← All drugs
Drug · FAERS side-effect profile with label screen

Hydroxychloroquine side effects: what 74,205 FDA adverse event reports show

Hydroxychloroquine · 1,265 reaction terms · 691,676 drug–reaction co-reports · data 2026-09-14
Share: X Facebook Reddit Email

Drug class

Antimalarial and antirheumatic

FDA label, Indications wording

Who reports

74,205 reports · 85% serious · 8,255 with death outcome · 79% female

openFDA FAERS counts, all years, deduplication not applied

Used for

Hydroxychloroquine sulfate is an antimalarial and antirheumatic indicated for the: Treatment of uncomplicated malaria due to Plasmodium falciparum, Plasmodium malariae, Plasmodium ovale, and Plasmodium vivax in adult and pediatric patients. ( 1.1 ) Prophylaxis of malaria in geographic areas where chloroquine resistance is not reported in adult and pediatric patients.

FDA label, Indications and Usage

What it is

Hydroxychloroquine is an aminoquinoline that is chloroquine in which one of the N-ethyl groups is hydroxylated at position 2. An antimalarial with properties similar to chloroquine that acts against erythrocytic forms of malarial parasites, it is mainly used as the sulfate salt for the treatment of lupus...

PubChem CID 3652 (ChEBI)

Boxed warning

None in the current label

How to read this page. FAERS is a spontaneous-reporting system: counts are not incidence rates and a signal is not proof of causation. Each reaction below is run through an automated screen — is the term in the FDA label (known), in the indications (the disease being treated), an administrative/coding term, or none of these (unlabeled)? That screen is mechanical text matching, not a causality assessment. The 30 hand-written Bradford Hill assessments are on the causality assessment page. Not medical advice.

Causality screen of the 40 strongest signals

Labeled (related wording) 4Likely indication confounding 2Reporting / coding artifact 2Lab value / disease marker 10Not in label — unassessed 22
What the badges mean

Strongest disproportionality signals

Flagged terms (PRR ≥ 2, χ² ≥ 4, n ≥ 10), ranked by PRR; infinite PRRs (no comparator reports) excluded. The EBGM column is a second, shrinkage-based estimate (MGPS) with its 5th percentile EB05 and the BCPNN IC025; a pair flagged by PRR alone is marked PRR-only and should be read as fragile. The strata column recomputes the PRR on serious reports only (and, for the 300 most-reported drugs, adjusted for age band), and flags pairs whose reports are unusually skewed by sex or come mostly from consumers. Each row also shows the PRR against the other drugs of the same FDA class, which removes most confounding by the condition being treated, and a calibrated p-value: on validation, known non-causes average an ROR of about 2, so significance is judged against that empirical null (✓ = p < 0.05 after calibration). 1,225 further terms are in the interactive explorer. Reaction links open the term's cross-drug page.

