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Drug interactions

Chloroquine + Disopyramide

Severity: Major

Chloroquine and Disopyramide: major interaction.

Last updated Sources: US FDA label

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Both drugs prolong the QT interval, and disopyramide is a class Ia antiarrhythmic with known torsadogenic risk. Combination increases the likelihood of serious ventricular arrhythmia.

What this interaction means in plain words

Chloroquine and Disopyramide can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

Chloroquine belongs to Anti Parasitic; Disopyramide belongs to Cardiovascular.

Evidence level: Moderate

Why it happens

Additive QT prolongation through potassium channel blockade.

What to do

Avoid the combination; use a non-QT-prolonging antimalarial. If unavoidable, monitor ECG and electrolytes closely.

What to ask your pharmacist

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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References

Frequently asked questions

Can I take Chloroquine with Disopyramide?

MediHelp rates the interaction as major. Chloroquine and Disopyramide can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Both drugs prolong the QT interval, and disopyramide is a class Ia antiarrhythmic with known torsadogenic risk. Combination increases the likelihood of serious ventricular arrhythmia.

How serious is the interaction between Chloroquine and Disopyramide?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination; use a non-QT-prolonging antimalarial. If unavoidable, monitor ECG and electrolytes closely.

What other medicines interact with Chloroquine?

MediHelp also lists interactions of Chloroquine with, for example, Cisapride, Dofetilide, Dronedarone. The full list is on the Chloroquine page.

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