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Seroquel vs. Depakote

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Quetiapine (Seroquel) and divalproex (Depakote) are both prescription medications, but they belong to different classes and have some different uses. Quetiapine is an atypical antipsychotic used to treat schizophrenia, bipolar disorder, and depression. It works by balancing chemicals in the brain like dopamine and serotonin. Divalproex, on the other hand, is an antiepileptic used to treat seizures, bipolar disorder, and to prevent migraines. It helps control seizures by increasing a brain chemical called GABA. Quetiapine is available in both immediate-release and extended-release forms, while divalproex comes in delayed-release and extended-release tablets, as well as sprinkle capsules. Quetiapine can cause sleepiness, dry mouth, and dizziness, whereas divalproex can cause nausea, sleepiness, and headache. Divalproex should not be taken during pregnancy due to the risk of serious birth defects. While quetiapine doesn’t raise the risk for miscarriage or birth defects, it may cause pregnancy complications such as gestational diabetes in pregnant mothers. Additionally, both medications are available as low-cost generics.

Quetiapine

(Seroquel)

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Divalproex

(Depakote)

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Summary for Seroquel

Prescription only

Quetiapine (Seroquel) is an atypical antipsychotic. It's used to treat mental health problems like schizophrenia and bipolar disorder. This medication comes as an immediate-release tablet (Seroquel) that's taken by mouth usually twice a day. There's also an extended-release tablet (Seroquel XR) that's taken once a day. The specific dosage depends on how well it's helping your mood, thoughts, and behaviors. Side effects can include sleepiness, headache, and possible weight gain. There are brand-name and generic versions of this medication.

Indications for Seroquel

Pros and Cons for Seroquel

Pros

  • Taken by mouth
  • Might notice an improvement in your symptoms in as early as a week of starting the medication
  • Available in both short-acting and long-acting tablets

Cons

  • Might cause weight gain
  • Can raise your blood sugar and cholesterol levels
  • Not recommended for older adults who have dementia-related psychosis

Common Side Effects for Seroquel

Immediate-release tablets:

  • Headache (21%)
  • Agitation (20%)
  • Sleepiness (18%)
  • Dizziness (11%)
  • Dry mouth (9%)
  • Constipation (8%)
  • Pain (7%)
  • Fast heart rate (6%)
  • Vomiting (6%)

Extended-release tablets:

Warnings for Seroquel

  • Higher risk of death and stroke in older people with dementia-related psychosis
  • Risk of suicidal thoughts and behavior
  • Neuroleptic malignant syndrome
  • High blood sugar, high cholesterol, and weight gain
  • Trouble controlling muscle movements (tardive dyskinesia)
  • Changes in blood pressure
  • Risk of falls
  • Risk of infection (due to low white blood cell counts)
  • Possible changes in heart rhythm
  • Seizures
  • Hypothyroidism (low thyroid hormone)
  • High prolactin levels
  • Feeling very sleepy and having trouble concentrating

Summary for Depakote

Prescription only

Divalproex (Depakote) is an antiepileptic medication used to treat certain types of seizures, bipolar disorder, and prevent migraines. The medication comes as delayed-release (DR) tablets, extended-release (ER) tablets, and sprinkle capsules. You take it by mouth, either once a day or in divided doses, depending on your condition and the form that's prescribed. Common side effects include stomach pain, hair loss, and diarrhea. Serious risks include liver problems, inflammation of the pancreas, and birth defects if taken during pregnancy.

Indications for Depakote

Pros and Cons for Depakote

Pros

  • Used for seizures, bipolar disorder, and migraine prevention
  • Dose is adjusted based on your response
  • Available in multiple forms
  • Can be used alone or with other medications

Cons

  • Won't help if you have a migraine attack
  • Interacts with many medications
  • Not safe to take in pregnancy
  • Requires regular blood work and lab tests

Common Side Effects for Depakote

Bipolar disorder

  • Sleepiness (19-26%)
  • Indigestion (9-23%)
  • Nausea (19-22%)
  • Vomiting (12-13%)
  • Dizziness (12%)
  • Accidental injury (6-11%)
  • Stomach pain (9-10%)
  • Weakness (6-10%)

Seizures

  • Nausea (48%)
  • Headache (31%)
  • Weakness (27%)
  • Vomiting (27%)
  • Sleepiness (27%)
  • Tremor (25%)
  • Dizziness (25%)
  • Stomach pain (23%)

Migraine

  • Nausea (15-31%)
  • Weakness (20%)
  • Sleepiness (7-17%)
  • Infection (15%)
  • Indigestion (7-13%)
  • Diarrhea (7-12%)
  • Dizziness (12%)
  • Vomiting (7-11%)

Warnings for Depakote

  • Liver problems
  • Birth defects
  • Inflammation of the pancreas
  • Suicidal thoughts or behavior
  • Bleeding and blood conditions
  • High ammonia levels
  • Low body temperature
  • Severe skin reactions
  • Serious allergic reaction
  • Sleepiness in older adults
  • Interaction with other medications

Prices with our coupons for Seroquel vs. Depakote

Price Card Drug Icon
Quetiapine30 tablets / 25mg
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Divalproex60 tablets / 500mg
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