Show:
ReactionReportsPRR 95% CI · ROR · χ²/pEBGM EB05 · IC025Label screenSerious-only & strataTrial cross-check
Anti-cyclic citrullinated peptide antibody439554.3
471.6–651.7ROR 557.6 · calibrated p 3e-14 ✓
184.2 EB05 170.2 · IC025 +7.1
3/3 methods agree
Lab value / disease markerserious n=439 · ♀ 100% (drug 79%) · 95% cliniciannot reported in cached trials
Rheumatoid factor negative103397.4
294.1–537.0ROR 398.0 · calibrated p 2e-12 ✓
159.3 EB05 135.1 · IC025 +6.2
3/3 methods agree
Reporting / coding artifactserious n=103 · ♀ 41% (drug 79%) · 100% cliniciannot reported in cached trials
Deep vein thrombosis postoperative1,025312.6
286.0–341.6ROR 316.9 · calibrated p 6e-12 ✓
147.2 EB05 139.8 · IC025 +7.0
3/3 methods agree
Not in label — unassessedserious n=1,025 · ♀ 100% (drug 79%) · 94% cliniciannot reported in cached trials
Human antichimeric antibody positive177311.2
251.2–385.6ROR 312.0 · calibrated p 1e-11 ✓
145.0 EB05 128.0 · IC025 +6.5
3/3 methods agree
Lab value / disease markerserious n=177 · ♀ 100% (drug 79%)not reported in cached trials
Swollen joint count increased1,580292.8
272.9–314.1ROR 299.2 · calibrated p 1e-11 ✓
142.8 EB05 137.0 · IC025 +7.0
3/3 methods agree
Lab value / disease markerserious n=1,580 · ♀ 100% (drug 79%) · 96% cliniciannot reported in cached trials
Rheumatic fever2,186285.6
269.2–303.1ROR 294.3 · calibrated p 1e-11 ✓
141.2 EB05 136.3 · IC025 +7.0
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=2,186 · ♀ 100% (drug 79%) · 95% cliniciannot reported in cached trials
Anti-cyclic citrullinated peptide antibody positive3,547284.1
271.3–297.6ROR 298.3 · calibrated p 1e-11 ✓
140.9 EB05 137.0 · IC025 +7.1
3/3 methods agree
Lab value / disease markerserious PRR 96.2 · 93% cliniciannot reported in cached trials
Lupus vulgaris588278.3
248.3–311.9ROR 280.5 · calibrated p 2e-11 ✓
138.9 EB05 129.7 · IC025 +6.8
3/3 methods agree
Not in label — unassessedserious n=588 · ♀ 100% (drug 79%) · 96% cliniciannot reported in cached trials
Rheumatoid factor positive2,700250.4
237.9–263.7ROR 259.9 · calibrated p 4e-11 ✓
132.1 EB05 127.9 · IC025 +6.9
3/3 methods agree
Lab value / disease markerserious n=2,698 · 93% cliniciannot reported in cached trials
C-reactive protein409233.3
204.6–266.0ROR 234.6 · calibrated p 1e-10 ✓
126.5 EB05 116.6 · IC025 +6.6
3/3 methods agree
Lab value / disease markerserious n=409 · ♀ 100% (drug 79%) · 95% cliniciannot reported in cached trials
Grip strength104231.1
178.2–299.8ROR 231.5 · calibrated p 2e-10 ✓
123.8 EB05 105.1 · IC025 +6.0
3/3 methods agree
Not in label — unassessedserious n=104 · ♀ 100% (drug 79%) · 100% cliniciannot reported in cached trials
Duodenal ulcer perforation3,280229.8
219.5–240.5ROR 240.3 · calibrated p 8e-11 ✓
126.1 EB05 122.5 · IC025 +6.9
3/3 methods agree
Not in label — unassessedserious PRR 85.8 · ♀ 100% (drug 79%) · 93% cliniciannot reported in cached trials
Facet joint syndrome1,391224.5
209.3–240.9ROR 228.8 · calibrated p 1e-10 ✓
124.4 EB05 119.0 · IC025 +6.8
3/3 methods agree
Not in label — unassessedserious n=1,391 · ♀ 100% (drug 79%) · 94% cliniciannot reported in cached trials
C-reactive protein abnormal2,765215.8
205.5–226.7ROR 224.1 · calibrated p 1e-10 ✓
121.8 EB05 118.0 · IC025 +6.8
3/3 methods agree
Lab value / disease markerserious n=2,765not reported in cached trials
Red blood cell sedimentation rate abnormal994211.9
195.2–230.1ROR 214.8 · calibrated p 2e-10 ✓
120.4 EB05 114.2 · IC025 +6.7
3/3 methods agree
Lab value / disease markerserious n=992not reported in cached trials
Swollen joint count101197.6
153.1–255.0ROR 197.9 · calibrated p 8e-10 ✓
113.4 EB05 96.1 · IC025 +5.9
3/3 methods agree
Not in label — unassessedserious n=101 · ♀ 100% (drug 79%) · 100% cliniciannot reported in cached trials
X-ray abnormal710187.5
170.5–206.2ROR 189.3 · calibrated p 7e-10 ✓
112.0 EB05 105.3 · IC025 +6.6
3/3 methods agree
Lab value / disease markerserious n=710 · 95% cliniciannot reported in cached trials
