Seroquel/quetiapine

[LivelyGreenHelper]

Anyone have any experiences being on quetiapine whilst pregnant? Had recently been given a bipolar diagnosis and put on quetiapine with the intention to increase to 300 mg by the end of third trimester. I know it can cause some withdrawal in the final trimester. Does anyone have any experiences?

thanks

I was on 400mg with my daughter and am pregnant again and this time on 600mg
About 1 in 10 babies get something called poor neonatal adaptation syndrome which is where they struggle to adjust a first with being in the outside world. Mostly with regulating temperature and things like that. If the mother is taking quetiapine this increases to 3 in 10. Due to this I had a 3 day stay on the maternity ward after having my daughter so they could monitor her. Every 4h they checked her over including taking her temperature, oxygen reading and a few other things. She scored a perfect 0 on every one and we were allowed to go home. I breastfeed until 10 months whilst taking quetiapine.

I'll be having a 2-3 day stay in this pregnancy too for the same monitoring.

Quetiapine can increase your risk of all forms of diabetes including gestational diabetes so I had a glucose tolerance test at 28 weeks in this pregnancy and I am having growth scans as it can be associated with larger babies. This didn't happen in my first pregnancy but this was under a different team and it was also covid so some monitoring was harder to get

There's other regular monitoring you should have due to being on quetiapine regardless of pregnancy including ECG and blood tests to look for lipids as it can increase cholesterol. These should be done once a year.