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Sleep Unplugged · August 3, 2026 · 41m

#215 - Seqoquel and Insomnia: Same Thing From The Same Old Cause

This solo episode of Sleep Unplugged examines how Seroquel (quetiapine), an antipsychotic, became one of the most prescribed off-label sleep aids—used in roughly ten million prescriptions a year, mostly not for psychosis. The host argues that the evidence supporting its use for insomnia is surprisingly thin, and that Seroquel is part of a larger pattern of medications repurposed for sleep based on sedation rather than rigorous trials. The show sets out to trace the drug's history and unpack how this practice took hold despite weak data.

This summary was generated from show notes and public descriptions, not from a full transcript review. Details may contain inaccuracies.

Highlights

Seroquel: From Antipsychotic to Ubiquitous Sleep Aid
Seroquel was originally engineered to treat psychosis, yet it has become one of the most common off-label prescriptions for insomnia, accounting for roughly ten million scripts a year.
The Evidence for Seroquel as a Sleep Aid Is Thin
Despite millions of annual prescriptions, the clinical evidence supporting Seroquel's effectiveness and safety for insomnia is weaker than commonly assumed.
Off-Label Sleep Prescribing Is a Pattern, Not an Exception
Seroquel is not the only drug prescribed off-label for insomnia; many medications are used primarily for their sedative side effects.
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