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Drug interactions

Hydroxychloroquine + Risperidone

Severity: Moderate

Hydroxychloroquine and Risperidone: 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

Both drugs can prolong the QT interval, so combining them may add to the arrhythmia risk. Patients with cardiac disease or electrolyte disturbance are most vulnerable.

What this interaction means in plain words

Hydroxychloroquine and Risperidone 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 belongs to Musculoskeletal; Risperidone belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Additive QT prolongation.

What to do

Obtain a baseline ECG and monitor the QTc while on both drugs, correcting potassium and magnesium. Consider an alternative if the QTc rises markedly.

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 Hydroxychloroquine with Risperidone?

MediHelp rates the interaction as moderate. Hydroxychloroquine and Risperidone 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. Both drugs can prolong the QT interval, so combining them may add to the arrhythmia risk. Patients with cardiac disease or electrolyte disturbance are most vulnerable.

How serious is the interaction between Hydroxychloroquine and Risperidone?

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 monitor the QTc while on both drugs, correcting potassium and magnesium. Consider an alternative if the QTc rises markedly.

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.

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

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