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Hydroxychloroquine Dosage

Generic name: hydroxychloroquine
Brand names: Plaquenil, Plaquenil Sulfate, Quineprox
Drug classes: Antimalarial quinolines, Antirheumatics

Medically reviewed by  A Ras MD.

 

Recommended Adult Dosing

Dosage forms:  TAB: 200 mg

Malaria prophylaxis

[400 mg PO qwk]
Start: 1-2wk before exposure; Info: give w/ food or milk; do not cut/crush/chew tab; D/C 4wk after exposure; see CDC Pre-Travel Malaria Prophylaxis recommendations in Guidelines > Specialties > Infectious Diseases

Malaria tx

[800 mg PO x1, then 400 mg PO x1 at 6h, 24h, and 48h]
Info: give w/ food or milk; do not cut/crush/chew tab; to avoid relapse in acute P. vivax or P. ovale infection, follow up tx w/ primaquine or tafenoquine; refer to CDC guidelines

SLE

[200 mg PO qd or 400 mg/day PO divided qd-bid]
Info: give w/ food or milk; do not cut/crush/chew tab

Rheumatoid arthritis

[200 mg PO qd or 400 mg/day PO divided qd-bid]
Start: 400-600 mg/day PO divided qd-bid x4-12wk; Info: give w/ food or milk; do not cut/crush/chew tab

COVID-19

[EUA revoked in US]
Info: revoked June 15, 2020; no evidence of benefit for mortality or other outcomes and ongoing reports of serious cardiac adverse events; search ‘COVID’ for additional resources including guidelines, published study summaries, and clinical trial updates

Renal dosing

renal impairment: consider decr. usual dose
HD/PD: not defined

Hepatic dosing

hepatic impairment: consider decr. usual dose

 

SRC: NLM .

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