Seroquel for Bipolar Disorder: Your Complete Australian Guide — What to Know Before You Talk to Your GP

We spoke with Brodie Lancaster ahead of her appearance at the  launch of the  highly anticipated 2016 Emerging Writers’ Festival Program.  A superstar in our eyes, we can’t wait to hear her talk to us all about failure and ambition at The Wheeler Centre on 10 May.

You are performing at our Program Launch: ‘Halfway Between the Gutter and the Stars’. Do you have moments you think about that encapsulate this theme in your own life?
You’ll have to hear my talk at the Program Launch to know the answer to that!
JK, but kind of. I guess all those in-between moments of limbo I’ve had in my life—times when I decided to move across the world or cut ties with someone or start (or quit) a big project—present that opportunity to either succeed or fail spectacularly. The decisions we make during those cloudy moments are what I think about when I hear the phrase, Halfway Between the Gutter and the Stars.

You do a lot – you founded the zine Filmme Fatales, you’re senior editor of The Good Copy, you write stuff yourself and have contributed to publications widely, plus more – how do you juggle all these things and transition between hats?
It’s not super glamorous or inspiring, but I don’t do much more but work. Even right now, I’m writing these answers as I go HAM on my inbox on an Amtrak from Portland to Seattle, where I’m giving a big talk tomorrow. But ultimately, everything I do kiiiiinda connects in some way, so each disparate job helps another.
The Good Copy is my day job—I’m a senior editor there and I work on editorial copywriting projects from nine to five—and it helps to keep my brain active and work out my technical writing muscles.
I put that exercise into practice when it comes to freelancing and I need to take feedback, be concise and clear in my arguments and phrase juuust the right tweet to share stuff I’ve written. (lol)
I work on Filmme Fatales both at work (it’s published by The Good Copy) and during any moment of downtime I have.
Oh, and I’m also trying to write a book right now hahahaha. I know.

What have you been working on lately?
I’m at the end of a two-month trip around America right now. While here, I’ve been covering the SXSW Film program for Filmme Fatales, I gave a talk in New York City and I’m about to give a talk on fangirls and One Direction at the EMP Pop Conference in Seattle. After that, I’m going to be taking a week in LA to work on my book a little more before I come home and get back into everything I talked about doing in the previous question.

What are you excited by in the Australian literary landscape at the moment?
Without sounding like a douchey name-dropper, I’m excited by how many people I know (or even just people my age, with similar levels of writing and life experience as I have) have books out that I can buy and read, and that so many other people can too! The first thing I’m doing when I get home is buying Jennifer Down’s Our Magic Hour; I just saw Omar Musa’s book Here Come The Dogs at Powell’s in Portland; Minna Gilligan’s Time After Time, which came out last year, is one of my favourite non-fiction books. As someone who is trying to write a book right now and who never ever thought I would or could or should write a book, it’s encouraging and invigorating to read incredible work by people who make that feel possible.

Have you any advice for fellow writers?
I have a lot! But real quick, I think it is very important to remember to write what you know and like, and not what you think you’re supposed to be writing for whatever trend/style/internetty reason.

What aspects of the Emerging Writers’ Festival do you look forward to?
I love seeing everyone from Twitter IRL!!!!!! Also I really love the diversity of the programming (shoutout to me and my fellow cute’n’smart members of this year’s Programming Advisory Committee) and the commitment EWF has always had to programming people who aren’t just ~big names~; I always hear about or meet people at the festival whose work I didn’t know about before the event takes place.

Brodie Lancaster is the editor of Filmme Fatales, a zine about women and cinema, and a senior editor at The Good Copy, a writing studio in Collingwood. 

She has written for Rookie, Rolling Stone, Pitchfork, Vulture and other publications. Her first book, a pop culture memoir called No Way! Okay, Fine!, will be out next year with Hachette.

