Drug interactions
Chloroquine + Nebivolol
Severity: Moderate
Chloroquine and Nebivolol: 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
Nebivolol is cleared by CYP2D6, and chloroquine inhibition of this enzyme can increase nebivolol exposure. This may produce bradycardia and hypotension.
What this interaction means in plain words
Chloroquine and Nebivolol 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; Nebivolol belongs to Cardiovascular.
Why it happens
Chloroquine inhibits CYP2D6-mediated nebivolol metabolism.
What to do
Monitor heart rate and blood pressure when starting or stopping chloroquine. Reduce the nebivolol dose if excessive beta-blockade occurs.
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?
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Other interactions of Chloroquine
- Chloroquine + Cisapride Contraindicated
- Chloroquine + Dofetilide Contraindicated
- Chloroquine + Dronedarone Contraindicated
- Chloroquine + Droperidol Contraindicated
- Chloroquine + Panobinostat Contraindicated
- Chloroquine + Pimozide Contraindicated
Other interactions of Nebivolol
- Acebutolol + Nebivolol Major
- Aldesleukin + Nebivolol Major
- Amiodarone + Nebivolol Major
- Atenolol-chlorthalidone + Nebivolol Major
- Atenolol + Nebivolol Major
- Betaxolol + Nebivolol Major
Frequently asked questions
Can I take Chloroquine with Nebivolol?
MediHelp rates the interaction as moderate. Chloroquine and Nebivolol 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. Nebivolol is cleared by CYP2D6, and chloroquine inhibition of this enzyme can increase nebivolol exposure. This may produce bradycardia and hypotension.
How serious is the interaction between Chloroquine and Nebivolol?
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 heart rate and blood pressure when starting or stopping chloroquine. Reduce the nebivolol dose if excessive beta-blockade occurs.
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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