FDA Safety Alert on Off-label Chloroquine
FDA has issued a MedWatch safety alert on off-label hydroxychloroquine or chloroquine use for Covid-19 outside of a hospital setting or a clinical trial due to risk of heart rhythm problems. President Trump and his allies have been touting the drug for weeks until recently when new data surfaced to question its afety and efficacy.
“We authorized their temporary use only in hospitalized patients with Covid-19 when clinical trials are not available, or participation is not feasible, through an Emergency Use Authorization (EUA),” FDA says. “These medicines have a number of side effects, including serious heart rhythm problems that can be life-threatening. We have reviewed case reports in the FDA Adverse Event Reporting System database, the published medical literature, and the American Association of Poison Control Centers National Poison Data System concerning serious heart-related adverse events and death in patients with Covid-19 receiving hydroxychloroquine and chloroquine, either alone or combined with azithromycin or other QT prolonging medicines. These adverse events included QT interval prolongation, ventricular tachycardia and ventricular fibrillation, and in some cases, death.”
FDA says that patients taking hydroxychloroquine or chloroquine for FDA-approved indications to treat malaria or autoimmune conditions should continue taking their medicine as prescribed. The benefits of these medicines outweigh the risks at the recommended doses for these conditions, it says.