Early Bird Tickets to The National Writers’ Conference are available now. Taking place over two days, with over seventy speakers, The National Writers’ Conference features panels, conversations, and performances, allowing you meet this year’s Ambassadors and other writers from around Australia.

Golden Tickets to the Emerging Writers’ Festival are also available now. Golden Tickets are your passport to the Emerging Writers’ Festival. They will give you access to the National Writers’ Conference, plus the rest of the festival including all panels, talks, performances and selected workshops.

The 2016 Emerging Writers’ Festival program launches on Tuesday, 10 May at The Wheeler Centre.

Looking To Buy Seroquel Online? Here’s What You Absolutely Need To Know First. Visit Our Pharmacy ↓


Seroquel (quetiapine) in Australia: A Doctor’s Review for People Over 30

This article is for general information only and does not replace individual medical advice. Always consult your GP or psychiatrist before starting, changing or stopping any medication.

Attention: Are You Losing Sleep, Peace of Mind, or Hope?

If you are over 30, you have probably already learned that life does not slow down just because you feel exhausted. Maybe you lie awake at 2am with racing thoughts that will not switch off. Maybe you live with mood swings that make you snap at the people you love. Maybe you are caring for a family member whose schizophrenia, bipolar disorder or methamphetamine-related paranoia has become frightening and unmanageable. Or perhaps you are dealing with cancer treatment, and nausea from chemotherapy is stealing what little strength you have left.

As an Australian doctor, I hear these stories every week. The frustration is real, and the toll on families is enormous. Many patients tell me they have tried older medicines and felt like “zombies.” Others worry about safety, especially for elderly parents. The good news is that modern medicines have evolved. Among them, Seroquel (quetiapine) stands out as a flexible, effective and widely used option that has helped thousands of Australians regain stability, sleep and quality of life.

Interest: What Exactly Is Seroquel?

Seroquel is the original brand name of quetiapine, an atypical antipsychotic medicine. In Australia it is available as:

It works by balancing several brain chemicals — including dopamine, serotonin and histamine — that influence mood, thinking, sleep and perception. This broad mechanism is why Seroquel is used for more than one condition. In Australia, Seroquel is commonly prescribed for:

Desire: Why Australian Patients and Doctors Choose Seroquel

People over 30 often ask me the same questions. Below is a straightforward guide to the issues that matter most in everyday Australian life.