Pemphigus4,795178.2
172.0–184.7ROR 190.4 · calibrated p 6e-10 ✓
108.9 EB05 106.3 · IC025 +6.7
3/3 methods agree
Not in label — unassessedserious PRR 74.3 · ♀ 100% (drug 79%)not reported in cached trials
Adjustment disorder with depressed mood777178.0
162.7–194.7ROR 179.8 · calibrated p 1e-9 ✓
108.6 EB05 102.3 · IC025 +6.6
3/3 methods agree
Not in label — unassessedserious n=777 · ♀ 100% (drug 79%) · 96% cliniciannot reported in cached trials
Synovitis6,821172.4
167.4–177.5ROR 189.8 · calibrated p 6e-10 ✓
106.7 EB05 104.6 · IC025 +6.7
3/3 methods agree
Not in label — unassessedserious PRR 75.9not reported in cached trials
Dislocation of vertebra778152.4
139.7–166.3ROR 154.0 · calibrated p 4e-9 ✓
98.5 EB05 92.9 · IC025 +6.4
3/3 methods agree
Not in label — unassessedserious n=778 · ♀ 100% (drug 79%) · 94% cliniciannot reported in cached trials
Hand deformity4,529150.1
144.8–155.5ROR 159.8 · calibrated p 3e-9 ✓
97.7 EB05 95.4 · IC025 +6.5
3/3 methods agree
Not in label — unassessedserious PRR 72.2not reported in cached trials
Granuloma skin281145.4
125.9–167.9ROR 145.9 · calibrated p 7e-9 ✓
95.2 EB05 86.2 · IC025 +6.2
3/3 methods agree
Not in label — unassessedserious n=281not reported in cached trials
Joint laxity102143.8
113.3–182.7ROR 144.0 · calibrated p 1e-8 ✓
93.5 EB05 79.2 · IC025 +5.7
3/3 methods agree
Not in label — unassessedserious n=102 · ♀ 100% (drug 79%)not reported in cached trials
Subcutaneous drug absorption impaired180139.7
116.8–167.0ROR 140.0 · calibrated p 1e-8 ✓
92.4 EB05 81.6 · IC025 +6.0
3/3 methods agree
Not in label — unassessedserious n=180 · ♀ 100% (drug 79%) · 100% cliniciannot reported in cached trials
Helicobacter infection3,302135.7
130.2–141.4ROR 142.0 · calibrated p 7e-9 ✓
91.4 EB05 88.9 · IC025 +6.4
3/3 methods agree
Not in label — unassessedserious PRR 65.8 · ♀ 100% (drug 79%) · 93% cliniciannot reported in cached trials
Truncus arteriosus persistent65134.8
100.2–181.2ROR 134.9 · calibrated p 2e-8 ✓
88.8 EB05 72.1 · IC025 +5.3
3/3 methods agree
Not in label — unassessedserious n=65 · 100% cliniciannot reported in cached trials
Anticipatory anxiety86132.0
102.1–170.6ROR 132.1 · calibrated p 2e-8 ✓
88.1 EB05 73.5 · IC025 +5.5
3/3 methods agree
Not in label — unassessedserious n=86 · ♀ 100% (drug 79%)not reported in cached trials
Retinitis530131.7
118.8–146.0ROR 132.6 · calibrated p 1e-8 ✓
89.4 EB05 83.2 · IC025 +6.2
3/3 methods agree
Not in label — unassessedserious n=530 · ♀ 100% (drug 79%) · 93% cliniciannot reported in cached trials
Folliculitis3,042118.1
113.3–123.2ROR 123.2 · calibrated p 2e-8 ✓
83.1 EB05 80.7 · IC025 +6.3
3/3 methods agree
Not in label — unassessedserious PRR 66.5 · ♀ 100% (drug 79%) · 94% cliniciannot reported in cached trials
Seronegative arthritis324114.8
100.9–130.6ROR 115.3 · calibrated p 4e-8 ✓
81.2 EB05 74.0 · IC025 +6.0
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=324not reported in cached trials
Body height below normal187114.2
96.3–135.3ROR 114.5 · calibrated p 5e-8 ✓
80.6 EB05 71.3 · IC025 +5.8
3/3 methods agree
Reporting / coding artifactserious n=187 · ♀ 100% (drug 79%)not reported in cached trials
Red blood cell sedimentation rate76104.5
80.3–136.1ROR 104.6 · calibrated p 1e-7 ✓
74.8 EB05 61.8 · IC025 +5.3
3/3 methods agree
Lab value / disease markerserious n=76 · 100% cliniciannot reported in cached trials
Bone erosion929100.5
93.3–108.3ROR 101.8 · calibrated p 1e-7 ✓
74.0 EB05 70.1 · IC025 +6.0
3/3 methods agree
Not in label — unassessedserious n=929not reported in cached trials
Peripheral venous disease1,03999.4
92.7–106.7ROR 100.8 · calibrated p 1e-7 ✓
73.4 EB05 69.7 · IC025 +6.0
3/3 methods agree
Not in label — unassessedserious n=1,035 · ♀ 100% (drug 79%) · 94% cliniciannot reported in cached trials
Intestinal sepsis6597.6
73.6–129.5ROR 97.7 · calibrated p 2e-7 ✓
71.0 EB05 57.7 · IC025 +5.1
3/3 methods agree
Not in label — unassessedserious n=65 · ♀ 0% (drug 79%) · 100% cliniciannot reported in cached trials

