くすりのしおり

Internal
Published: 9/2020

The information on this sheet is based on approvals granted by the Japanese regulatory authority. Approval details may vary by country. Medicines have adverse reactions (risks) as well as efficacies (benefits). It is important to minimize adverse reactions and maximize efficacy. To obtain a better therapeutic response, patients should understand their medication and cooperate with the treatment.
Brand name :
Bipresso Extended Release Tablets 50mg
 Active ingredient:
Quetiapine fumarate
 Dosage form:
light yellowish red tablet, major axis: approx. 16.3 mm, minor axis: approx. 6.6 mm, thickness: approx. 5.1 mm
 Print on wrapping:
(Face) ビプレッソ徐放錠50mg, ビプレッソ,徐放錠50mg, 50 (Back) Bipresso徐放錠50mg, ビプレッソ徐放錠, 50mg,XR50

Effects of this medicine

This medicine acts on receptors for neurotransmitter in brain to improve depressive symptoms in bipolar disorder.
It is usually used to improve depressive symptoms in bipolar disorder.

Before using this medicine, be sure to tell your doctor and pharmacist

  • If you have previously experienced any allergic reactions (itch, rash, etc.) to any medicines.
    If the patient is in a coma.
    If you have: diabetes mellitus or a history of it.
  • If you are pregnant or breastfeeding.
  • If you are taking any other medicinal products. (Some medicines may interact to enhance or diminish medicinal effects. Beware of over-the-counter medicines and dietary supplements as well as other prescription medicines.)

Dosing schedule (How to take this medicine)

  • Your dosing schedule prescribed by your doctor is ((        to be written by a healthcare professional))
  • In general, for adults, start with taking one tablet (50 mg of quetiapine) at a time, once a day.The dosage is then increased to 3 tablets (150 mg) once a day after an interval of at least two days, and then to 6 tablets (300 mg) once a day after an interval of at least another two days. In either case, take once a day before bedtime, at least two hours after eating. Strictly follow the instructions.
  • This medicine is designed to dissolve the active ingredient gradually. Please follow the instructions from your doctor or pharmacist.
  • Do not break, crush, or grind the tablet, and take it without chewing.
  • If you miss a dose, you should never take two doses at one time. If you notice it the next morning or later, do not take the missed dose, but take one dose as usual before bedtime that day.
  • If you accidentally take more than your prescribed dose, consult with your doctor or pharmacist.
  • Do not stop taking this medicine unless your doctor instructs you to do so.

Precautions while taking this medicine

  • Sleepiness and a reduction in attention, concentration, and reflex movement, etc. may occur. Do not drive a car, operate dangerous machinery.
  • You may experience weight gain. Pay attention to your diet or exercise therapy and try not to become obese.
  • Alcohol intake may enhance the effect of the medicine. Refrain from alcohol drinking while taking the medicine.
  • Patients with depressive symptoms in bipolar disorder may show behavioral changes such as suicidal ideation or aggression due to the nature of this disease. Therefore, patients and family members should keep close contact with your doctor.

Possible adverse reactions to this medicine

The most commonly reported adverse reactions include dizziness, headache, somnolence, akathisia (state of restlessness), constipation, increased appetite, thirst, dry mouth, malaise and weight gain. If any of these symptoms occur, consult with your doctor or pharmacist.
The symptoms described below are rarely seen as initial symptoms of the adverse reactions indicated in brackets. If any of these symptoms occur, stop taking this medicine and see your doctor immediately.
  • thirst, excessive drinking/polyuria, pollakiuria [hyperglycemia, diabetic ketoacidosis, diabetic coma]
  • feelings of weakness, cold sweat, tremor of the hands and legs [hypoglycemia]
  • muscle stiffness, difficulty with swallowing, changes in blood pressure, sweating, fever [neuroleptic malignant syndrome]
  • myalgia, feelings of weakness, reddish brown urine [rhabdomyolysis]
  • cramp or spasm [convulsions]
The above symptoms do not describe all the adverse reactions to this medicine. Consult with your doctor or pharmacist if you notice any symptoms of concern other than those listed above.

Storage conditions and other information

  • Keep out of the reach of infants and children. Store away from direct sunlight, heat and humidity.
  • Discard the remainder. Do not store them. Consult with your dispensing pharmacy or medical institution how to discard.

For healthcare professional use only : Day Month Year

For further information, talk to your doctor or pharmacist.

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