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Drug interactions

Chloroquine + Tolterodine

Severity: Moderate

Chloroquine and Tolterodine: 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 can inhibit CYP2D6 and may raise tolterodine levels. Both drugs can prolong the QT interval, so combined use may increase arrhythmia risk.

What this interaction means in plain words

Chloroquine and Tolterodine 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; Tolterodine belongs to Genitourinary.

Evidence level: Low

Why it happens

Chloroquine inhibits CYP2D6, and both drugs have additive QT-prolonging effects.

What to do

Check baseline ECG and electrolytes, and monitor QTc during co-administration. Consider an alternative to tolterodine if QT risk is high.

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 Tolterodine?

MediHelp rates the interaction as moderate. Chloroquine and Tolterodine 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 can inhibit CYP2D6 and may raise tolterodine levels. Both drugs can prolong the QT interval, so combined use may increase arrhythmia risk.

How serious is the interaction between Chloroquine and Tolterodine?

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 baseline ECG and electrolytes, and monitor QTc during co-administration. Consider an alternative to tolterodine if QT risk is high.

What other medicines interact with Tolterodine?

MediHelp also lists interactions of Tolterodine with, for example, Clarithromycin, Clozapine, Cobicistat. The full list is on the Tolterodine page.

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

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