Page last updated: 2024-10-28

hydroxychloroquine and Torsade de Pointes

hydroxychloroquine has been researched along with Torsade de Pointes in 24 studies

Hydroxychloroquine: A chemotherapeutic agent that acts against erythrocytic forms of malarial parasites. Hydroxychloroquine appears to concentrate in food vacuoles of affected protozoa. It inhibits plasmodial heme polymerase. (From Gilman et al., Goodman and Gilman's The Pharmacological Basis of Therapeutics, 9th ed, p970)
hydroxychloroquine : An aminoquinoline that is chloroquine in which one of the N-ethyl groups is hydroxylated at position 2. An antimalarial with properties similar to chloroquine that acts against erythrocytic forms of malarial parasites, it is mainly used as the sulfate salt for the treatment of lupus erythematosus, rheumatoid arthritis, and light-sensitive skin eruptions.

Research Excerpts

ExcerptRelevanceReference
"To analyze the cases of torsade de pointes (TdP) and related symptoms reported in association with chloroquine (CQ), hydroxychloroquine (HCQ), and azithromycin (AZT) to the World Health Organization (WHO) global database of individual case safety reports (ICSRs) for drug monitoring (VigiBase) using qualitative and quantitative pharmacovigilance approaches."8.02Torsade de pointes associated with chloroquine, hydroxychloroquine, and azithromycin: a retrospective analysis of individual case safety reports from VigiBase. ( Saint-Gerons, DM; Tabarés-Seisdedos, R, 2021)
"To analyze the cases of torsade de pointes (TdP) and related symptoms reported in association with chloroquine (CQ), hydroxychloroquine (HCQ), and azithromycin (AZT) to the World Health Organization (WHO) global database of individual case safety reports (ICSRs) for drug monitoring (VigiBase) using qualitative and quantitative pharmacovigilance approaches."4.02Torsade de pointes associated with chloroquine, hydroxychloroquine, and azithromycin: a retrospective analysis of individual case safety reports from VigiBase. ( Saint-Gerons, DM; Tabarés-Seisdedos, R, 2021)
"The risk of torsade de pointes is low in hospitalized patients with COVID-19 receiving hydroxychloroquine±azithromycin therapy."3.96Safely Administering Potential QTc Prolonging Therapy Across a Large Health Care System in the COVID-19 Era. ( Chang, D; Epstein, LM; Fishbein, J; Gabriels, J; Mountantonakis, SE; Qiu, M; Saleh, M, 2020)
"The incidence and nature of arrhythmias in the setting of COVID-19 were poorly documented across studies."2.72Incidence and treatment of arrhythmias secondary to coronavirus infection in humans: A systematic review. ( Amarasekera, AT; Kayes, T; Kodsi, M; MacIntyre, CR; Malaty, M; Tan, TC, 2021)
" However, some of these medications have potential cardiac adverse effects."2.66Cardiac safety of off-label COVID-19 drug therapy: a review and proposed monitoring protocol. ( Lazar, S; Naksuk, N; Peeraphatdit, TB, 2020)
" Food and Drug Administration's Adverse Event Reporting System (FAERS) (>13 million total reports) were used."1.62Safety signals for QT prolongation or Torsades de Pointes associated with azithromycin with or without chloroquine or hydroxychloroquine. ( Brown, JD; Cicali, B; Henriksen, CH; Sarayani, A, 2021)
"Hydroxychloroquine has been widely prescribed to treat patients with COVID-19 pneumonia."1.62Torsades de pointes in SARS-CoV-2 (COVID-19) pneumonia: medicine reconciliation and careful monitoring of QTc interval may help prevent cardiac complications. ( Ali, N; Aslam, W; Lamb, CR, 2021)
"One patient experienced a torsade de pointes requiring cardiac resuscitation and one died due to multiple organ failure."1.56Early experience with remdesivir in SARS-CoV-2 pneumonia. ( Andini, R; Bertolino, L; Corcione, A; Durante-Mangoni, E; Florio, LL; Mele, F; Murino, P; Zampino, R, 2020)

