hydroxychloroquine

Brand: Plaquenil

Prototype: chloroquine
Drug Class: aminoquinoline antiparasitic/DMARD
Drug Family: antiparasitic
Subclass: 4-aminoquinoline used primarily as DMARD
Organ Systems: infectious-diseaseimmunologymusculoskeletal

Mechanism of Action

Similar to chloroquine for antimalarial activity; additionally accumulates in lysosomes and inhibits TLR7/TLR9 signaling by preventing endosomal acidification, reducing autoimmune cytokine production — the basis for its DMARD activity.

plasmodial heme polymerase; toll-like receptors (TLR7/TLR9) in immune cells

Indications

  • malaria prophylaxis and treatment (chloroquine-sensitive)
  • systemic lupus erythematosus (SLE) — reduces flares and mortality
  • rheumatoid arthritis (DMARD)
  • Sjögren's syndrome

Contraindications

  • hydroxychloroquine hypersensitivity
  • pre-existing retinopathy or macular disease

Adverse Effects

Common

  • GI upset
  • skin discoloration (blue-gray)
  • headache

Serious

  • retinopathy (irreversible — dose and duration dependent)
  • cardiomyopathy (rare)
  • QTc prolongation (less than chloroquine)
  • agranulocytosis (rare)

Pharmacokinetics (ADME)

Absorption 74% oral bioavailability
Distribution large Vd; extensively distributed to tissues, especially eyes and skin
Metabolism hepatic (desethylhydroxychloroquine — active metabolite)
Excretion renal (40–50%) and fecal
Half-life 40–50 days (long terminal half-life)
Onset 2–4 weeks (for DMARD effects)
Peak 3.2 hours
Duration once or twice daily
Protein Binding 45%
Vd very large

Drug Interactions

Drug / Agent Mechanism Severity
digoxin hydroxychloroquine may increase digoxin levels moderate
QTc-prolonging drugs additive QTc prolongation moderate
metformin increased risk of lactic acidosis in renal impairment minor

Nursing Considerations

  1. Baseline ophthalmologic examination is mandatory before initiating therapy; annual fundoscopy and Humphrey visual field testing required after 5 years of therapy (or earlier for high-risk patients).
  2. Administer with food to reduce GI adverse effects.
  3. For SLE: therapeutic benefits take weeks to months to manifest; counsel patients not to stop therapy prematurely.
  4. Monitor CBC and LFTs annually; screen for G6PD deficiency in high-risk patients.

Clinical Pearls

  • Hydroxychloroquine reduces mortality and lupus flare rates by 30–50% in SLE patients, and should be continued indefinitely unless toxicity develops; it is one of the only medications proven to reduce cardiovascular events and thrombosis in SLE.
  • Hydroxychloroquine retinopathy risk is related to dose (>5 mg/kg lean body weight per day) and duration (>5 years); safe dosing is critical since retinopathy is irreversible.

Safety Profile

Pregnancy use-with-caution
Lactation use-with-caution
Renal Adjustment Required
Hepatic Adjustment Required
TDM Not required