Chloroquine

— THERAPEUTIC CATEGORIES —
  • Malaria
  • Protozoal infections

Chloroquine Generic Name & Formulations

General Description

Chloroquine phosphate 500mg (equivalent to 300mg chloroquine base); tabs.

Pharmacological Class

Aminoquinoline.

How Supplied

Contact supplier

Chloroquine Indications

Indications

Treatment of uncomplicated malaria due to susceptible strains of P. falciparum, P. malariae, P. ovale, and P. vivax. Prophylaxis of malaria in geographic areas without resistance to chloroquine.

Chloroquine Dosage and Administration

Adult

Prophylaxis: 500mg once every 7 days. Treatment: 1g once, then 500mg 6–8hrs later; then 500mg once daily for next 2 days. Low body wt: use children's dose. P. vivax and P. ovale (hypnozoite liver stage): give with concomitant 8-aminoquinoline.

Children

Prophylaxis: 8.33mg/kg (max 500mg) once every 7 days. Treatment: 16.7mg/kg (max 1g) once, then 8.33mg/kg (max 500mg) 6, 24 and 36hrs after 1st dose. P. vivax and P. ovale (hypnozoite liver stage): give with concomitant 8-aminoquinoline.

Chloroquine Contraindications

Contraindications

Retinal or visual field changes in indications other than acute malaria.

Chloroquine Boxed Warnings

Not Applicable

Chloroquine Warnings/Precautions

Warnings/Precautions

Prophylaxis: start 2 weeks before and continue for 8 weeks after trip. Monitor for cardiomyopathy esp. at high doses; discontinue if occurs. Cardiac disease. History of ventricular arrhythmias. Uncorrected hypokalemia and/or hypomagnesemia. Bradycardia. Monitor for hypoglycemia. Macular disease. Perform baseline eye exam within the first year of initiation, then annually. Avoid in psoriasis, porphyria. Discontinue if muscular weakness, ocular toxicity, or hearing defects occur. Hepatic, renal, or auditory dysfunction. Alcoholism. Seizure disorders. G6PD deficiency. Monitor CBC, reflexes in long-term use. Elderly. Children. Pregnancy (use adequate contraception in endemic areas). Nursing mothers: not recommended.

Chloroquine Pharmacokinetics

See Literature

Chloroquine Interactions

Interactions

Avoid cimetidine. Retinal toxicity with concomitant tamoxifen: not recommended. May potentiate insulin and other antidiabetic drugs: decrease doses of these. Separate ampicillin dose by 2hrs; dosing of antacids or kaolin by 4hrs. Caution with concomitant QT interval prolonging agents, arrhythmogenic, or hepatotoxic drugs. Increased risk of convulsions with concomitant mefloquine. Potentiates cyclosporine (monitor). May antagonize praziquantel.

Chloroquine Adverse Reactions

Adverse Reactions

Retinopathy, maculopathy, macular degeneration, cardiomyopathy, hearing defects, hypoglycemia, acute extrapyramidal disorders, blood dyscrasias, muscular weakness, GI upset, skin reactions, neuropsychiatric disorders.

Chloroquine Clinical Trials

See Literature

Chloroquine Note

Notes

Formerly known under the brand name Aralen.

Chloroquine Patient Counseling

See Literature

Chloroquine Generic Name & Formulations

General Description

Chloroquine phosphate 500mg (equivalent to 300mg chloroquine base); tabs.

Pharmacological Class

Aminoquinoline.

How Supplied

Contact supplier

Chloroquine Indications

Indications

Extraintestinal amebiasis (use with intestinal amebicide).

Chloroquine Dosage and Administration

Adult

1g daily for 2 days, then 500mg daily for at least 2–3 weeks.

Children

See full labeling.

Chloroquine Contraindications

Contraindications

Retinal or visual field changes in indications other than acute malaria.

Chloroquine Boxed Warnings

Not Applicable

Chloroquine Warnings/Precautions

Warnings/Precautions

Prophylaxis: start 2 weeks before and continue for 8 weeks after trip. Monitor for cardiomyopathy esp. at high doses; discontinue if occurs. Cardiac disease. History of ventricular arrhythmias. Uncorrected hypokalemia and/or hypomagnesemia. Bradycardia. Monitor for hypoglycemia. Macular disease. Perform baseline eye exam within the first year of initiation, then annually. Avoid in psoriasis, porphyria. Discontinue if muscular weakness, ocular toxicity, or hearing defects occur. Hepatic, renal, or auditory dysfunction. Alcoholism. Seizure disorders. G6PD deficiency. Monitor CBC, reflexes in long-term use. Elderly. Children. Pregnancy (use adequate contraception in endemic areas). Nursing mothers: not recommended.

Chloroquine Pharmacokinetics

See Literature

Chloroquine Interactions

Interactions

Avoid cimetidine. Retinal toxicity with concomitant tamoxifen: not recommended. May potentiate insulin and other antidiabetic drugs: decrease doses of these. Separate ampicillin dose by 2hrs; dosing of antacids or kaolin by 4hrs. Caution with concomitant QT interval prolonging agents, arrhythmogenic, or hepatotoxic drugs. Increased risk of convulsions with concomitant mefloquine. Potentiates cyclosporine (monitor). May antagonize praziquantel.

Chloroquine Adverse Reactions

Adverse Reactions

Retinopathy, maculopathy, macular degeneration, cardiomyopathy, hearing defects, hypoglycemia, acute extrapyramidal disorders, blood dyscrasias, muscular weakness, GI upset, skin reactions, neuropsychiatric disorders.

Chloroquine Clinical Trials

See Literature

Chloroquine Note

Notes

Formerly known under the brand name Aralen.

Chloroquine Patient Counseling

See Literature