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Chloroquine phosphate vs plaquenil capsules

QT prolongation and TdP have been reported in patients treated with fluoxetine. Fluoxetine; Olanzapine: Major Avoid coadministration of hydroxychloroquine and fluoxetine. Major Avoid coadministration of hydroxychloroquine and olanzapine. Limited data, including some case reports, suggest that olanzapine may be associated with a significant prolongation of the QTc interval. Fluphenazine: Minor Use caution with the coadministration of hydroxychloroquine and fluphenazine. Fluphenazine is associated with a possible risk for QT prolongation. Theoretically, fluphenazine may increase the risk of QT prolongation if coadministered with other drugs that have a risk of QT prolongation, such as hydroxychloroquine.

Fluticasone; Salmeterol: Moderate Use caution with coadministration of hydroxychloroquine and long-acting beta-agonists.

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Fluticasone; Umeclidinium; Vilanterol: Moderate Use caution with coadministration of hydroxychloroquine and long-acting beta-agonists. Fluticasone; Vilanterol: Moderate Use caution with coadministration of hydroxychloroquine and long-acting beta-agonists. Fluvoxamine: Major There may be an increased risk for QT prolongation and torsade de pointes TdP during concurrent use of fluvoxamine and hydroxychloroquine. Cases of QT prolongation and TdP have been reported during postmarketing use of fluvoxamine. Formoterol: Moderate Use caution with coadministration of hydroxychloroquine and long-acting beta-agonists.

Formoterol; Mometasone: Moderate Use caution with coadministration of hydroxychloroquine and long-acting beta-agonists.

Foscarnet: Major When possible, avoid concurrent use of foscarnet with other drugs known to prolong the QT interval, such as hydroxychloroquine. Foscarnet has been associated with postmarketing reports of both QT prolongation and torsade de pointes TdP. If these drugs are administered together, obtain an electrocardiogram and electrolyte concentrations before and periodically during treatment. Fosphenytoin: Moderate Caution is warranted with the coadministration of hydroxychloroquine and antiepileptic drugs, such as fosphenytoin.

Gabapentin: Moderate Caution is warranted with the coadministration of hydroxychloroquine and antiepileptic drugs, such as gabapentin. Galsulfase: Minor Theoretically, there is a possible drug interaction between galsulfase and medications which may impact lysosomal efficacy.

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Both chloroquine and hydroxychloroquine are weak bases that accumulate in acidic lysosomes because of ion trapping. The subsequent elevation of lysosomal pH results in lysosomal enzyme inhibition. Although these drugs have been clinically shown to interact with other MPS treatments, it is unknown if they will have any effect on the efficacy of galsulfase.

Gefitinib: Moderate Monitor for an increase in gefitinib-related adverse reactions if coadministration with hydroxychloroquine is necessary; the risk is increased in CYP2D6 poor metabolizers. In healthy CYP2D6 poor metabolizers, the concentration of O-desmethyl gefitinib was not measurable and mean exposure to gefitinib was 2-fold higher compared to extensive metabolizers. The impact of CYP2D6 inhibitors on gefitinib pharmacokinetics has not been evaluated; however, the manufacturer recommends precautions based on exposure in patients with poor CYP2D6 metabolism.

Gemifloxacin: Major Avoid coadministration of hydroxychloroquine and gemifloxacin.

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Gemifloxacin may prolong the QT interval in some patients. The maximal change in the QTc interval occurs approximately 5 to 10 hours following oral administration of gemifloxacin. The likelihood of QTc prolongation may increase with increasing dose of the drug; therefore, if coadministration is necessary, the recommended dose should not be exceeded especially in patients with renal or hepatic impairment where the Cmax and AUC are slightly higher.

Gemtuzumab Ozogamicin: Major Avoid coadministration of gemtuzumab ozogamicin with hydroxychloroquine due to the potential for additive QT interval prolongation and risk of torsade de pointes TdP. If coadministration is unavoidable, obtain an ECG and serum electrolytes prior to the start of and as needed during treatment.

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Although QT interval prolongation has not been reported with gemtuzumab ozogamicin, it has been reported with other drugs that contain calicheamicin. Hydroxychloroquine may cause QT interval prolongation. Gilteritinib: Major Do not administer hydroxychloroquine and gilteritinib together due to the potential for additive QT prolongation. Both drugs have been associated with QT prolongation; coadministration has the potential for additive effects.

Glasdegib: Major Glasdegib and hydroxychloroquine should not be coadministered due to additive risk of QT prolongation. Glasdegib therapy may result in QT prolongation and ventricular arrhythmias including ventricular fibrillation and ventricular tachycardia. Glimepiride: Moderate Careful monitoring of blood glucose is recommended when hydroxychloroquine and antidiabetic agents, including sulfonylureas, are coadministered. Glimepiride; Pioglitazone: Moderate Careful monitoring of blood glucose is recommended when hydroxychloroquine and antidiabetic agents, including sulfonylureas, are coadministered.

Glimepiride; Rosiglitazone: Moderate Careful monitoring of blood glucose is recommended when hydroxychloroquine and antidiabetic agents, including sulfonylureas, are coadministered. Glipizide: Moderate Careful monitoring of blood glucose is recommended when hydroxychloroquine and antidiabetic agents, including sulfonylureas, are coadministered.

Glipizide; Metformin: Moderate Careful monitoring of blood glucose is recommended when hydroxychloroquine and antidiabetic agents, including metformin, are coadministered.

