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Drug interactions

Chloroquine + Propranolol

Severity: Moderate

Chloroquine and Propranolol: 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 may increase propranolol exposure by inhibiting CYP2D6, which contributes to its metabolism. This can enhance bradycardia and hypotension.

What this interaction means in plain words

Chloroquine and Propranolol 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; Propranolol belongs to Cardiovascular.

Evidence level: Low

Why it happens

Chloroquine inhibits CYP2D6-mediated propranolol metabolism.

What to do

Monitor heart rate and blood pressure and reduce the propranolol dose if excess beta-blockade develops.

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 Propranolol?

MediHelp rates the interaction as moderate. Chloroquine and Propranolol 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 may increase propranolol exposure by inhibiting CYP2D6, which contributes to its metabolism. This can enhance bradycardia and hypotension.

How serious is the interaction between Chloroquine and Propranolol?

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 and reduce the propranolol dose if excess beta-blockade develops.

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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