Clinical concept groups

MedDRA splits one clinical problem across several terms (e.g. "neutropenia", "neutrophil count decreased", "agranulocytosis"), which dilutes term-level signals. These rows count reports with any term in a concept group (an exact union, not a sum), compared with all other drugs. Groups are hand-built and listed in the methods.

ConceptReportsPRR 95% CIReading
Interstitial lung disease2,7298.27.9–8.6signal
Liver injury8,0127.77.5–7.8signal
Opportunistic infection1,8793.93.8–4.1signal
Serious infection9,4783.53.4–3.6signal
Tendon disorder3762.82.5–3.1signal
Hyperglycaemia / diabetes3,3272.72.6–2.8signal
Severe cutaneous reaction6282.42.2–2.6signal
Depression2,2502.32.2–2.4signal
Arrhythmia / qt1,5292.22.1–2.4signal
Rhabdomyolysis / myopathy5892.11.9–2.2raised
Anaphylaxis / angioedema8782.01.9–2.1raised
Fall / fracture2,3771.81.7–1.8raised
Kidney injury2,3221.41.4–1.5raised
Anaemia1,4771.41.3–1.5raised
Venous thromboembolism9951.31.2–1.4raised
Pancreatitis3701.31.2–1.4raised

Trial evidence (ClinicalTrials.gov)

✓ Trial adverse-event data found on ClinicalTrials.gov

Largest completed trials with posted results that list Hydroxychloroquine as a study intervention. The right-hand column of the signal table shows whether each FAERS term was also recorded in these trials, with a real denominator (0 of 40 signal terms matched).

Caveats: trial populations, doses and follow-up differ from the reporting population; AE terms are sponsor-coded and matched here by wording; absence from a trial list means the term was not reported above the sponsor's frequency threshold, not that it cannot occur.

Most frequently reported reactions

By raw co-report count, regardless of disproportionality. Common terms here are often the illness itself or generic outcomes.

