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HYDROXYCHLOROQUINE

HYDROXYCHLOROQUINE

Background and Date of approval HYDROXYCHLOROQUINE

Hydroxychloroquine consists of the active ingredient Hydroxychloroquine. It is a medication used for several decades to treat and prevent malaria. It also manages certain autoimmune conditions such as rheumatoid arthritis and lupus. However, it gained significant attention in early 2020 due to its potential use in treating COVID-19. During the COVID-19 pandemic, there was a lot of speculation and debate about the effectiveness of Hydroxychloroquine as a treatment for the disease. Some early laboratory studies and reports suggested that it might have antiviral properties and be useful in reducing the severity of COVID-19 symptoms. Hydroxychloroquine received initial approval from the U.S. Food and Drug Administration (FDA) on April 18, 1955.

Uses of HYDROXYCHLOROQUINE

Hydroxychloroquine treats autoimmune disorders such as rheumatoid arthritis, juvenile idiopathic arthritis, and discoid & systemic lupus erythematosus. Autoimmune diseases occur when the body recognizes its tissues and cells as foreign antigens and starts attacking them. 

This medication is used to prevent and treat uncomplicated malaria. It also treats and prevents graft vs. host disease in patients recently undergoing allogeneic stem cell transplantation.

How is HYDROXYCHLOROQUINE administered?

Hydroxychloroquine capsules or tablets are taken orally. The medication is usually taken once a day, with or without food, as directed by your healthcare provider. Swallow the capsule or tablet whole without crushing or chewing it.

Side Effects of HYDROXYCHLOROQUINE

Hydroxychloroquine can cause a range of side effects. Common side effects include nausea, vomiting, diarrhea, headache, dizziness, rash, abdominal cramps, loss of appetite, and hair loss. Serious side effects, although rare, can include cardiac effects such as QT prolongation, retinal toxicity leading to vision changes, blood disorders, allergic reactions, and potential liver or kidney problems.

Warnings

Hydroxychloroquine carries warnings regarding potential cardiac effects, retinal toxicity, blood disorders, allergic reactions, gastrointestinal effects, psychiatric effects, dermatological reactions, pregnancy and breastfeeding considerations, drug interactions, and the lack of recommended use for COVID-19 treatment.

Precautions

To use hydroxychloroquine safely, follow these precautions: consult a healthcare professional, report symptoms promptly, undergo regular eye exams, monitor blood counts if needed, be vigilant for allergic reactions, take it with food, be aware of psychiatric and dermatological changes, consider pregnancy and breastfeeding implications, disclose all medications, and follow recommended guidelines for specific conditions while recognizing its lack of recommendation for COVID-19 treatment.

Word of Advice

It is crucial to prioritize safety when considering using Hydroxychloroquine or any other medication. To ensure your well-being, consult a healthcare professional who can guide you based on your medical history and condition. Be aware of potential side effects and report any concerning symptoms promptly. Regular blood monitoring may be necessary, especially in individuals at higher risk or with pre-existing blood disorders. Taking these precautions and maintaining open communication can help promote the safe use of this medicine.

Frequently Asked Questions

Q1.

Can Hydroxychloroquine Prevent or Cure COVID-19?

Major health organizations do not recommend using Hydroxychloroquine to prevent or treat COVID-19. Studies have not provided sufficient evidence to support its effectiveness against the virus.

Q2.

Can Hydroxychloroquine be used for weight loss?

No, Hydroxychloroquine is not approved or indicated for weight loss purposes. Its use should be strictly for approved medical conditions under the guidance of a healthcare professional.

Q3.

Can Hydroxychloroquine be used in children?

Hydroxychloroquine can be used in children for certain medical conditions, such as juvenile idiopathic arthritis or lupus. However, the dosage and safety considerations may vary depending on the child's age and weight. Consult a pediatric healthcare professional for appropriate guidance.

Q4.

Can Hydroxychloroquine cause vision loss?

Prolonged use of Hydroxychloroquine can rarely lead to retinal toxicity, which may result in vision changes or loss of vision. Regular eye examinations are recommended to detect any potential retinal damage.

Q5.

Can Hydroxychloroquine interact with birth control pills?

Hydroxychloroquine is not known to have significant interactions with hormonal birth control pills. However, informing your healthcare professional about all medications you take, including contraceptives, is always recommended to ensure no potential interactions.

Q6.

Can Hydroxychloroquine be used in patients with kidney disease?

Hydroxychloroquine can be used in patients with kidney disease, but dosage adjustments may be necessary based on the level of kidney function. Close monitoring of kidney function is recommended during treatment in individuals with kidney disease.

References

  1. Zentiva, Electronic Medicines Compendium (EMC), [Revised on Dec 2021] [Accessed on 16th May 2023], https://www.medicines.org.uk/emc/files/pil.1764.pdf
  2. Douglas F. Lake and Adrienne D. Briggs, Immunopharmacology, Lange’s Basic & Clinical Pharmacology, 14th Edition, 2018, 977-1002.
  3. Concordia Pharmaceuticals Inc, US Food and Drug Administration, [Revised on Jan 2017] [Accessed on 16th May 2023], https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/009768s037s045s047lbl.pdf
  4. H Khoury et al; Hydroxychloroquine for the prevention of acute graft-versus-host disease after unrelated donor transplantation; Published on 01/11/2003; Accessed on 16/05/2023; https://www.astctjournal.org/article/S1083-8791(03)00294-5/fulltext

Disclaimer

The drug information on this page is different from medical advice. It is meant for educational purposes only. For further details, consult your doctor about your medical condition to know if you can receive this treatment.

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