Hydroxychloroquine is a racemic mixture consisting of an R and S enantiomer. Hydroxychloroquine is an aminoquinoline like chloroquine. It is a commonly prescribed medication in the treatment of uncomplicated malaria, rheumatoid arthritis, chronic discoid lupus erythematosus, and systemic lupus erythematosus. Hydroxychloroquine is also used for the prophylaxis of malaria in regions where chloroquine resistance is unlikely. It was developed during World War II as a derivative of quinacrine with less severe side effects. Chloroquine and hydroxychloroquine are both being investigated for the treatment of SARS-CoV-2.
The FDA emergency use authorization for hydroxychloroquine and chloroquine in the treatment of COVID-19 was revoked on 15 June 2020.
Hydroxychloroquine was granted FDA approval on 18 April 1955.
A recent study reported a fatality in the group being treated with hydroxychloroquine for COVID-19.
Hydroxychloroquine is indicated for the prophylaxis of malaria where chloroquine resistance is not reported, treatment of uncomplicated malaria (caused by P. falciparum, P. malariae, P. ovale, or P. vivax), chronic discoid lupus erythematosus, systemic lupus erythematosus, acute rheumatoid arthritis, and chronic rheumatoid arthritis.
Päijät-Häme Central Hospital, Lahti, Finland
South Karelia Central Hospital, Lappeenranta, Finland
North Karelia Central Hospital, Joensuu, Finland
Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER), Pondicherry, Pondicherry UT, India
University of Pittsburgh Cancer Institute - Hillman Cancer Center, Pittsburgh, Pennsylvania, United States
Justus-Liebig-Universität, Allgemeine Pädiatrie u. Neonatologie, Gießen, Hessen, Germany
Universitätsklinikum Frankfurt, Pneumologie, Allergologie, Mukoviszidose, Frankfurt, Hessen, Germany
Charité Berlin, Klinik für Pädiatrie, Berlin, Germany
University of Michigan Health System: Department of Internal Medicine, Division of Rheumatology, Ann Arbor, Michigan, United States
University of Nebraska Medical Center: Division of Rheumatology, Omaha, Nebraska, United States
Cedars Sinai Medical Center: Division of Rheumatology, Los Angeles, California, United States
Rouen University Hospital, Rouen, France
SEARCH, the Thai Red Cross AIDS Research Centre, Bangkok, Thailand
Outpatient Care Center, Chicago, Illinois, United States
Beijng Hospital, Beijing, China
the Affiliated Hospital to Bangbu Medical University, Bangbu, Anhui, China
Hebei Provincial Hospital, Shijiazhuang, Hebei, China
Institute of Rheumatic & Musculoskeletal Medicine, Chapel Allerton Hospital, Leeds, West Yorkshire, United Kingdom
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