Western Journal of Emergency Medicine (Jul 2020)

Brief Review of Chloroquine and Hydroxychloroquine Toxicity and Management

  • Jacob A. Lebin,
  • Kathy T. LeSaint

DOI
https://doi.org/10.5811/westjem.2020.5.47810
Journal volume & issue
Vol. 21, no. 4

Abstract

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As of April 21, 2020, more than 2.5 million cases of coronavirus disease 2019 (COVID-19), caused by the SARS-CoV-2 virus, have been reported in 210 countries and territories, with the death toll at 171,810. Both chloroquine and hydroxychloroquine have gained considerable media attention as possible therapies, resulting in a significant surge in demand. In overdose, both medications can cause severe, potentially life-threatening effects. Here, we present a brief overview of the pharmacology of chloroquine and hydroxychloroquine, manifestations of toxicity, and treatment considerations.