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Drug interactions

Chloroquine + Olanzapine

Severity: Moderate

Chloroquine and Olanzapine: 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

Chloroquine prolongs the QT interval and olanzapine has a smaller QT effect, so the combination may add to arrhythmia risk. The risk is greater with electrolyte disturbance or cardiac disease.

What this interaction means in plain words

Chloroquine and Olanzapine 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; Olanzapine belongs to Central Nervous System.

Evidence level: Low

Why it happens

Additive QT prolongation.

What to do

Check ECG and electrolytes at baseline in at-risk patients and monitor during co-therapy. Correct hypokalemia and hypomagnesemia.

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 Olanzapine?

MediHelp rates the interaction as moderate. Chloroquine and Olanzapine 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 prolongs the QT interval and olanzapine has a smaller QT effect, so the combination may add to arrhythmia risk. The risk is greater with electrolyte disturbance or cardiac disease.

How serious is the interaction between Chloroquine and Olanzapine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Check ECG and electrolytes at baseline in at-risk patients and monitor during co-therapy. Correct hypokalemia and hypomagnesemia.

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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