Yes, quetiapine can cause metabolic changes that increase the risk of diabetes, and erectile dysfunction can also be a side effect. Please do not stop your medication abruptly, as this can worsen schizophrenia. Safe management options include: Switching medications: Your doctor may consider antipsychotics with lower metabolic risks, such as aripiprazole or ziprasidone. Managing diabetes: Highly effective treatments like metformin, alongside lifestyle changes, can help control blood sugar. Managing erectile dysfunction: Medications like sildenafil or tadalafil can be safely prescribed after checking for any drug interactions. Please consult your healthcare provider to safely adjust your treatment plan.