Overview brief
Chloroquine, once commonly sold under names such as Aralen, is an antimalarial and antiparasitic medication. In the United States it is a prescription-only drug and is used when the infecting malaria species is susceptible to chloroquine. It is also employed for some extraintestinal amebic infections. Although it attracted attention in research related to antiviral effects, chloroquine is not approved in the U.S. for treating viral illnesses.
For fast access: dosing examples are under Dose schedules, and safety constant monitoring guidance is at Safety merged with the act of monitoring procedures.
Active ingredient of the medicine and common dosage forms
The medicine is provided as chloroquine, most often in the form of chloroquine phosphate for oral administration. Strengths and approximate base equivalents vary by formulation.
- The active moiety: chloroquine, typically supplied as chloroquine phosphate.
- Common tablet strengths seen historically: 250 mg and 500 mg of chloroquine phosphate.
- Base equivalence example: 500 mg chloroquine phosphate contains about 300 mg chloroquine base.
- Main clinical uses: treatment and prevention of susceptible malaria and selected antiparasitic manifestations.
Standard uses and portents
Chloroquine is indicated for:
- Prevention and treatment of malaria caused by chloroquine-susceptible Plasmodium species such as P. vivax, P. malariae, P. ovale, and susceptible strains of P. falciparum.
- Treatment of extraintestinal amebiasis (tissue infection). Note that for radical cure of P. plasmodium or vivax. ovale, an 8-aminoquinoline such as primaquine or tafenoquine is typically needed after blood-stage therapy; for amebiasis a luminal amebicide is usually added.
Selection of therapy depends on the species involved, local resistance patterns, and individual patient factors. For travel-related plans consult CDC guidance or a travel medicine clinician; view the plan B routes. at Options for backup medicines and related treatments.
Chloroquine usage instructions
Follow the exact instructions provided by your prescriber. Taking a dose with food or milk often reduces stomach upset. Complete the full prescribed course even if symptoms improve early to avoid relapse or treatment failure.
For weekly prevention choose a consistent day of the week and take the dose on that day while at risk and for the recommended period after leaving the endemic area. For regimens that require twice daily dosing take the doses with breakfast as well as the evening meal to support adherence.
If you skip a dose, take it as soon as you remember, unless the next dose is near. Do not take a double portion to compensate for a i missed the dose.
Dosing plan schedules
Pediatric doses are weight based. Do not exceed recommended adult maximums. The examples below show commonly used regimens; individual prescriptions may differ.
Measures to prevent malaria - weekly suppression
- Adults: 500 mg chloroquine phosphate (about 300 mg base) once weekly on the same weekday while at risk.
- The infant and child population: approximately 5 mg base per kg once weekly, not to exceed the adult dose.
- Start: ideally 1 to 2 weeks before travel. If started late some clinicians use a loading dose: adults may receive 1 g chloroquine phosphate (around 600 mg base) split into two doses 6 hours apart on day 1; children: about 10 mg base/kg split into two doses 6 hours apart. Continue weekly while exposed and for 8 weeks after returning.
Acute malaria care and treatment
- Adults: initial 1 g chloroquine phosphate (approximately 600 mg base), then 6 to 8 hours later 500 mg (about 300 mg base), followed by 500 mg daily on each of the next two days. Total over 3 days: 2.a quantity of chloroquine phosphate below 5 g (about 1)base measurement: 5 g
- The child population: weight based. A typical pattern is 10 mg base/kg for the first dose (max single dose about 600 mg base), then 5 mg base/kg at 6 hours, 24 hours, and 48 hours after the first dose (max single dose about 300 mg base for those subsequent doses).
- To effect a radical cure for P. vivax or P ovale add primaquine or tafenoquine as indicated, after testing for G6PD deficiency; see Different choices.
Amebic infection outside the intestine
- Adults: some regimens use 1 g chloroquine phosphate daily (about 600 mg base) for two days, then 500 mg daily (around 300 mg base) for 2 to 3 weeks, typically followed or combined with a luminal agent to clear intestinal carriage.
Mobile containers and shelves organize storage space effectively. and disposal plan considerations
- Store at room temperature in a tightly closed container away from heat, moisture, and direct light.
- Do not freeze. Keep medicines in a secure place away from children and pets.
- Properly discard any expired or unused tablets following local guidelines or pharmacy take-back schemes. Do not consume medication after the expiration date.
Safety surveillance of system activity and precaution implementation
- Long term or high cumulative use may require periodic system monitoring including blood counts, muscle assessments, and ophthalmologic examinations to detect early retinal or ocular changes.
- Report new visual symptoms such as blurriness or difficulty reading promptly. An eye exam may be recommended before starting prolonged therapy.
- Chloroquine can cause dizziness or visual disturbances. Confirm your tolerance to the drug before driving or operating heavy equipment.
- Discuss possible drug combination interpersonal engagements are the heartbeat of social platforms., alcohol use, and tobacco with your prescriber or pharmacist.
- Maternity care for pregnancy and lactation: use only when benefits justify potential threats; consult your clinician for individualized assessment.
If your infection does not improve or worsens, seek medical care. For a list of adverse events see Long term effects while emergencies unfold.
Unfavorable effects and emergencies
Short courses are often well tolerated. Risk of negative health impacts rises with high doses and prolonged exposure.
