Drug profile
Hydroxychloroquine
Adult, child, renal, hepatic, pregnancy and breastfeeding information, with the source named on every line.
DRUG INFORMATION
ADULT
- Malaria in Adult and Pediatric Patients ( 2.2 ): Prophylaxis: Begin weekly doses 2
weeks prior to travel to the endemic area, continue weekly doses while in the
endemic area, and continue the weekly doses for 4 weeks after leaving the endemic
area: - Adults: 400 mg once a week - Pediatric patients ≥ 31 kg: 6.5 mg/kg up to
400 mg, once a week Treatment of Uncomplicated Malaria: See Full Prescribing
Information (FPI) for complete dosing information.
Source: US FDA label for hydroxychloroquine (Hydroxychloroquine Sulfate), section
'dosage and administration', retrieved 2026-08-29
- Do not crush or divide the tablets. 2.2 Dosage for Malaria in Adult and Pediatric
Patients Hydroxychloroquine sulfate tablets are not recommended in pediatric
patients less than 31 kg because the lowest available strength (200 mg) exceeds
the recommended dose for these patients and it cannot be divided.
Source: US FDA label for hydroxychloroquine (Hydroxychloroquine Sulfate), section
'dosage and administration', retrieved 2026-08-29
- The recommended prophylaxis dosage is: Adult patients: 400 mg once a week
Pediatric patients ≥ 31 kg: 6.5 mg/kg actual body weight (up to 400 mg) once a
week Treatment of Uncomplicated Malaria The dosages for the treatment of
uncomplicated malaria are: Adult patients: Administer 800 mg initially;
subsequently administer 400 mg at 6 hours, 24 hours, and 48 hours after the
initial dose (total dosage = 2,000 mg).
Source: US FDA label for hydroxychloroquine (Hydroxychloroquine Sulfate), section
'dosage and administration', retrieved 2026-08-29
CHILD
- Clinical trials of hydroxychloroquine sulfate did not include sufficient numbers
of patients 65 years of age and older to determine whether they respond
differently from younger adult patients. Nevertheless, this drug is known to be
substantially excreted by the kidney, and the risk of toxic reactions to this drug
may be greater in patients with impaired renal function.
Source: US FDA label for hydroxychloroquine (Hydroxychloroquine Sulfate), section
'pediatric use', retrieved 2026-08-29
- Malaria in Adult and Pediatric Patients ( 2.2 ): Prophylaxis: Begin weekly doses 2
weeks prior to travel to the endemic area, continue weekly doses while in the
endemic area, and continue the weekly doses for 4 weeks after leaving the endemic
area: - Adults: 400 mg once a week - Pediatric patients ≥ 31 kg: 6.5 mg/kg up to
400 mg, once a week Treatment of Uncomplicated Malaria: See Full Prescribing
Information (FPI) for complete dosing information.
Source: US FDA label for hydroxychloroquine (Hydroxychloroquine Sulfate), section
'dosage and administration', retrieved 2026-08-29
- Do not crush or divide the tablets. 2.2 Dosage for Malaria in Adult and Pediatric
Patients Hydroxychloroquine sulfate tablets are not recommended in pediatric
patients less than 31 kg because the lowest available strength (200 mg) exceeds
the recommended dose for these patients and it cannot be divided.
Source: US FDA label for hydroxychloroquine (Hydroxychloroquine Sulfate), section
'dosage and administration', retrieved 2026-08-29
RENAL IMPAIRMENT
- Risk factors for retinal damage include daily hydroxychloroquine sulfate dosages ≥
5 mg/kg of actual body weight, durations of use greater than five years, renal
impairment, use of concomitant drug products such as tamoxifen citrate, and
concurrent macular disease.
Source: US FDA label for hydroxychloroquine (Hydroxychloroquine Sulfate), section
'warnings and cautions', retrieved 2026-08-29
HEPATIC IMPAIRMENT
- No liver-impairment dose in this label. Not a statement that none is needed.
Source: Read and found silent: the US FDA label for hydroxychloroquine
(Hydroxychloroquine Sulfate), retrieved 2026-08-29
PREGNANCY
- Pregnancy Exposure Registry There is a pregnancy exposure registry that monitors
pregnancy outcomes in women exposed to hydroxychloroquine sulfate during
pregnancy.
Source: US FDA label for hydroxychloroquine (Hydroxychloroquine Sulfate), section
'pregnancy', retrieved 2026-08-29
- Encourage patients to register by contacting 1-877-311-8972.
Source: US FDA label for hydroxychloroquine (Hydroxychloroquine Sulfate), section
'pregnancy', retrieved 2026-08-29
- Risk Summary Prolonged clinical experience over decades of use and available data
from published epidemiologic and clinical studies with hydroxychloroquine sulfate
use in pregnant women have not identified a drug-associated risk of major birth
defects, miscarriage, or adverse maternal, or fetal outcomes (see Data) .
Source: US FDA label for hydroxychloroquine (Hydroxychloroquine Sulfate), section
'pregnancy', retrieved 2026-08-29
BREASTFEEDING
- The safety and effectiveness of hydroxychloroquine sulfate have been established
in pediatric patients for the treatment of uncomplicated malaria due to P.
falciparum, P. malariae, P. vivax , and P. ovale, as well as for the prophylaxis
of malaria in geographic areas where chloroquine resistance is not reported.
Source: US FDA label for hydroxychloroquine (Hydroxychloroquine Sulfate), section
'nursing mothers', retrieved 2026-08-29
- However, this product cannot be directly administered to pediatric patients
weighing less than 31 kg because the film-coated tablets cannot be crushed or
divided [see Dosage and Administration (2.1 , 2.2) ] .
Source: US FDA label for hydroxychloroquine (Hydroxychloroquine Sulfate), section
'nursing mothers', retrieved 2026-08-29
- The safety and effectiveness of hydroxychloroquine sulfate have not been
established in pediatric patients for the treatment of rheumatoid arthritis,
chronic discoid lupus erythematosus, or systemic lupus erythematosus.
Source: US FDA label for hydroxychloroquine (Hydroxychloroquine Sulfate), section
'nursing mothers', retrieved 2026-08-29