Hydroxychloroquine
Hydroxychloroquine (HCQ), sold under the brand name Plaquenil among others, is a medication used to prevent and treat malaria in areas where malaria remains sensitive to chloroquine.[2] Other uses include treatment of rheumatoid arthritis, lupus, and porphyria cutanea tarda.[2] It is taken by mouth.[2] It is also being studied as a treatment for coronavirus disease 2019 (COVID-19), although evidence for its efficacy is lacking.[3][4] The US Food and Drug Administration has warned against taking the drug outside of a hospital or formal study, citing "serious and potentially life-threatening heart rhythm problems".[5]
Common side effects include vomiting, headache, changes in vision, and muscle weakness.[2] Severe side effects may include allergic reactions, vision problems, and heart problems.[2][6] Although all risk cannot be excluded, it remains a treatment for rheumatic disease during pregnancy.[7] Hydroxychloroquine is in the antimalarial and 4-aminoquinoline families of medication.[2]
Hydroxychloroquine was approved for medical use in the United States in 1955.[2] It is on the World Health Organization's List of Essential Medicines, the safest and most effective medicines needed in a health system.[8] In 2017, it was the 128th most commonly prescribed medication in the United States, with more than five million prescriptions.
Hydroxychloroquine is used to treat systemic lupus erythematosus, rheumatic disorders like rheumatoid arthritis, porphyria cutanea tarda, and Q fever, and certain types of malaria.[2] It is considered the first-line treatment for systemic lupus erythematosus.[11] Certain types of malaria, resistant strains, and complicated cases require different or additional medication.[2]
It is widely used to treat primary Sjögren syndrome, but has not been shown to be effective.[12] Hydroxychloroquine is widely used in the treatment of post-Lyme arthritis. It may have both an anti-spirochaete activity and an anti-inflammatory activity, similar to the treatment of rheumatoid arthritis
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