Table 2.
Main Contraindications of Both Hydroxychloroquine and Azithromycin
| Hydroxychloroquine | Azithromycine | |
|---|---|---|
| Absolute contraindications | Hypersensitivity to active substances (cross-reactivity): hydroxychloroquine or chloroquine, amino-4 quinoleines, amodiaquine, mefloquine, glafenine, floctafenine, antrafenine. Increased risk of cardiac arrhythmia: citalopram, escitalopram, hydroxyzine, domperidone, and piperaquine. Pathophysiology: retinopathy, age <6 years, weight <35 kg. |
Hypersensitivity to active substances (cross-reactivity): azithromycin, erythromycin, chlarithromycin, dirithromycin, josamycin, midecamycin diacetate, roxithromycin, telithromycin, macrolides, ketolides, everolimus, pimecrolimus, sirolimus, temsirolimus, fidaxomicine. Hypersensitivity to excipient: peanut oil and soy. Hypersensitivity to lactose, abnormality of galactose metabolism, lactase deficiency, and digestive malabsorption/intolerance syndrome because of the presence of lactose as excipient. Pathophysiology: pseudomembranous colitis, anaphylactic shock, severe skin involvement, acute exanthematic pustulosis, DRESS syndrome, severe liver failure, patient taking colchicine, cisapride, dihydroergotamine, and ergotamine. |
| Relative contraindication or not recommended | Hepatic porphyria, lactation, G6PD deficiency, psoriasis, hypersensitivity to lactose, abnormality of galactose metabolism, lactase deficiency, and digestive malabsorption/intolerance syndrome because of the presence of lactose as excipient. | Cholestase, colchicine, cisapride, dihydroergotamine, and ergotamine. |
DRESS, drug reaction with eosinophilia and systemic symptoms.