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Drug interactions

Chloroquine + Idelalisib

Severity: Moderate

Chloroquine and Idelalisib: moderate 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

Idelalisib is a strong CYP3A inhibitor and may raise chloroquine concentrations, though CYP3A4 is only one of several routes of chloroquine clearance. Higher exposure could increase toxicity including QT prolongation.

What this interaction means in plain words

Chloroquine and Idelalisib can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Chloroquine belongs to Anti Parasitic; Idelalisib belongs to Oncology.

Evidence level: Low

Why it happens

Idelalisib inhibits CYP3A4, reducing chloroquine metabolism.

What to do

Monitor for chloroquine adverse effects and consider an ECG in patients with cardiac risk factors. Consider an alternative antimalarial if prolonged therapy is needed.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

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 Idelalisib?

MediHelp rates the interaction as moderate. Chloroquine and Idelalisib can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Idelalisib is a strong CYP3A inhibitor and may raise chloroquine concentrations, though CYP3A4 is only one of several routes of chloroquine clearance. Higher exposure could increase toxicity including QT prolongation.

How serious is the interaction between Chloroquine and Idelalisib?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for chloroquine adverse effects and consider an ECG in patients with cardiac risk factors. Consider an alternative antimalarial if prolonged therapy is needed.

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.

Full monographs, dosing and an interaction checker in the MediHelp app

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