Research

Studies (24)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's0 (0.00)24.3611
2020's24 (100.00)2.80

Authors

AuthorsStudies
Chotsiri, P1
Tarning, J1
Hoglund, RM1
Watson, JA1
White, NJ1
Roden, DM4
Harrington, RA3
Poppas, A3
Russo, AM3
Bauman, JL1
Tisdale, JE1
Sarayani, A1
Cicali, B1
Henriksen, CH1
Brown, JD1
Funck-Brentano, C1
Salem, JE1
Nguyen, LS1
Drici, MD1
Giudicessi, JR1
Noseworthy, PA1
Friedman, PA1
Ackerman, MJ1
Naksuk, N1
Lazar, S1
Peeraphatdit, TB1
Chorin, E2
Wadhwani, L2
Magnani, S1
Dai, M2
Shulman, E2
Nadeau-Routhier, C1
Knotts, R1
Bar-Cohen, R2
Kogan, E1
Barbhaiya, C2
Aizer, A2
Holmes, D2
Bernstein, S2
Spinelli, M2
Park, DS2
Stefano, C1
Chinitz, LA3
Jankelson, L3
Durante-Mangoni, E1
Andini, R1
Bertolino, L1
Mele, F1
Florio, LL1
Murino, P1
Corcione, A1
Zampino, R1
Karam, G1
Becker, ML1
Tsai, MC1
Maraj, I1
Hummel, JP1
Taoutel, R1
Chamoun, R1
Workman, V1
Li, C1
Tran, L1
DelVecchio, A1
Howes, C1
Akar, JG1
Bun, SS2
Taghji, P1
Courjon, J1
Squara, F1
Scarlatti, D1
Theodore, G1
Baudouy, D1
Sartre, B1
Labbaoui, M1
Dellamonica, J1
Doyen, D1
Marquette, CH1
Levraut, J1
Esnault, V1
Ferrari, E1
Carron, J1
Sharif, Z1
Hussein, H1
Kennedy, M1
McAdam, B1
Sheahan, R1
Wu, TC1
Sacilotto, L1
Darrieux, FCDC1
Pisani, CF1
Melo, SL1
Hachul, DT1
Scanavacca, M1
Lalabekyan, B1
Kunst, G1
Skelton, VA1
Saleh, M1
Gabriels, J1
Chang, D1
Fishbein, J1
Qiu, M1
Mountantonakis, SE1
Epstein, LM1
Malaty, M1
Kayes, T1
Amarasekera, AT1
Kodsi, M1
MacIntyre, CR1
Tan, TC1
Alkasir, A1
Lippmann, S1
Ehrlich, H1
Elkbuli, A1
Aslam, W1
Lamb, CR1
Ali, N1
Saint-Gerons, DM1
Tabarés-Seisdedos, R1

Reviews

5 reviews available for hydroxychloroquine and Torsade de Pointes

ArticleYear
Considerations for Drug Interactions on QTc in Exploratory COVID-19 Treatment.
    Circulation, 2020, 06-16, Volume: 141, Issue:24

    Topics: Arrhythmias, Cardiac; Azithromycin; Betacoronavirus; Coronavirus Infections; COVID-19; COVID-19 Drug

2020
Cardiac safety of off-label COVID-19 drug therapy: a review and proposed monitoring protocol.
    European heart journal. Acute cardiovascular care, 2020, Volume: 9, Issue:3

    Topics: Anti-Bacterial Agents; Antibodies, Monoclonal; Antimalarials; Arrhythmias, Cardiac; Betacoronavirus;

2020
QT prolongation, torsades de pointes, and sudden death with short courses of chloroquine or hydroxychloroquine as used in COVID-19: A systematic review.
    Heart rhythm, 2020, Volume: 17, Issue:9

