Chloroquine

Chloroquine is a synthetic 4-aminoquinoline compound. It has antiprotozoal and anti-inflammatory properties. Chloroquine is formulated as phosphate salt for oral use and as hydrochloride for parentral use. Chloroquine is effective for the suppression and treatment of malaria and as an antiinflammatory in the treatment of rheumatoid arthritis. It is also used to treat amebiasis.


Brands
NIVAQUIN-P NIVAQUIN-P CHLOROQUINE PHOSPHATE MALFREE RESOCHIN RESOCHIN CHLOROQUINE CHLOROQUINE EFROQUINE EFROQUINE DEVOQUINE DEVOQUINE LERAQUIN LERAQUIN CHLOROQUINE PHOSPHATE EPLACHLOR EPLACHLOR GEOQUIN GEOQUIN CHLOROQUINE PHOSPHATE CHLOROQUINE PHOSPHATE CHLOROQUINE PHOSPHATE CHLOROQUINE PHOSPHATE CHLOROQUINE PHOSPHATE FAROQUIN CHLOROQUINE CHLOROQUINE CILAQUINE CILAQUINE ASOQUIN CHLOROQUINE PHOSPHATE KLARQUINE KCIQUINE KCIQUINE MALAQUINE INJECTION BINAQUINE BINAQUINE BINAQUINE BINAQUINE BINAQUINE CHLOROQUINE PHOSPHATE CHLOROQUINE CHLOROQUINE CHLOROQUINE PHOSPHATE CHLOROQUINE PHOSPHATE CHLOROQUINE PHOSPHATE CHLOROQUINE PHOSPHATE HIQUIN HIQUIN QUINE QUINE CHLOROQUINE CHLOROQUINE CHLOROQUINE CHLOROQUINE BENAQUIN BENAQUIN BENAQUIN BENAQUIN NEOQUIN NEOQUIN CHLOROQUINE PHOSPHATE CHLOROQUINE PHOSPHATE CHLOROQUINE PHOSPHATE NAFAQUINE CHLOROQUINE PHOSPHATE CHLOROQUINE PHOSPHATE PHAROQUINE PHAROQUINE PHAROQUINE CHLOROQUINE CHLOROQUINE CHLOROQUINE CHLOROQUINE PROQUINE PROQUINE PROQUINE PROQUINE PROQUINE PROQUINE MALABAN CHLOROQUINE CHLOROQUINE CHLOROQUINE SEROQUINE SEROQUINE SULQUINE SULQUINE CHLOROQUINE CHLOROQUINE CHLOROQUINE CHLOROQUINE TAGAQUIN TAGAQUIN TAGAQUIN CHLOROQUINE WILQUINE WILQUINE WILQUINE WILQUINE CLOQUIN VIO CHLOR VIO CHLOR CHLOROQUINE PHOSPHATE DELOQUIN DELOQUIN DELOQUIN DELOQUIN CHLOROQUINE PHOSOQUINE PHOSOQUINE PHOSOQUINE MB-QUIN LISKOCHIN LISKOCHIN CHLOROQUINE CHLOROQUINE CHLOROQUINE CHLOROQUINE MALAQUINE MALAQUINE VIOQUIN CHLOROQUINE PHOSPHATE CHLOROQUINE PHOSPHATE EROQEEN SYRUP EROQUEEN RUBAQUIN KEMYQUIN KEMYQUIN DAVIQUIN CHLOROQUINE PHOSPHATE CHLOROQUINE PHOSPHATE CHLOROQUINE PHOSPHATE GENIQUIN GENIQUIN GENIQUIN CHLOROQUINE CHLOROQUINE CHLOROQUINE ZOLOQUINE ZOLOQUINE REMOQUIN MOXIQUIN CHLOROQUINE PHOSPHATE CHLOROQUINE PHOSPHATE CHLOROQUINE PHOSPHATE FOOQUINE BENTAQUIN ALCHROQUIN MEDIQUINEML MEDIQUINE JP-CHLOR KELAQUINE
Adult Dose
Dose: 300 mg
Single Dose: 300 (300)
Frequency: As recommended.
Route: PO
Instructions: Maintenance After 6 hrs of initial dose, then OD for 2 days
Neonatal
Dose: 6 mg/kg
Single Dose: 6 (6)
Frequency: 24 hourly
Route: Oral
Instructions: Maintenance after 6 hours of initial, for 2 days
Paedriatic
Dose: 3 mg/kg
Single Dose: 3 (3)
Frequency: As recommended.
Route: oral
Instructions: for lupus erythematosis light sensitive skin eruption.
