Have y'all received any algorithms proscribing chloroquine to confirmed cases?

I have not seen any personally as of yet.

Badace52 said:

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I have not seen any personally as of yet.

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Do you guys have chloroquine on hand or is that something that would have to be brought in?

Thanks for your time, and stay healthy!

Most pharmacies at large hospitals will have a supply, but we do not generally keep it in the emergency department to dispense regularly.

It is not something I have ever prescribed myself as I rarely see the type of patients who might need it. It has significant side effects as well, and so far I have not seen it being recommended for patients who have not required admission to the hospital.

Badace52 said:

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Most pharmacies at large hospitals will have a supply, but we do not generally keep it in the emergency department to dispense regularly.

It is not something I have ever prescribed myself as I rarely see the type of patients who might need it. It has significant side effects as well, and so far I have not seen it being recommended for patients who have not required admission to the hospital.

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Makes sense, thanks and gigem

Michigan University recommends:

Adult dosing: 600 mg PO BID x2 doses (load), then 200 mg PO TID
Pediatric dosing (<18 years): 10 mg/kg (max: 600 mg/dose) PO BID x2 (load), then 3 mg/kg PO TID (max: 200 mg/dose


Our pulmonologists are using 400mg po BID


One study suggested 400mg po BID day one and then 200mg po bid for 4 more days. I am using this one regardless of confirming for those with bilateral pneumonia and the other hallmark labs. Especially the ones that are hypoxic. Yes we have gotten to the point where we are discharging hypoxic (88% or above) bilateral pneumonia with the hope our social workers will get oxygen delivered to them as soon as possible through home health. Standard medical guidelines, best practice, standard of care are all being thrown out the window.

And for those patients I am using it in combination with a Zpak. One study showed the combination to be synergistic in eliminating viral loads as Azithromycin has shown in the past to have some antiviral properties- maybe decreases bacterial colonization or superimposed infection as well.

Pharmacies seem to have mostly run out here anyway.

Sorry tired, need to put my reading glasses on.

Chloroquine phosphate- 500mg po bid for 10 days.

avoiding in patients with liver disease, heart failure, recent myocardial infarction, G6PD deficiency, epilepsy, or porphyria

nawlinsag said:

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Michigan University recommends:

Adult dosing: 600 mg PO BID x2 doses (load), then 200 mg PO TID
Pediatric dosing (<18 years): 10 mg/kg (max: 600 mg/dose) PO BID x2 (load), then 3 mg/kg PO TID (max: 200 mg/dose


Our pulmonologists are using 400mg po BID


One study suggested 400mg po BID day one and then 200mg po bid for 4 more days. I am using this one regardless of confirming for those with bilateral pneumonia and the other hallmark labs. Especially the ones that are hypoxic. Yes we have gotten to the point where we are discharging hypoxic (88% or above) bilateral pneumonia with the hope our social workers will get oxygen delivered to them as soon as possible through home health. Standard medical guidelines, best practice, standard of care are all being thrown out the window.

And for those patients I am using it in combination with a Zpak. One study showed the combination to be synergistic in eliminating viral loads as Azithromycin has shown in the past to have some antiviral properties- maybe decreases bacterial colonization or superimposed infection as well.

Pharmacies seem to have mostly run out here anyway.

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You sound like you're getting slammed. Hang in there.