Liquid alternative to Seroquel...?

[nashgirl516]

Like the title states, I am wondering if there is a liquid alternative to Seroquel?

If a [hypothetical] patient on a clear liquid diet (no purees/crushed pills) typically uses 100mg Seroquel PRN for insomnia, what would be the closest alternative? Anything other than the obvious Benadryl, Lunesta or Ambien that could be used for approximately two weeks (and would work from day one)?

[LadyinScrubs, ASN, RN]

Like the title states, I am wondering if there is a liquid alternative to Seroquel?

If a [hypothetical] patient on a clear liquid diet (no purees/crushed pills) typically uses 100mg Seroquel PRN for insomnia, what would be the closest alternative? Anything other than the obvious Benadryl, Lunesta or Ambien that could be used for approximately two weeks (and would work from day one)?

What type of Seroquel - regular or extended release. If regular, you should be able to disolve it in a little water and give it that way.

As far as chosing the closest alternative--I am not an advanced practice nurse nor a pharmacist, so I can't help you on this. I seriously doubt tht Benadryl, Lunesta or Ambien will work on the problems that Seroquel is designed to treat--you did not provide info about what is going on with the pt.

If in doubt, "Hospital Pharmacy publishes a wall chart that includes many of these types of formulations, along with their do's and don'ts. If there is ever any doubt about the best way to administer a particular product or whether it can be halved or crushed, ask your pharmacist." or talk to the treating healthcare provider about the problem.

[Esme12, ASN, BSN, RN]

Seroquel Substitute

Atypical Antipsychotics

Google is your friend.....

[LadyinScrubs, ASN, RN]

Seroquel Substitute

Atypical Antipsychotics

Google is your friend.....

Esme12, I am happy you tackeled this question -- it is beyond my scope of practice as a BSN.

[MrChicagoRN, RN]

Like the title states, I am wondering if there is a liquid alternative to Seroquel?

If a [hypothetical] patient on a clear liquid diet (no purees/crushed pills) typically uses 100mg Seroquel PRN for insomnia, what would be the closest alternative? Anything other than the obvious Benadryl, Lunesta or Ambien that could be used for approximately two weeks (and would work from day one)?

Why would you ever give an antipsychotic for insomnia?

[JustBeachyNurse, LPN]

Since Seroquel is not typically given for simple insomnia, the best course of action would be to refer the patient back to the treating/prescribing physician and/or consulting pharmacist. I've never seen a patient only on Seroquel so it would be important to choose an alternative that would not interact with any other prescription or OTC medications. As far as dissolving the Seroquel tablet that question would best be deferred back to a pharmacist.

[nurseprnRN, BSN, RN]

" seroquel substitute atypical antipsychotics

google is your friend.....

esme12, i am happy you tackeled this question -- it is beyond my scope of practice as a bsn. "

googling is beyond your scope of practice? reading all you can find about a drug about which you have a question?

[LadyinScrubs, ASN, RN]

" seroquel substitute atypical antipsychotics

google is your friend.....

esme12, i am happy you tackeled this question -- it is beyond my scope of practice as a bsn. "

googling is beyond your scope of practice? reading all you can find about a drug about which you have a question?

i can google with the best of people. however, the op was requesting a substitution for a medication ordered by a physician. my original post to the op was to consult with a pharmacist to see if the seroquel was or was not extended release and might be dissolved in water, and/or admnistered with a tablespoon of pudding, etc.

only a physician can make a substitution of the medication ordered. i could not advise anyone what medication to substitute for seroquel. what worries me is this post sounds as if the op is seeing pharmaceutical advice without discussing the problem with the physician and based on the inform obtained from an, is going to make a medication substitution.

[traumaRUs, MSN, APRN]

This hypothetical pt needs to contact the physician.

[NRSKarenRN, BSN, RN]

I find that contacting PHARMACIST at pharmacy who dispensed med invaluable as they have list of other meds patient taking and can offer alternative medication recomendations which i then discuss with treating physician. On occasion, I'll make three way call with all parties, always getting physician/NP on line first.