Safety of Hydroxychloroquine use for COVID-19 prophylaxis: A questionnaire-based pilot study in healthcare professionals

Research Article

  • Pratibha Nadig Vydehi Institute of Medical Sciences and Research Centre, Whitefield, Bangalore, Karnataka, India 560066. https://orcid.org/0000-0001-7962-6601
  • Vamsavardhan Reddy Vydehi Institute of Medical Sciences and Research Centre, Whitefield, Bangalore, Karnataka, India 560066.
  • Anupam Bhambhani Vydehi Institute of Medical Sciences and Research Centre, Whitefield, Bangalore, Karnataka, India 560066. https://orcid.org/0000-0002-9538-1613
  • Ravikiran Vydehi Institute of Medical Sciences and Research Centre, Whitefield, Bangalore, Karnataka, India 560066.
  • Satyagama Suvarchala Vydehi Institute of Medical Sciences and Research Centre, Whitefield, Bangalore, Karnataka, India 560066
  • Supriya Acharya Vydehi Institute of Medical Sciences and Research Centre, Whitefield, Bangalore, Karnataka, India 560066
Keywords: Adverse drug reactions, COVID-19 prophylaxis, hydroxychloroquine, SARS-COV-2

Abstract

Hydroxychloroquine (HCQ) was recommended for prophylaxis against SARS-COV-2 for the health care professionals by the Indian Council for Medical Research. We conducted this study to explore the safety of Hydroxychloroquine in health care professionals. A validated questionnaire was circulated electronically to the health care professionals, who were on HCQ as per ICMR recommended regimen. Questions on specific adverse drug reactions (ADRs) were asked along with other details. The participants were requested to upload the baseline and additional electrocardiograms (ECGs) taken during HCQ prophylaxis. Incidence, severity, causality (relatedness to the drug), expectedness, and seriousness of the ADRs were determined as per the standard guidelines. The ECGs were evaluated for the appearance of significant changes. The observations were analyzed through descriptive statistics. The ECG changes were compared using the Students t-test and the association of risk factors with the ADRs was evaluated using logistic regression analysis. ADRs were observed in 58 (46 %) of 126 participants. Gastrointestinal symptoms followed by headache and skin rashes were commonly observed. The ADRs were mostly mild to moderate in the category, non-serious, and possibly related to HCQ. Significant ECG changes were rare. Diabetes, hypertension, and the use of concomitant medication/s were the risk factors. Except for blurred vision, all the ADRs were unexpected in terms of frequency. HCQ causes non-specific ADRs of mild to moderate degrees when used as prophylaxis. Though non-serious, almost all were unexpected. ECG changes are probably not frequent in the absence of a pre-existing disease.

Author Biographies

Pratibha Nadig, Vydehi Institute of Medical Sciences and Research Centre, Whitefield, Bangalore, Karnataka, India 560066.

Professor, Department of Pharmacology

Vamsavardhan Reddy, Vydehi Institute of Medical Sciences and Research Centre, Whitefield, Bangalore, Karnataka, India 560066.

Assistant professor, Department of General Medicine

Anupam Bhambhani, Vydehi Institute of Medical Sciences and Research Centre, Whitefield, Bangalore, Karnataka, India 560066.

Associate Professor, Department of Cardiology

Ravikiran, Vydehi Institute of Medical Sciences and Research Centre, Whitefield, Bangalore, Karnataka, India 560066.

Intern Medical Officer

Satyagama Suvarchala, Vydehi Institute of Medical Sciences and Research Centre, Whitefield, Bangalore, Karnataka, India 560066

Technical associate, ADR  monitoring centre,Pharmacovigilance programme of India

Supriya Acharya, Vydehi Institute of Medical Sciences and Research Centre, Whitefield, Bangalore, Karnataka, India 560066

Biostatistician, Department of community medicine

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Published
2021-09-01
How to Cite
1.
Nadig P, Reddy V, Bhambhani A, Ravikiran, Suvarchala S, Acharya S. Safety of Hydroxychloroquine use for COVID-19 prophylaxis: A questionnaire-based pilot study in healthcare professionals. jpadr [Internet]. 2021Sep.1 [cited 2021Sep.18];2(3):7-14. Available from: http://jpadr.com/index.php/jpadr/article/view/35