    Topics: Antimalarials; Betacoronavirus; Coronavirus Infections; COVID-19; COVID-19 Drug Treatment; Death, Su

2020
Clinical guidance for navigating the QTc-prolonging and arrhythmogenic potential of pharmacotherapy during the COVID-19 pandemic.
    Irish journal of medical science, 2021, Volume: 190, Issue:1

    Topics: Anti-Bacterial Agents; Antiviral Agents; Azithromycin; COVID-19 Drug Treatment; Drug Combinations; E

2021
Incidence and treatment of arrhythmias secondary to coronavirus infection in humans: A systematic review.
    European journal of clinical investigation, 2021, Volume: 51, Issue:2

    Topics: Anti-Arrhythmia Agents; Anti-Bacterial Agents; Antimalarials; Arrhythmias, Cardiac; Atrial Fibrillat

2021

Trials

1 trial available for hydroxychloroquine and Torsade de Pointes

ArticleYear
Torsades de Pointes in Coronavirus Disease 2019 Infection.
    Journal of cardiothoracic and vascular anesthesia, 2021, Volume: 35, Issue:3

    Topics: Aged; Antimalarials; COVID-19; COVID-19 Drug Treatment; Electrocardiography; Humans; Hydroxychloroqu

2021

Other Studies

18 other studies available for hydroxychloroquine and Torsade de Pointes

ArticleYear
Pharmacometric and Electrocardiographic Evaluation of Chloroquine and Azithromycin in Healthy Volunteers.
    Clinical pharmacology and therapeutics, 2022, Volume: 112, Issue:4

    Topics: Adult; Antimalarials; Azithromycin; Chloroquine; Coronavirus Infections; COVID-19 Drug Treatment; DN

2022
Considerations for Drug Interactions on QTc Interval in Exploratory COVID-19 Treatment.
    Journal of the American College of Cardiology, 2020, 05-26, Volume: 75, Issue:20

    Topics: Anti-Bacterial Agents; Antirheumatic Agents; Antiviral Agents; Azithromycin; Betacoronavirus; Corona

2020
Chloroquine and Hydroxychloroquine in the Era of SARS - CoV2: Caution on Their Cardiac Toxicity.
    Pharmacotherapy, 2020, Volume: 40, Issue:5

    Topics: Cardiotoxicity; Chloroquine; COVID-19 Drug Treatment; Humans; Hydroxychloroquine; Risk Factors; SARS

2020
Considerations for drug interactions on QTc interval in exploratory COVID-19 treatment.
    Heart rhythm, 2020, Volume: 17, Issue:7

    Topics: Anti-Infective Agents; Azithromycin; Betacoronavirus; Contraindications, Drug; Coronavirus Infection

2020
Safety signals for QT prolongation or Torsades de Pointes associated with azithromycin with or without chloroquine or hydroxychloroquine.
    Research in social & administrative pharmacy : RSAP, 2021, Volume: 17, Issue:2

    Topics: Antiviral Agents; Azithromycin; Chloroquine; COVID-19; COVID-19 Drug Treatment; Drug Interactions; D

2021
Response to the editorial "COVID-19 in patients with cardiovascular diseases": Covid-19 treatment with hydroxychloroquine or chloroquine and azithromycin: A potential risk of Torsades de Pointes.
    Archives of cardiovascular diseases, 2020, Volume: 113, Issue:5

    Topics: Azithromycin; Betacoronavirus; Cardiovascular Diseases; Chloroquine; Coronavirus Infections; COVID-1

2020
Urgent Guidance for Navigating and Circumventing the QTc-Prolonging and Torsadogenic Potential of Possible Pharmacotherapies for Coronavirus Disease 19 (COVID-19).
    Mayo Clinic proceedings, 2020, Volume: 95, Issue:6

    Topics: Anti-Infective Agents; Betacoronavirus; Coronavirus Infections; COVID-19; Death, Sudden, Cardiac; Dr

