Hydroxychloroquine is used to prevent or treat malaria caused by mosquito bites. The United States Centers for Disease Control offers updated guidelines and travel advice for preventing and treating malaria worldwide. Discuss the most recent information with your doctor before traveling to areas where malaria occurs.buy Hydroxychloroquine 200mg online
This medication is also used to treat certain auto-immune diseases (lupus, rheumatoid arthritis). It belongs to a class of medications known as disease-modifying antirheumatic drugs (DMARDs). It can reduce skin problems in lupus and prevent swelling/pain in arthritis.buy Hydroxychloroquine 200mg online
How to use
Take this medication by mouth, usually with food to prevent stomach upset, exactly as directed by your doctor. The dosage and length of treatment are based on your medical condition and response to treatment. In children, dosage is also based on weight.buy Hydroxychloroquine 200mg online
To prevent malaria, take this medicine by mouth as your doctor directs. Usually, you will take it once a week on the same day. Mark a calendar to help you remember. This drug is usually started 1 to 2 weeks before entering the malarious area. Keep taking it weekly while you are in the area. Continue for 4 to 8 weeks after you leave, or follow your doctor's instructions. To treat malaria, follow your doctor’s instructions.
For lupus or rheumatoid arthritis, take this medicine by mouth as your doctor directs. You will usually take it once or twice a day. Your doctor may gradually increase your dose. After you have taken the medication for some time and your condition has improved, your doctor may tell you to lower your dose. This will help you find the dose that works best with the fewest side effects Hydroxychloroquine 200mg online
If you are also taking a certain drug for diarrhea (kaolin) or taking antacids (such as magnesium/aluminum hydroxide), take hydroxychloroquine at least 4 hours before or after these products. These products may bind with hydroxychloroquine, preventing your body from fully absorbing it.buy Hydroxychloroquine 200mg online
Use this medication regularly in order to get the most benefit from it. If you are taking it on a daily schedule, take it at the same time(s) each day. Take this medication exactly as prescribed. Do not stop taking it without talking with your doctor, especially if you are taking it for malaria. It is important to continue taking this for the length of time prescribed. Stopping prevention or treatment too soon may lead to infection or a return of the infection.
Tell your doctor if your condition lasts or gets worse. It may take several weeks or months to see improvement if you are taking this for lupus or arthritis. Hydroxychloroquine may not prevent malaria in all cases. If you have a fever or other signs of illness, seek medical help right away. This is especially important if you are in a malarious area or within 2 months of returning from one. You may need a different medication. Avoid exposure to mosquitoes. (See also Notes section.)
Side effects
Nausea, vomiting, loss of appetite, diarrhea, dizziness, or headache may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly.
Your doctor prescribed this medication because they believe the benefits are greater than the risks of side effects. Many people using this medication do not have serious side effects.
Tell your doctor right away if you have any serious side effects. These include: slow heartbeat, signs of heart failure, and mental or mood changes.
Signs of heart failure can be shortness of breath, swelling in your ankles or feet, unusual tiredness, or sudden weight gain.
Mental or mood changes can include anxiety, depression, rare thoughts of suicide, or hallucinations.
Hearing changes may involve ringing in the ears or hearing loss.
You should also report easy bruising or bleeding, and signs of infection.
Signs of infection can be a sore throat that doesn’t go away or a fever.
Watch for signs of liver disease, like severe stomach pain, yellowing of the eyes or skin, or dark urine.
Other side effects to report are muscle weakness, unwanted movements, hair loss, or changes in hair or skin color.
This medication may cause low blood sugar (hypoglycemia). Tell your doctor right away if you have symptoms of low blood sugar. These symptoms include sudden sweating, shaking, hunger, blurred vision, dizziness, or tingling in your hands or feet. If you have diabetes, be sure to check your blood sugars regularly. Your doctor may need to adjust your diabetes medication.
Get medical help right away if you have any serious side effects. These include severe dizziness, fainting, fast or irregular heartbeat, and seizures.
This medication may cause serious eye/vision problems. The risk for these side effects is increased with long-term use of this medication and with taking this medication in high doses.
Get medical help right away if you have any serious eye symptoms. Here’s a simplified version of the sentence, split into shorter sentences:
- You may be sensitive to light.
