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Drug interactions

Chloroquine + Eliglustat

Severity: Major

Chloroquine and Eliglustat: major interaction.

Last updated

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

Chloroquine inhibits CYP2D6 and can raise eliglustat concentrations, which prolongs PR, QRS and QT intervals and may provoke arrhythmias. Chloroquine itself also prolongs the QT interval.

What this interaction means in plain words

Chloroquine and Eliglustat 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; Eliglustat belongs to Miscellaneous.

Evidence level: Moderate

Why it happens

Inhibition of CYP2D6-mediated eliglustat metabolism with additive QT effects.

What to do

Avoid if possible; if used, reduce the eliglustat dose per labeling for CYP2D6 inhibitors and monitor ECG.

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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Frequently asked questions

Can I take Chloroquine with Eliglustat?

MediHelp rates the interaction as major. Chloroquine and Eliglustat 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 inhibits CYP2D6 and can raise eliglustat concentrations, which prolongs PR, QRS and QT intervals and may provoke arrhythmias. Chloroquine itself also prolongs the QT interval.

How serious is the interaction between Chloroquine and Eliglustat?

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 if possible; if used, reduce the eliglustat dose per labeling for CYP2D6 inhibitors and monitor ECG.

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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