Common Questions at a Glance

Your Question Doctor’s Plain-English Answer
What is the risk of stroke with Seroquel in the elderly? Elderly patients, especially those with dementia-related psychosis, have a higher risk of stroke and death if they take antipsychotics including Seroquel. That is why Seroquel is not approved for dementia-related psychosis in Australia. However, for older patients without dementia who need it for bipolar disorder, severe depression or schizophrenia, a specialist may prescribe a low dose very cautiously, with regular monitoring of blood pressure, heart health and mobility. Never start Seroquel in an elderly person without a thorough doctor review.
Can Seroquel be used with other antipsychotics? Sometimes, but only under specialist supervision. Combining two antipsychotics increases the risk of sedation, weight gain, heart rhythm changes and movement side effects. In Australia, psychiatrists sometimes combine low doses during a careful cross-over from one drug to another, or in treatment-resistant illness. Do not combine antipsychotics yourself — this must be managed by a psychiatrist.
Who can prescribe Seroquel in Australia? Seroquel is a Schedule 4 prescription-only medicine. It can be prescribed by any registered Australian medical practitioner, most commonly your GP or a psychiatrist. Some authorised nurse practitioners may also prescribe it in certain settings. Usually a psychiatrist starts Seroquel for complex conditions, and your GP can continue your maintenance script once you are stable.
Can Seroquel be used to treat methamphetamine psychosis? Yes, in many Australian emergency departments and community mental health teams, quetiapine is used off-label to help control methamphetamine-induced paranoia, agitation and hallucinations. It calms the brain, improves sleep and reduces dangerous behaviour during withdrawal. It is not a cure for addiction, but it can be a valuable bridge while the person engages with alcohol and drug services.
Can Seroquel be taken in the morning instead of night? Most immediate-release Seroquel is taken at night because it is strongly sedating. Taking it in the morning can make you drowsy, impair driving and reduce work performance. Some patients take a small daytime dose if their doctor specifically prescribes it for anxiety, but the usual rule is night-time dosing. Extended-release Seroquel XR is usually taken once daily in the evening. Do not change the timing without medical advice.
How to deal with constipation from Seroquel? Constipation is a common but manageable side effect. Increase water intake to at least 1.5–2 litres per day, eat more fibre-rich foods such as oats, psyllium, fruit and vegetables, and stay physically active. Over-the-counter laxatives like macrogol (Movicol) are gentle and effective. Avoid long-term stimulant laxatives unless your doctor advises them. If constipation becomes severe, see your GP.
What is the difference between Seroquel and other atypical antipsychotics? Seroquel is often better tolerated in terms of movement side effects than older drugs. Compared with other atypicals, it causes fewer Parkinson-like symptoms and less prolactin elevation than risperidone, and generally less severe weight gain and diabetes risk than olanzapine. It also has strong sleep-improving properties and a unique role in bipolar depression and treatment-resistant depression. It does not require routine blood tests, unlike clozapine.
What is the role of Seroquel in managing nausea from chemotherapy? While Seroquel is not a first-line anti-nausea drug, some Australian palliative care and oncology doctors use low-dose quetiapine off-label when chemotherapy nausea is associated with severe anxiety, insomnia or failure of standard antiemetics. It can reduce emotional distress, improve sleep and indirectly help patients cope with nausea. Always use standard anti-nausea medicines first and ask your oncologist before adding Seroquel.

How Seroquel Compares with Other Atypical Antipsychotics

Medicine Sedation Weight Gain / Metabolic Risk Movement Side Effects Common Australian Use
Seroquel (quetiapine) High — helpful for sleep Moderate Low Schizophrenia, bipolar depression, add-on depression, anxiety, sleep
Olanzapine High High — more diabetes risk Low Schizophrenia, bipolar mania
Risperidone Moderate Moderate Moderate Schizophrenia, behavioural symptoms
Aripiprazole Low — may be activating Low Low to moderate Schizophrenia, bipolar, depression add-on

Managing Everyday Side Effects

Side Effect Practical Australian Tips
Drowsiness or grogginess Take at night. Avoid alcohol. Do not drive until you know how it affects you.
Weight gain Follow a balanced diet, watch portion sizes, exercise 30 minutes most days. Review with GP every 3–6 months.
Dry mouth Sip water regularly, use sugar-free gum or lozenges.
Dizziness on standing Stand up slowly. Increase fluid intake. Tell your doctor if it persists.
Constipation Water, fibre, exercise, macrogol or psyllium as directed by your pharmacist.

The Real-Life Benefits Patients Report

When Seroquel works well, Australian patients describe a return of normal life. They tell me they can finally sleep through the night without feeling drugged the next day. They say the volume of racing thoughts drops enough to think clearly at work. Family members notice fewer explosive arguments. Carers of someone with methamphetamine psychosis often say it was the first night in weeks that the household felt safe. For those on chemotherapy, even modest help with nausea and sleep can restore the strength to keep fighting cancer.

No medicine is perfect, and Seroquel is not for everyone. But for many people over 30, the benefits outweigh the risks when it is prescribed correctly and monitored regularly.

Action: Your Next Step in Australia

If you recognise yourself or a loved one in this article, the next step is clear. Do not keep suffering in silence. Seroquel requires a valid Australian prescription, but once prescribed it is widely available at local pharmacies through the PBS at a subsidised cost for approved conditions.

Take back your nights, your mood and your peace of mind. Speak to your Australian doctor about Seroquel today.

Always read the Consumer Medicine Information (CMI) and discuss your individual risks and benefits with your doctor. This article is not a substitute for professional medical advice.



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