- You might notice changes in your vision.
- You could see light flashes or streaks.
- Your vision may become blurred.
- You might have trouble reading.
- You may have missing areas in your vision.
A very serious allergic reaction to this drug is rare. However, seek medical help right away if you notice any signs of a serious allergic reaction. These signs include a rash, itching, swelling (especially of the face, tongue, or throat), dizziness, or trouble breathing.
This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.
In the US – Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada – Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.
Warnings & Precautions
Before taking hydroxychloroquine, tell your doctor or pharmacist if you are allergic to it or chloroquine. Also, mention any other allergies you may have. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.
Before using this medication, tell your doctor or pharmacist about your medical history. This is especially important if you have certain health issues. These include:
- Glucose-6-phosphate dehydrogenase deficiency (G6PD)
- Vision or eye problems
- Hearing issues
- Kidney disease
- Liver disease
- Regular alcohol use or abuse
- Skin problems like psoriasis
- A blood disorder known as porphyria
- Seizures
If you have diabetes, this product may affect your blood sugar. Check your blood sugar regularly as directed and share the results with your doctor. Tell your doctor right away if you have symptoms of low blood sugar (see Side Effects section). Your doctor may need to adjust your diabetes medication, exercise program, or diet.
This drug may make you dizzy. Alcohol or marijuana (cannabis) can make you more dizzy. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. Avoid alcoholic beverages. Talk to your doctor if you are using marijuana (cannabis). Alcohol can also increase your risk of liver problems while you are taking this drug.
This medication may make you more sensitive to the sun. Limit your time in the sun. Avoid tanning booths and sunlamps. Use sunscreen and wear protective clothing when outdoors. Tell your doctor right away if you get sunburned or have skin blisters/redness.
Before your surgery, tell your doctor or dentist about all the products you use. This includes prescription drugs, over-the-counter drugs, and herbal products.
Hydroxychloroquine may cause a condition that affects the heart rhythm (QT prolongation). QT prolongation can sometimes lead to serious fast or irregular heartbeats. It can also cause other symptoms, like severe dizziness or fainting. These symptoms require immediate medical attention.
The risk of QT prolongation may go up if you have certain health conditions or take other medications that can cause it. Before using hydroxychloroquine, inform your doctor or pharmacist about all the medications you take. Also, let them know if you have any of these conditions: heart problems like heart failure, slow heartbeat, or QT prolongation on an EKG. Additionally, share if you have a family history of heart issues, such as QT prolongation or sudden cardiac death.
Low levels of potassium or magnesium in the blood may also increase your risk of QT prolongation. This risk may go up if you take certain drugs, like diuretics or "water pills." It can also increase if you have conditions like severe sweating, diarrhea, or vomiting. Talk to your doctor about using hydroxychloroquine safely.
Older adults may be more sensitive to the side effects of this drug, especially QT prolongation (see above).
During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor.
This medication passes into breast milk. Consult your doctor before breast-feeding.
Storage
Store at room temperature away from moisture and light. Do not store in the bathroom. Keep all medications away from children and pets.
Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.
Drug interactions
See also How to Use section.
Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Make a list of all the products you use. This includes prescription and nonprescription drugs, as well as herbal products. Share this list with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor’s approval.
A product that may interact with this drug is: penicillamine.
Many drugs besides hydroxychloroquine may affect the heart rhythm (QT prolongation). Some examples are amiodarone, azithromycin, disopyramide, dronedarone, pimozide, quinidine, among others.
Overdose
If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include: fast/irregular heartbeat, fainting, slow/shallow breathing, seizures.
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Missed Doses:
If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Take your next dose at the regular time. Do not double the dose to catch up.
Notes:
Do not share this medication with others.
If you are taking hydroxychloroquine for a long time, you should have lab or medical tests. These tests include eye exams, reflex tests, liver function tests, EKGs, and complete blood counts. Keep all medical and lab appointments. Consult your doctor for more details.
When traveling in an area at risk for malaria, use protective clothing, insect repellent, and bed nets. Remain indoors or in well-screened areas when possible. If you are using this medication for malaria, only use it for your current trip or health issue. Do not use it later to prevent or treat another infection unless your doctor tells you to.
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