I realize this thread is dead, but in case anyone else reads this later, I thought I'd share my experience with it.
I have been using Seroquel, in addition to Effexor, Trazadone, and in the past 2 years have also added Wellbutrin. The Seroquel was PRN (take as needed) for about a year and a half, and I was using it daily, taking about 200+mg/day. It helped me in terms of my self injury, but didn't completely stop me. Oh yeah, the psychiatrist had me on Topiramate too because I have a history of disordered eating (both binge eating and restricting) and was really worried about weight gain.
I stopped taking the Topiramate about 2 years ago. I was repeatedly and publicly ridiculed at the rehab place I stayed at for 6 months (the staff there believed in using strictly the Narcotic's Anonymous Steps to deal with everything in life).
My energy has been incredibly low for the past 3 years. I have talked with my gp and my psych and my therapist about my concerns with how the Seroquel effected binge eating, and the advice that I got was the Seroquel was more beneficial in keeping me safe and easing my anxiety than it was harmful in regards to food and weight (my therapist was a little more cognizant of how it was affecting me).
Well, I went to the gp two weeks ago cuz I have not been feeling right, and told him I wanted blood work done.
Low and behold, my blood work came back that I am diabetic, my triglycerides are increased, as are my AST liver enzymes.
My psychiatrist acknowledged my email that I freaked out in that yes, Seroquel can cause diabetes. WTF??? And now the doctors are telling me that I "have to lose weight and get more active". Ummmm...have you not been listening to me for the past few years when I expressed my concerns around this, and now you are expecting me to fight yet another uphill battle while continuing to take the Seroquel because you don't want to prescribe me anything else for the panic and anxiety and self injury. Seroquel effects the blood sugar in a major way, and you are telling me to lose weight, and I am telling you I really need help.
Phew. Sorry for the ramble here. I haven't talked with anyone about this yet, and I am beyond frustrated, scared, and angry.
The Reader's Digest version of this is that Seroquel can have some really serious side effects. It does really help when it comes to major anxiety. If you choose to go on it, PLEASE make sure your doctors are more responsible than mine, and request regular blood work check ups to monitor your blood sugar and your liver.