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Seroquel

Quetiapine

An oral daily medication used to treat schizophrenia, bipolar disorder, and major depressive disorder.

Generic name
Quetiapine
Brand name
Seroquel
Route
Oral
Marketed by
Cheplapharm
First FDA approval
26 Sep 1997

Where Quetiapine is approved

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Of the three regulators tracked here, the first to approve Quetiapine was the US, on 26 Sep 1997. It is approved in 2 of the 3 regulators tracked here.

USUnited States (FDA)
26 Sep 1997
Seroquel
NDA020639 on Drugs@FDA
First original NDA/BLA approval
EUEuropean Union (EMA)
No centralised EU authorisation (it may be authorised nationally)
First centralised authorisation
CACanada (Health Canada)
27 Sep 2007
Seroquel Xr
Notice of Compliance 9057
First new-drug NOC

From the regulators' own registers: FDA Drugs@FDA, the EMA medicines list and Health Canada's Notice of Compliance database. Dates are the first listed approval of a product containing only this substance; combination products and nationally authorised EU medicines are not counted.

What health systems spend on Quetiapine

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ENNHS England
£51.2m
4,716,522 items dispensed, Aug 2025 to Jul 2026
-3% on the previous 12 months
Net ingredient cost, community prescriptions
USUS Medicaid
$76.9m
5,895,977 prescriptions in 2025 · Quetiapine, Quetiapine Fumarate, Quetiapine fumarate
-2% on 2024
Amount Medicaid reimbursed, before rebates

From NHSBSA Prescription Cost Analysis (Open Government Licence v3.0) and CMS State Drug Utilization Data. Both are gross amounts: neither system publishes its discounts or rebates per drug. Products combining several substances are not counted here.

How Quetiapine works

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  • Serotonin 2a (5-HT2a) receptor antagonist Antagonist
    Target: HTR2A 5-hydroxytryptamine receptor 2A
    ✓ In ChEMBL and the Guide to Pharmacology
  • Serotonin 2c (5-HT2c) receptor antagonist Antagonist
    Target: HTR2C 5-hydroxytryptamine receptor 2C
    ChEMBL only
  • Dopamine D2 receptor antagonist Antagonist
    Target: DRD2 dopamine receptor D2
    ✓ In ChEMBL and the Guide to Pharmacology
Other medicines acting on HTR2C
Diseases it has been tested for in clinical trials, by furthest phase
  • Borderline personality disorderPhase 3
  • Alcohol dependencePhase 3
  • AnxietyPhase 3
  • Anxiety disorderPhase 3
  • Bipolar I disorderPhase 3
  • Bipolar disorderPhase 3
  • DeliriumPhase 3
  • DementiaPhase 3
  • Depressive disorderPhase 3
  • Generalized anxiety disorderPhase 3
29 diseases in all

Mechanisms and diseases from ChEMBL via the Open Targets Platform (release 26.09), ChEMBL record CHEMBL716, CC BY-SA 3.0. Targets checked against the IUPHAR/BPS Guide to PHARMACOLOGY (2026.3), ligand 50, CC BY-SA 4.0. Trial phases are not approvals: approved uses are shown from the regulators' own records where we hold them.

NICE appraisals of Quetiapine

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NICE, which decides whether the NHS in England should fund new medicines, has published 1 technology appraisal of Quetiapine. 1 is current, and 1 of it recommends it for at least some patients.

AppraisalNICE recommendationPublishedStatus
The clinical effectiveness and cost effectiveness of newer atypical antipsychotic drugs for schizophrenia
NICE TA43
Recommended26 Jun 2002Current

NICE decisions apply to the NHS in England. In Ireland the HSE decides on reimbursement, advised by the National Centre for Pharmacoeconomics. Titles, categories and dates link to the guidance on nice.org.uk. © NICE 2026 technology appraisal guidance. Available from www.nice.org.uk/guidance. All rights reserved. Subject to Notice of rights. NICE guidance is prepared for the National Health Service in England. All NICE guidance is subject to regular review and may be updated or withdrawn. NICE accepts no responsibility for the use of its content in this product/publication.

Patient leaflets for Quetiapine

The package leaflet is the official guide for patients that comes with every medicine. These links go to the regulators that publish it.

Leaflets differ between brands and countries; always read the one that comes with your own medicine. This is regulatory information, not medical advice.

Reference identifiers for Quetiapine

ATC code
N05AH04
ChEMBL
CHEMBL716
DrugBank
DB01224
PubChem CID
5002
CAS number
111974-69-7
FDA UNII
BGL0JSY5SI
Wikidata
Q408535
Wikipedia
Quetiapine

Codes that identify this medicine in other databases, from Wikidata (CC0), matched by its ChEMBL ID. The ATC code is the WHO classification of what the medicine is used for.

What Seroquel is used for

SEROQUEL is an atypical antipsychotic indicated for the treatment of: • Schizophrenia ( 1.1 ) • Bipolar I disorder manic episodes (1.2) • Bipolar disorder, depressive episodes (1.2) 1.1 Schizophrenia SEROQUEL is indicated for the treatment of schizophrenia. The efficacy of SEROQUEL in schizophrenia was established in three 6-week trials in adults and one 6-week trial in adolescents (13-17 years). The effectiveness of SEROQUEL for the maintenance treatment of schizophrenia has not been systematically evaluated in controlled clinical trials [see Clinical Studies (14.1) ]. 1.2 Bipolar Disorder SEROQUEL is indicated for the acute treatment of manic episodes associated with bipolar I disorder, both as monotherapy and as an adjunct to lithium or divalproex. Efficacy was established in two 12-week monotherapy trials in adults, in one 3-week adjunctive trial in adults, and in one 3-week monothe…

How it works

12.1 Mechanism of Action The mechanism of action of quetiapine 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 2 (5HT 2 ) 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).

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How this page is built

The facts on this page are pulled directly from official U.S. FDA datasets — they are not written from memory. Each field below names the dataset it came from, so you can check it yourself.

Plain-English summaries and drug-class explainers are written and reviewed by Sreepriya Prasannan (MSc Digital Transformation of Life Sciences (Innopharma Education / Griffith College); MSc & BSc Botany). Data is retrieved automatically from the sources above and cross-checked with AI-assisted verification (Anthropic's Claude) — brand and generic names are matched against the exact FDA product record so that a combination product or a different formulation cannot be mistaken for the drug on this page. An editor reviews the result before publication. We describe this in full in our editorial standards and corrections policy. The FDA data on this page was last retrieved on 10 Oct 2026. How every register is built: methodology · fixes we have made: corrections log.

Please verify before you rely on this. This page is general information for life-science and pharmaceutical professionals. It is not medical advice, and it has not been reviewed by a clinician — our editorial team holds life-science qualifications, not clinical ones. It is not exhaustive and may not reflect the most recent label change. Always check the official prescribing information (US Prescribing Information or EU SmPC) and speak to your doctor or pharmacist before acting on anything here. Drugs in the same class are not automatically interchangeable, and approvals, brand names and indications differ between the US, the EU/Ireland (EMA/HPRA) and other regions. Spotted an error? Tell us — we correct promptly and log it.