ACI Healthcare USA, Inc. | 60 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (71093-136-02) | February 1, 2018 |
| 71093-137-02 | 71093-137 | ACI Healthcare USA, Inc. | 60 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (71093-137-02) | February 1, 2018 |
| 71093-138-02 | 71093-138 | ACI Healthcare USA, Inc. | 60 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (71093-138-02) | February 1, 2018 |
| 71093-139-02 | 71093-139 | ACI Healthcare USA, Inc. | 60 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (71093-139-02) | February 1, 2018 |
| 69948-002-03 | 69948-002 | AlignScience Pharma Inc. | 60 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (69948-002-03) | December 30, 2025 |
| 69948-002-11 | 69948-002 | AlignScience Pharma Inc. | 500 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (69948-002-11) | December 30, 2025 |
| 69948-003-03 | 69948-003 | AlignScience Pharma Inc. | 60 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (69948-003-03) | December 31, 2020 |
| 69948-003-11 | 69948-003 | AlignScience Pharma Inc. | 500 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (69948-003-11) | December 29, 2025 |
| 51407-799-60 | 51407-799 | Golden State Medical Supply, Inc. | 60 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (51407-799-60) | September 7, 2023 |
| 51407-800-60 | 51407-800 | Golden State Medical Supply, Inc. | 60 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (51407-800-60) | September 7, 2023 |
| 51407-801-60 | 51407-801 | Golden State Medical Supply, Inc. | 60 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (51407-801-60) | September 7, 2023 |
| 51407-802-60 | 51407-802 | Golden State Medical Supply, Inc. | 60 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (51407-802-60) | September 7, 2023 |
| 51407-803-60 | 51407-803 | Golden State Medical Supply, Inc. | 60 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (51407-803-60) | September 7, 2023 |
| 68180-612-07 | 68180-612 | Lupin Pharmaceuticals, Inc. | 60 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (68180-612-07) | August 22, 2017 |
| 68180-613-07 | 68180-613 | Lupin Pharmaceuticals, Inc. | 60 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (68180-613-07) | August 22, 2017 |
| 68180-614-07 | 68180-614 | Lupin Pharmaceuticals, Inc. | 60 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (68180-614-07) | August 22, 2017 |
| 68180-615-07 | 68180-615 | Lupin Pharmaceuticals, Inc. | 60 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (68180-615-07) | August 22, 2017 |
| 68180-616-07 | 68180-616 | Lupin Pharmaceuticals, Inc. | 60 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (68180-616-07) | August 22, 2017 |
| 0904-6801-61 | 0904-6801 | Major Pharmaceuticals | 100 BLISTER PACK in 1 CARTON (0904-6801-61) / 1 TABLET, FILM COATED, EXTENDED RELEASE in 1 BLISTER PACK | August 22, 2017 |
| 0904-6802-61 | 0904-6802 | Major Pharmaceuticals | 100 BLISTER PACK in 1 CARTON (0904-6802-61) / 1 TABLET, FILM COATED, EXTENDED RELEASE in 1 BLISTER PACK | August 22, 2017 |
| 0904-6803-61 | 0904-6803 | Major Pharmaceuticals | 100 BLISTER PACK in 1 CARTON (0904-6803-61) / 1 TABLET, FILM COATED, EXTENDED RELEASE in 1 BLISTER PACK | August 22, 2017 |
| 0904-6804-61 | 0904-6804 | Major Pharmaceuticals | 100 BLISTER PACK in 1 CARTON (0904-6804-61) / 1 TABLET, FILM COATED, EXTENDED RELEASE in 1 BLISTER PACK | August 22, 2017 |
| 0904-6805-61 | 0904-6805 | Major Pharmaceuticals | 100 BLISTER PACK in 1 CARTON (0904-6805-61) / 1 TABLET, FILM COATED, EXTENDED RELEASE in 1 BLISTER PACK | August 22, 2017 |
| 68071-3921-6 | 68071-3921 | NuCare Pharmaceuticals, Inc. | 60 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (68071-3921-6) | December 1, 2025 |
| 70518-4051-0 | 70518-4051 | REMEDYREPACK INC. | 30 TABLET, FILM COATED, EXTENDED RELEASE in 1 BLISTER PACK (70518-4051-0) | April 13, 2024 |
| 60760-866-30 | 60760-866 | ST. MARY'S MEDICAL PARK PHARMACY | 30 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE, PLASTIC (60760-866-30) | May 19, 2025 |
| 50228-380-10 | 50228-380 | ScieGen Pharmaceuticals, Inc | 1000 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (50228-380-10) | November 16, 2018 |
| 50228-380-30 | 50228-380 | ScieGen Pharmaceuticals, Inc | 30 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (50228-380-30) | November 16, 2018 |
| 50228-380-60 | 50228-380 | ScieGen Pharmaceuticals, Inc | 60 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (50228-380-60) | November 16, 2018 |
| 50228-381-10 | 50228-381 | ScieGen Pharmaceuticals, Inc | 1000 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (50228-381-10) | November 29, 2017 |