2020
QT interval prolongation and torsade de pointes in patients with COVID-19 treated with hydroxychloroquine/azithromycin.
    Heart rhythm, 2020, Volume: 17, Issue:9

    Topics: Aged; Anti-Bacterial Agents; Antimalarials; Azithromycin; Betacoronavirus; Coronavirus Infections; C

2020
Early experience with remdesivir in SARS-CoV-2 pneumonia.
    Infection, 2020, Volume: 48, Issue:5

    Topics: Adenosine Monophosphate; Alanine; Antiviral Agents; Betacoronavirus; Chemical and Drug Induced Liver

2020
Incidence and determinants of QT interval prolongation in COVID-19 patients treated with hydroxychloroquine and azithromycin.
    Journal of cardiovascular electrophysiology, 2020, Volume: 31, Issue:8

    Topics: Azithromycin; COVID-19; Humans; Hydroxychloroquine; Incidence; Long QT Syndrome; Pandemics; Patients

2020
The QT interval in patients with COVID-19 treated with hydroxychloroquine and azithromycin.
    Nature medicine, 2020, Volume: 26, Issue:6

    Topics: Arrhythmias, Cardiac; Azithromycin; Betacoronavirus; Coronavirus Infections; COVID-19; Electrocardio

2020
QT Interval Prolongation Under Hydroxychloroquine/Azithromycin Association for Inpatients With SARS-CoV-2 Lower Respiratory Tract Infection.
    Clinical pharmacology and therapeutics, 2020, Volume: 108, Issue:5

    Topics: Anti-Infective Agents; Azithromycin; Betacoronavirus; Coronavirus Infections; COVID-19; COVID-19 Dru

2020
QT Interval Control to Prevent Torsades de Pointes during Use of Hydroxychloroquine and/or Azithromycin in Patients with COVID-19.
    Arquivos brasileiros de cardiologia, 2020, Volume: 114, Issue:6

    Topics: Anti-Bacterial Agents; Antimalarials; Azithromycin; Betacoronavirus; Coronavirus Infections; COVID-1

2020
Safely Administering Potential QTc Prolonging Therapy Across a Large Health Care System in the COVID-19 Era.
    Circulation. Arrhythmia and electrophysiology, 2020, Volume: 13, Issue:11

    Topics: Action Potentials; Adolescent; Adult; Aged; Antiviral Agents; Azithromycin; Cardiotoxicity; COVID-19

2020
COVID-19 and Cardiac Concerns for Psychiatric Patients.
    The primary care companion for CNS disorders, 2020, 12-03, Volume: 22, Issue:6

    Topics: Antidepressive Agents; Antiviral Agents; Arrhythmias, Cardiac; Atrial Fibrillation; Atrioventricular

2020
Cardiac arrhythmias in COVID-19 patients: A combination of viral comorbidities and pro-arrhythmic drug interactions.
    The American journal of emergency medicine, 2021, Volume: 48

    Topics: Angiotensin-Converting Enzyme 2; Anti-Bacterial Agents; Antimalarials; Arrhythmias, Cardiac; Azithro

2021
Torsades de pointes in SARS-CoV-2 (COVID-19) pneumonia: medicine reconciliation and careful monitoring of QTc interval may help prevent cardiac complications.
    BMJ case reports, 2021, Mar-24, Volume: 14, Issue:3

    Topics: Aged; Anti-Infective Agents; Citalopram; COVID-19 Drug Treatment; Dexamethasone; Donepezil; Drug The

2021
Torsade de pointes associated with chloroquine, hydroxychloroquine, and azithromycin: a retrospective analysis of individual case safety reports from VigiBase.
    European journal of clinical pharmacology, 2021, Volume: 77, Issue:10

    Topics: Adult; Aged; Azithromycin; Chloroquine; Drug Therapy, Combination; Female; Humans; Hydroxychloroquin

2021