Characteristics
Chloroquine also known as Chloroquina. Chloroquine Phosphate, Chloroquine Phosphate are the derivatives of Chloroquine. It is of Synthetic origin. It belongs to Antiplasmodial pharmacological group on the basis of mechanism of action and also classified in Antimalarial Agent pharmacological group.Its pKa is 8.4,10.
Contraindications
Chloroquine is contraindicated in conditions like Anaemia,Psoriasis,Porphyrias,Leukopenia,Retinal damage,Hypersensitivity,Seizures,Alcohol abuse,Breast feeding.
Effects
The severe or irreversible adverse effects of Chloroquine, which give rise to further complications include Fever, Pruritis, Seizures, Retinopathy, Agitation, Blurred vision, Gastrointestinal upset.Chloroquine produces potentially life-threatening effects which include Convulsions, Postural hypotension, Aplastic Anemia, Cardiopulmonary arrest, CVS depression, Psychosis, Aplastic anemia, Postural hypotension. which are responsible for the discontinuation of Chloroquine therapy.The signs and symptoms that are produced after the acute overdosage of Chloroquine include Nausea, Vomiting, Convulsions, Coma, Drowsiness, Headache, Dysphagia, Cardiopulmonary arrest, Tremor, Fatal poisoning, Hoarseness, Nausea & vomiting, Visual distrubances, Weakness, Dyspnea.The symptomatic adverse reactions produced by Chloroquine are more or less tolerable and if they become severe, they can be treated symptomatically, these include Dizziness, Headache, Nausea, Vomiting, Diarrhea, Abdominal pain, Blurred vision, Rashes, Urticaria, Itching, Hair loss, Skin eruptions, Bleaching of hair, Skin eruptions, Loss of appetite, dizziness.
Indications
Chloroquine is primarily indicated in conditions like Adjunctive therapy without valproate, Amoebiasis, Cutaneous sarcoidosis, Discoid lupus erythematosus, Giardiasis, Malaria, Nocturia associated with multiple sclerosis, Polymorphous light eruption, Porphyria cutanea tarda, Protozoa infection, Rheumatoid arthritis, Solar urticaria, Systemic and discoid lupus erythematosus, Systemic lupus erythematosus, To reduce degradation of pancreatic enzyme supplements, Urticaria, and can also be given in adjunctive therapy as an alternative drug of choice in Porphyria, Scleroderma.
Interactions
Chloroquine is known to interact with other drugs, the details of drug interactions is as follows:DrugDetailsSeverityOnsetManagementAluminium Hydroxide and OxideAmiodarone (HCl)Increased risk of ventricular arrhythmia when amiodarone given with antimalarials (e.g Quinine). ADVICE: Avoid concomitant use or only undertaken with caution and appropriate monitoring.AmpicillinAtomoxetine HClThe effect and toxicity of atomoxetine could be increased by CYP2D6 inhibitor.CarbamazepinePossible increased risk of convulsions when antiepileptics given with Chloroquine.MajorCimetidine (HCl)Cyclosporin ACyproheptadine (HCl)Desipramine (HCl)Distigmine (Br)Emetine (HCl)Halofantrine (HCl)Halofantrine (HCl)Hydroxychloroquine (Sulphate)Mefloquine (HCl)NeostigminePhenylbutazone Praziquantel Primaquine (Phosphate)Pyridostigmine (Br)Pyridostigmine (Br)PyrimethamineRivastigmineSulfadoxineSulfadoxineSuxamethonium (Cl)Thyroxine (Na)Verapamil (HCl)VORICONAZOLEVoriconazole may increase the serum concentration of chloroquine by decreasing its metabolism. Monitor for changes in the therapeutic and adverse effects of chloroquine if voriconazole is initiated, discontinued or dose changed. These interactions are sometimes beneficial and sometimes may pose threats to life. Always consult your physician for the change of dose regimen or an alternative drug of choice that may strictly be required.
Interfrence
Interfere with the measurement of Urinary Alkaloids by TLC
Risks
Drug should not be given to Cardiac / Hypertensive Patients.If prescribing authority justifies the benefits of the drug against the possible damages he/she should reevaluate them and consult the reference material and previous studies.
Storage
Store Between 20°C-25°C.
Warnings
Chloroquine should be used with caution in patients with pre-existing liver disease, blood disorders or psoriasis. This drug should be used only if clearly needed during pregnancy or lactation. Chloroquine phosphate may cause upset stomach so take it with food. Do not use in patients having allergy to it. As Chloroquine phosphate may cause blurred vision so donot drive while using it. Do not breast feed.
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