Drug interactions
Gemtuzumab + Hydroxychloroquine
Severity: Moderate
Gemtuzumab 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
Gemtuzumab ozogamicin has been associated with QT prolongation, and hydroxychloroquine can also prolong the QT interval. Concurrent use may add to the risk of arrhythmia.
What this interaction means in plain words
Gemtuzumab 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.
Why it happens
Additive QT prolongation; the mechanism of gemtuzumab-related QT effects is not well established.
What to do
Obtain a baseline ECG and electrolytes and monitor the QTc during treatment. Correct potassium and magnesium abnormalities, and consider an alternative to hydroxychloroquine if the QTc rises significantly.
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 Hydroxychloroquine
- Arsenic trioxide + Hydroxychloroquine Contraindicated
- Cisapride + Hydroxychloroquine Contraindicated
- Dronedarone + Hydroxychloroquine Contraindicated
- Hydroxychloroquine + Pimozide Contraindicated
- Hydroxychloroquine + Thioridazine Contraindicated
- Hydroxychloroquine + Vandetanib Contraindicated
Frequently asked questions
Can I take Gemtuzumab with Hydroxychloroquine?
MediHelp rates the interaction as moderate. Gemtuzumab 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. Gemtuzumab ozogamicin has been associated with QT prolongation, and hydroxychloroquine can also prolong the QT interval. Concurrent use may add to the risk of arrhythmia.
How serious is the interaction between Gemtuzumab 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 electrolytes and monitor the QTc during treatment. Correct potassium and magnesium abnormalities, and consider an alternative to hydroxychloroquine if the QTc rises significantly.
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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