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Drug interactions

Deutetrabenazine + Hydroxychloroquine

Severity: Moderate

Deutetrabenazine and Hydroxychloroquine: 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

Hydroxychloroquine prolongs the QT interval, and deutetrabenazine can cause a small QT effect, especially at higher exposures. Combined use may increase the risk of torsades de pointes, particularly with electrolyte disturbances, bradycardia or congenital long QT.

What this interaction means in plain words

Deutetrabenazine and Hydroxychloroquine 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.

Deutetrabenazine belongs to Central Nervous System; Hydroxychloroquine belongs to Musculoskeletal.

Evidence level: Moderate

Why it happens

Additive QT interval prolongation.

What to do

Obtain a baseline ECG and correct potassium and magnesium before use. Monitor the QTc and avoid the combination in patients with long QT syndrome or other risk factors.

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 Deutetrabenazine with Hydroxychloroquine?

MediHelp rates the interaction as moderate. Deutetrabenazine and Hydroxychloroquine 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. Hydroxychloroquine prolongs the QT interval, and deutetrabenazine can cause a small QT effect, especially at higher exposures. Combined use may increase the risk of torsades de pointes, particularly with electrolyte disturbances, bradycardia or congenital long QT.

How serious is the interaction between Deutetrabenazine and Hydroxychloroquine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Obtain a baseline ECG and correct potassium and magnesium before use. Monitor the QTc and avoid the combination in patients with long QT syndrome or other risk factors.

What other medicines interact with Hydroxychloroquine?

MediHelp also lists interactions of Hydroxychloroquine with, for example, Arsenic trioxide, Cisapride, Dronedarone. The full list is on the Hydroxychloroquine page.

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