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Seroquel vs. Chlorpromazine

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Quetiapine (Seroquel) and chlorpromazine are both antipsychotic medications, but they belong to different classes. Quetiapine is an atypical antipsychotic, while chlorpromazine is a first-generation (typical) antipsychotic. Quetiapine is used to treat schizophrenia, bipolar disorder, and depression, whereas chlorpromazine has a broader range of uses, including managing schizophrenia, nausea and vomiting, and even hiccups that won't go away. Quetiapine is available in both immediate-release and extended-release tablets, while chlorpromazine is available as tablets or as an injection. Quetiapine is less likely to cause uncontrolled body movements, whereas chlorpromazine is more likely to cause sleepiness. Both medications can cause weight gain and should be used cautiously in older adults with dementia-related psychosis due to an increased risk of death. Additionally, both medications are available as low-cost generics.

Quetiapine

(Seroquel)

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Chlorpromazine

 

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Summary for Seroquel

Prescription only

Quetiapine (Seroquel) is an atypical antipsychotic. It's used to treat mental health problems like schizophrenia and bipolar disorder. This medication comes as an immediate-release tablet (Seroquel) that's taken by mouth usually twice a day. There's also an extended-release tablet (Seroquel XR) that's taken once a day. The specific dosage depends on how well it's helping your mood, thoughts, and behaviors. Side effects can include sleepiness, headache, and possible weight gain. There are brand-name and generic versions of this medication.

Indications for Seroquel

Pros and Cons for Seroquel

Pros

  • Taken by mouth
  • Might notice an improvement in your symptoms in as early as a week of starting the medication
  • Available in both short-acting and long-acting tablets

Cons

  • Might cause weight gain
  • Can raise your blood sugar and cholesterol levels
  • Not recommended for older adults who have dementia-related psychosis

Common Side Effects for Seroquel

Immediate-release tablets:

  • Headache (21%)
  • Agitation (20%)
  • Sleepiness (18%)
  • Dizziness (11%)
  • Dry mouth (9%)
  • Constipation (8%)
  • Pain (7%)
  • Fast heart rate (6%)
  • Vomiting (6%)

Extended-release tablets:

Warnings for Seroquel

  • Higher risk of death and stroke in older people with dementia-related psychosis
  • Risk of suicidal thoughts and behavior
  • Neuroleptic malignant syndrome
  • High blood sugar, high cholesterol, and weight gain
  • Trouble controlling muscle movements (tardive dyskinesia)
  • Changes in blood pressure
  • Risk of falls
  • Risk of infection (due to low white blood cell counts)
  • Possible changes in heart rhythm
  • Seizures
  • Hypothyroidism (low thyroid hormone)
  • High prolactin levels
  • Feeling very sleepy and having trouble concentrating

Summary for Chlorpromazine

Prescription only

Chlorpromazine is an antipsychotic medication used to treat many conditions that affect the brain and nervous system, including schizophrenia, bipolar disorder, and ongoing hiccups. It works by blocking certain chemicals in the body, like histamine and dopamine. Your dose depends on why you’re taking it and how severe your symptoms are, but it’s usually taken three or four times a day. Common side effects include drowsiness and movement problems.

Indications for Chlorpromazine

Pros and Cons for Chlorpromazine

Pros

  • Approved to treat several conditions
  • Starts working quickly
  • Available as a tablet, liquid, and injection
  • Dose can be easily adjusted based on your symptoms

Cons

  • Needs to be taken multiple times a day
  • Commonly causes drowsiness
  • Risk of uncontrolled muscle movements
  • Not recommended for use in pregnancy

Common Side Effects for Chlorpromazine

  • Drowsiness
  • Dry mouth
  • Blurred vision
  • Constipation
  • Urination problems

Warnings for Chlorpromazine

  • Higher risk of death in older adults with dementia
  • Uncontrolled muscle movements
  • Neuroleptic malignant syndrome
  • Changes in blood cell counts
  • High prolactin levels
  • Falls and fractures

Prices with our coupons for Seroquel vs. Chlorpromazine

Price Card Drug Icon
Quetiapine30 tablets / 50mg
$9.87$69.41
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Chlorpromazine30 tablets / 25mg
$23.18$332.96
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