The patient had been treated with hydroxychloroquine for two years prior to presentation. After thorough workup for secondary causes of QT interval prolongation hydroxychloroquine was discontinued and the patient’s QT interval shortened. Plaquenil fda Pompe glycogen storage and hydroxychloroquine Chloroquine tlr9 inhibitor Drugs associated with QT Prolongation, QTc prolongation. LITFL Further Reading. ECG Library Basics – Waves, Intervals, Segments and Clinical Interpretation; ECG A to Z by diagnosis – ECG interpretation in clinical context Hydoxychloroquine HCQ is widely used for the treatment of rheumatoid arthritis RA and systemic lupus erythematosus SLE with a side-effect profile including myopathy and cardiotoxicity. Acute HCQ poisoning has been reported to cause a prolonged QT interval, hypokalaemia and a prolonged QRS complex. Hydroxychloroquine increases the QT interval and should not be administered with other drugs known to prolong the QT interval. Ventricular arrhythmias and torsade de pointes have been reported with the use of hydroxychloroquine. QT prolongation has occurred during therapeutic use of atomoxetine and following overdose. The patient was noted to have mild prolongation of the QT interval on electrocardiogram prior to initiation of hydroxychloroquine therapy which was exacerbated by its use and may have been caused due to toxicity from underlying renal failure. The patient was treated with mexiletine to prevent sudden ventricular arrhythmias, which was unique compared to other documented cases in which lidocaine was used. Hydroxychloroquine qt prolongation DailyMed - HYDROXYCHLOROQUINE SULFATE tablet, film coated, Long QT and Hydroxychloroquine; A Poorly Recognised. Hydroxychloroquine sulfate weight gain Long QT syndrome LQTS is a condition which affects repolarization of the heart after a heartbeat. It results in an increased risk of an irregular heartbeat which can result in palpitations, fainting, drowning, or sudden death. These episodes can be triggered by exercise or stress. Long QT syndrome - Wikipedia. Plaquenil hydroxychloroquine sulfate dose, indications.. Interactions between Azithromycin Oral and qt-prolonging.. Background/Purpose Hydoxychloroquine HCQ is widely used for the treatment of rheumatoid arthritis RA and systemic lupus erythematosus SLE with a side-effect profile including myopathy and cardiotoxicity. Acute HCQ poisoning has been reported to cause a prolonged QT interval, hypokalaemia and a prolonged QRS complex. RA itself is an independent risk factor for cardiovascular CV Commonly used on holidays in malaria prone destinations, chloroquine and hydroxychloroquine will not be over familiar to the emergency physician. However, it is one of the leading causes of drug overdose in malaria prone countries and also the occasional toddler has managed to consume the grandparents lupus or rheumatoid arthritis medication leading to lethal consequences. Make sure your doctor knows if you had a heart rhythm problem such as QT prolongation. This medicine may cause muscle and nerve problems. Check with your doctor right away if you have muscle weakness, pain, or tenderness while using this medicine. Hydroxychloroquine may cause some people to be agitated, irritable, or display other abnormal behaviors.