| 50228-381-30 | 50228-381 | ScieGen Pharmaceuticals, Inc | 30 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (50228-381-30) | November 29, 2017 |
| 50228-381-60 | 50228-381 | ScieGen Pharmaceuticals, Inc | 60 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (50228-381-60) | November 29, 2017 |
| 50228-382-10 | 50228-382 | ScieGen Pharmaceuticals, Inc | 1000 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (50228-382-10) | November 29, 2017 |
| 50228-382-30 | 50228-382 | ScieGen Pharmaceuticals, Inc | 30 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (50228-382-30) | November 29, 2017 |
| 50228-382-60 | 50228-382 | ScieGen Pharmaceuticals, Inc | 60 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (50228-382-60) | November 29, 2017 |
| 50228-383-05 | 50228-383 | ScieGen Pharmaceuticals, Inc | 500 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (50228-383-05) | November 29, 2017 |
| 50228-383-30 | 50228-383 | ScieGen Pharmaceuticals, Inc | 30 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (50228-383-30) | November 29, 2017 |
| 50228-383-60 | 50228-383 | ScieGen Pharmaceuticals, Inc | 60 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (50228-383-60) | November 29, 2017 |
| 50228-384-05 | 50228-384 | ScieGen Pharmaceuticals, Inc | 500 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (50228-384-05) | November 29, 2017 |
| 50228-384-30 | 50228-384 | ScieGen Pharmaceuticals, Inc | 30 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (50228-384-30) | November 29, 2017 |
| 50228-384-60 | 50228-384 | ScieGen Pharmaceuticals, Inc | 60 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (50228-384-60) | November 29, 2017 |
| 71093-135 | 71093-135 | ACI Healthcare USA, Inc. | — | November 29, 2017 |
| 71093-136 | 71093-136 | ACI Healthcare USA, Inc. | — | November 29, 2017 |
| 71093-137 | 71093-137 | ACI Healthcare USA, Inc. | — | November 29, 2017 |
| 71093-138 | 71093-138 | ACI Healthcare USA, Inc. | — | November 29, 2017 |
| 71093-139 | 71093-139 | ACI Healthcare USA, Inc. | — | November 29, 2017 |
| 69948-002 | 69948-002 | AlignScience Pharma Inc. | — | December 31, 2020 |
| 69948-003 | 69948-003 | AlignScience Pharma Inc. | — | December 31, 2020 |
| 51407-799 | 51407-799 | Golden State Medical Supply, Inc. | — | November 16, 2018 |
| 51407-800 | 51407-800 | Golden State Medical Supply, Inc. | — | November 29, 2017 |
| 51407-801 | 51407-801 | Golden State Medical Supply, Inc. | — | November 29, 2017 |
| 51407-802 | 51407-802 | Golden State Medical Supply, Inc. | — | November 29, 2017 |
| 51407-803 | 51407-803 | Golden State Medical Supply, Inc. | — | November 29, 2017 |
| 68180-612 | 68180-612 | Lupin Pharmaceuticals, Inc. | — | August 22, 2017 |
| 68180-613 | 68180-613 | Lupin Pharmaceuticals, Inc. | — | August 22, 2017 |
| 68180-614 | 68180-614 | Lupin Pharmaceuticals, Inc. | — | August 22, 2017 |
| 68180-615 | 68180-615 | Lupin Pharmaceuticals, Inc. | — | August 22, 2017 |
| 68180-616 | 68180-616 | Lupin Pharmaceuticals, Inc. | — | August 22, 2017 |
| 0904-6801 | 0904-6801 | Major Pharmaceuticals | — | August 22, 2017 |
| 0904-6802 | 0904-6802 | Major Pharmaceuticals | — | August 22, 2017 |
| 0904-6803 | 0904-6803 | Major Pharmaceuticals | — | August 22, 2017 |
| 0904-6804 | 0904-6804 | Major Pharmaceuticals | — | August 22, 2017 |
| 0904-6805 | 0904-6805 | Major Pharmaceuticals | — | August 22, 2017 |
| 68071-3921 | 68071-3921 | NuCare Pharmaceuticals, Inc. | — | November 29, 2017 |
| 70518-4051 | 70518-4051 | REMEDYREPACK INC. | — | April 13, 2024 |
| 60760-866 | 60760-866 | ST. MARY'S MEDICAL PARK PHARMACY | — | November 29, 2017 |
| 50228-380 | 50228-380 | ScieGen Pharmaceuticals, Inc | — | November 29, 2017 |
| 50228-381 | 50228-381 | ScieGen Pharmaceuticals, Inc | — | November 29, 2017 |
| 50228-382 | 50228-382 | ScieGen Pharmaceuticals, Inc | — | November 29, 2017 |
| 50228-383 | 50228-383 | ScieGen Pharmaceuticals, Inc | — | November 29, 2017 |
| 50228-384 | 50228-384 | ScieGen Pharmaceuticals, Inc | — | November 29, 2017 |
Sources for this page
| Dataset | Agency | Used for |
|---|---|---|
| NDC Directory | FDA | Identity, ingredients, strengths, forms, routes, labelers, packages |
| Drugs@FDA | FDA | Application, sponsor, submissions, review documents, marketing status |
| Orange Book | FDA | Therapeutic equivalence codes, reference drug flags, patents, exclusivity |
| Drug Labeling | FDA / NLM | Prescribing information reproduced above |
| FAERS | FDA | Adverse event report counts |
| Enforcement | FDA | Recall records |
Generated September 25, 2026 · 13 sections on this page.