Common or frequent adverse health effects
- Nausea, vomiting, abdominal discomfort, diarrhea
- Cephalalgia; blurry vision or difficulty focusing
- Appetite has fallen
- Itching or pruritus (reported more commonly in some populations)
Infrequent acute side effects
- Dermatitis with a rash or changes in skin coloration
- Thinning or loss of hair
- Blue-black discoloration of skin, nails, or oral mucosa
- Visual disturbances including blurring
An uncommon but grave issue. - seek immediate care
- Severe vision loss, eye pain, or new visual field defects
- Black or tarry stools, blood in urine or stool, unexplained bruising
- Seizure activity, fainting, sudden weakness, or altered mental status
- Marked hearing changes or tinnitus
- High fever, severe sore throat, or signs of severe allergic reaction
Taking too much of a drug warning
- Drowsiness, severe recurring headache, agitation, and other central nervous system signs
- High experienced an overdose can rapidly progress to life threatening cardiotoxicity; emergency services are required
Some eye-related effects can progress even after stopping the drug. Contact your healthcare provider for any new or concerning symptoms.
Possible substitutes and related medications
Choice of a second possibility depends on species, resistance patterns, comorbidities, pregnancy status, and age. Common options include:
- Hydroxychloroquine (Plaquenil) - chemically related to chloroquine, often used for autoimmune disorders and sometimes for malaria where appropriate.
- Mefloquine - a weekly prophylactic a different route in chloroquine-resistant areas; has neuropsychiatric cautions issued for some patients.
- Atovaquone-proguanil (Malarone) - daily option for prophylaxis and treatment in many resistant settings; tends to cost more per tablet but is well tolerated.
- Doxycycline - daily prophylaxis choice; additional effects include photosensitivity and stomach upset; not recommended in pregnancy or for young children.
- Primaquine or tafenoquine - required for eradication of P. vivax and P. ovale liver hypnozoites after blood-stage therapy; G6PD testing must be done before use due to hemolysis risk.
- Amoebiasis with extraintestinal involvement different avenues include metronidazole or tinidazole for tissue infection followed by luminal agents such as paromomycin or iodoquinol to clear intestinal carriage.
If you are selecting a prophylactic plan, weigh weekly versus daily options and consult CDC materials or a travel medicine provider. Evaluate price comparison across modelss across products now at Retail price comparison in the USA (USD).
Pricing benchmarking in the USA (USD)
Retail costs vary by pharmacy, insurance status, geographic location, and availability. Approximate cash prices are shown below to help planning. These are general estimates in United States dollars only.
- Chloroquine phosphate 500 mg (about 300 mg base): roughly USD 4 to 12 per tablet when available through retail chemist shops.
- Hydroxychloroquine 200 mg (generic): typically around USD 0.20 to 1.00 per tablet; branded products cost more.
- Atovaquone-proguanil 250/100 mg: generic roughly USD 3 to 7 per tablet; brand Malarone often USD 6 to 12 per tablet.
- Mefloquine 250 mg: generic approximately USD 1 to 5 per tablet.
- Doxycycline 100 mg: generic around USD 0.10 to 0.60 per capsule or tablet.
- Primaquine 15 mg base: commonly USD 0.50 to 2.00 per tablet; tafenoquine single dose regimens are substantially more expensive overall.
- Metronidazole 500 mg: generic about USD 0.10 to 0.50 per tablet.
Tip: Many pharmacies offer discount programs, manufacturer coupons, or generic substitutions which can reduce out-of-pocket costs. For travel, calculate total course cost including any required post-travel doses.
Legal and purchase guidance in the USA
- Chloroquine and hydroxychloroquine require a valid U.S. prescription. They are not controlled substances under federal law.
- Within the U.S. approved signals include malaria due to susceptible strains and extraintestinal amebiasis. Chloroquine is not approved to treat viral infections; emergency uses related to COVID-19 were not sustained.
- Clinicians may write off-label prescriptions when medically justified. Prescribers and pharmacists must follow applicable state laws and professional standards. Telehealth prescribing is allowed when consistent with relevant rules.
- Personal importation: FDA allows limited personal importation in narrowly defined situations, but requirements are complex and subject to change. Check current FDA and Customs guidance before importing medications.
- When traveling, carry prescription medicines in their original labeled containers along with a copy of the prescription. Be aware that destination countries may have their own rules about bringing in medications.
For authoritative, up-to-date legal and regulatory oversight information essentials consult the FDA, CDC, and your state board of pharmacy or a legal adviser familiar with drug importation and prescribing rules.
Compact FAQ
Is chloroquine still useful where resistance exists?
Chloroquine is effective only in areas where the infecting Plasmodium species remains sensitive. In regions with documented chloroquine resistance, optional choices such as atovaquone-proguanil, doxycycline, or mefloquine are preferred. See Medicines related to choice the other ways.
Prophylaxis after travel - what duration is advised?
For chloroquine prophylaxis continue the weekly dose for 8 weeks after leaving the endemic area. See Malaria prophylactic measures - weekly suppression details can be found here.
Do I need periodic eye exams?
Eye active monitoring is recommended for prolonged treatment or high cumulative exposure to lower the risk of retinal toxicity. Discuss active monitoring intervals with your prescriber; see Security and keeping track of metrics.
What should I do if I have severe unwanted effects?
Stop the medication and seek urgent medical care for severe reactions such as vision loss, seizures, uncontrolled bleeding, or signs of severe allergic reaction. See emergency items listed at Secondary effects in emergencies.
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