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Moderate Careful monitoring of blood glucose is recommended when hydroxychloroquine and antidiabetic agents, including sulfonylureas, are coadministered. Glyburide: Moderate Careful monitoring of blood glucose is recommended when hydroxychloroquine and antidiabetic agents, including sulfonylureas, are coadministered.

Glyburide; Metformin: Moderate Careful monitoring of blood glucose is recommended when hydroxychloroquine and antidiabetic agents, including metformin, are coadministered. Glycopyrrolate; Formoterol: Moderate Use caution with coadministration of hydroxychloroquine and long-acting beta-agonists. Goserelin: Major Avoid coadministration of hydroxychloroquine and goserelin due to the risk of QT prolongation. Androgen deprivation therapy e. Granisetron: Major Avoid coadministration of hydroxychloroquine and granisetron.

Granisetron has been associated with QT prolongation. Guaifenesin; Hydrocodone: Moderate Concomitant use of hydrocodone with hydroxychloroquine may increase hydrocodone plasma concentrations and prolong opioid adverse reactions, including hypotension, respiratory depression, profound sedation, coma, and death. Guaifenesin; Hydrocodone; Pseudoephedrine: Moderate Concomitant use of hydrocodone with hydroxychloroquine may increase hydrocodone plasma concentrations and prolong opioid adverse reactions, including hypotension, respiratory depression, profound sedation, coma, and death. Halogenated Anesthetics: Major Avoid coadministration of hydroxychloroquine and halogenated anesthestics.


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Haloperidol: Major Avoid coadministration of hydroxychloroquine and haloperidol. QT prolongation and TdP have been observed during haloperidol treatment. Excessive doses particularly in the overdose setting or IV administration of haloperidol may be associated with a higher risk of QT prolongation. Additionally, hydroxychloroquine is an inhibitor of CYP2D6, one of the isoenzymes responsible for the metabolism of haloperidol. Mild to moderate increases in haloperidol plasma concentrations have been reported during concurrent use of haloperidol and inhibitors of CYP2D6.

Elevated haloperidol concentrations occurring through inhibition of CYP2D6 may increase the risk of adverse effects, including QT prolongation. Halothane: Major Avoid coadministration of hydroxychloroquine and halogenated anesthestics. Histrelin: Major Avoid coadministration of hydroxychloroquine and histrelin due to the risk of QT prolongation.

Homatropine; Hydrocodone: Moderate Concomitant use of hydrocodone with hydroxychloroquine may increase hydrocodone plasma concentrations and prolong opioid adverse reactions, including hypotension, respiratory depression, profound sedation, coma, and death. Hydrochlorothiazide, HCTZ; Metoprolol: Moderate Monitor for increased metoprolol adverse reactions including bradycardia and hypotension during coadministration. A dosage reduction for metoprolol may be needed based on response. Concurrent use may increase metoprolol exposure.

CYP2D6 inhibitors, such as hydroxychloroquine, could theoretically impair propranolol metabolism; the clinical significance of such interactions is unknown. Hydrocodone: Moderate Concomitant use of hydrocodone with hydroxychloroquine may increase hydrocodone plasma concentrations and prolong opioid adverse reactions, including hypotension, respiratory depression, profound sedation, coma, and death. Hydrocodone; Ibuprofen: Moderate Concomitant use of hydrocodone with hydroxychloroquine may increase hydrocodone plasma concentrations and prolong opioid adverse reactions, including hypotension, respiratory depression, profound sedation, coma, and death.

Hydrocodone; Phenylephrine: Moderate Concomitant use of hydrocodone with hydroxychloroquine may increase hydrocodone plasma concentrations and prolong opioid adverse reactions, including hypotension, respiratory depression, profound sedation, coma, and death.

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Hydrocodone; Potassium Guaiacolsulfonate: Moderate Concomitant use of hydrocodone with hydroxychloroquine may increase hydrocodone plasma concentrations and prolong opioid adverse reactions, including hypotension, respiratory depression, profound sedation, coma, and death. Hydrocodone; Potassium Guaiacolsulfonate; Pseudoephedrine: Moderate Concomitant use of hydrocodone with hydroxychloroquine may increase hydrocodone plasma concentrations and prolong opioid adverse reactions, including hypotension, respiratory depression, profound sedation, coma, and death.

Hydrocodone; Pseudoephedrine: Moderate Concomitant use of hydrocodone with hydroxychloroquine may increase hydrocodone plasma concentrations and prolong opioid adverse reactions, including hypotension, respiratory depression, profound sedation, coma, and death. Hydroxyzine: Major Avoid coadministration of hydroxychloroquine and hydroxyzine. Postmarketing data indicate that hydroxyzine causes QT prolongation and TdP. Ibutilide: Major Avoid coadministration of hydroxychloroquine and ibutilide. Ibutilide administration can cause QT prolongation and TdP; proarrhythmic events should be anticipated.

The potential for proarrhythmic events with ibutilide increases with the coadministration of other drugs that prolong the QT interval. Iloperidone: Major Avoid coadministration of hydroxychloroquine and iloperidone. Iloperidone has been associated with QT prolongation. Imipramine: Major Avoid coadministration of hydroxychloroquine and tricyclic antidepressants. Incretin Mimetics: Moderate Careful monitoring of blood glucose is recommended when hydroxychloroquine and antidiabetic agents, including the incretin mimetics, are coadministered.

Indacaterol: Moderate Use caution with coadministration of hydroxychloroquine and long-acting beta-agonists.