ReactionReportsPRR 95% CI · ROR · χ²/pEBGM EB05 · IC025Label screenSerious-only & strataTrial cross-check
Drug ineffective (drug did not work)20,7784.5
4.5–4.6ROR 5.9 · calibrated p 0.158
4.5 EB05 4.4 · IC025 +2.1
3/3 methods agree
Reporting / coding artifactage-adj. PRR 5.0 · serious PRR 8.0not reported in cached trials
Off label use (used outside approved label)15,5515.1
5.1–5.2ROR 6.2 · calibrated p 0.136
5.1 EB05 5.0 · IC025 +2.3
3/3 methods agree
Reporting / coding artifactage-adj. PRR 5.3 · serious PRR 5.8not reported in cached trials
Rheumatoid arthritis13,12637.0
36.4–37.7ROR 44.8 · calibrated p 3e-5 ✓
32.8 EB05 32.3 · IC025 +5.0
3/3 methods agree
Likely indication confounding
term in indications
age-adj. PRR 29.0 · serious PRR 26.9not reported in cached trials
Pain10,6134.9
4.9–5.0ROR 5.6 · calibrated p 0.179
4.9 EB05 4.8 · IC025 +2.3
3/3 methods agree
Labeled adverse reaction
exact term
age-adj. PRR 4.5 · serious PRR 5.0not reported in cached trials
Arthralgia (joint pain)9,4576.6
6.5–6.7ROR 7.4 · calibrated p 0.084
6.4 EB05 6.3 · IC025 +2.7
3/3 methods agree
Not in label — unassessedage-adj. PRR 5.5 · serious PRR 7.6not reported in cached trials
Drug intolerance9,32130.2
29.6–30.8ROR 34.4 · calibrated p 1e-4 ✓
27.4 EB05 26.9 · IC025 +4.7
3/3 methods agree
Reporting / coding artifactage-adj. PRR 30.6 · serious PRR 30.0not reported in cached trials
Fatigue (tiredness)9,0773.3
3.3–3.4ROR 3.7 · calibrated p 0.448
3.3 EB05 3.2 · IC025 +1.7
3/3 methods agree
Labeled adverse reaction
exact term
age-adj. PRR 2.7 · serious PRR 4.0not reported in cached trials
Joint swelling8,66321.8
21.4–22.3ROR 24.6 · calibrated p 7e-4 ✓
20.3 EB05 20.0 · IC025 +4.3
3/3 methods agree
Not in label — unassessedage-adj. PRR 17.3 · serious PRR 23.3not reported in cached trials
Rash7,5695.0
4.9–5.1ROR 5.5 · calibrated p 0.190
4.9 EB05 4.8 · IC025 +2.3
3/3 methods agree
Labeled adverse reaction
exact term
age-adj. PRR 4.4 · serious PRR 7.1not reported in cached trials
Condition aggravated7,1876.9
6.7–7.0ROR 7.5 · calibrated p 0.081
6.7 EB05 6.6 · IC025 +2.7
3/3 methods agree
Reporting / coding artifactage-adj. PRR 5.8 · serious PRR 6.7not reported in cached trials
Synovitis6,821172.4
167.4–177.5ROR 189.8 · calibrated p 6e-10 ✓
106.7 EB05 104.6 · IC025 +6.7
3/3 methods agree
Not in label — unassessedserious PRR 75.9not reported in cached trials
Nausea6,7642.4
2.4–2.5ROR 2.6 · calibrated p 0.780
2.4 EB05 2.4 · IC025 +1.2
3/3 methods agree
Labeled adverse reaction
exact term
age-adj. PRR 2.0 · serious PRR 2.9not reported in cached trials
Contraindicated product administered6,55978.5
76.5–80.6ROR 86.0 · calibrated p 3e-7 ✓
61.4 EB05 60.2 · IC025 +5.9
3/3 methods agree
Reporting / coding artifactage-adj. PRR 68.0 · serious PRR 51.8not reported in cached trials
Treatment failure6,16622.9
22.3–23.5ROR 24.9 · calibrated p 7e-4 ✓
21.2 EB05 20.8 · IC025 +4.4
3/3 methods agree
Reporting / coding artifactage-adj. PRR 31.9 · serious PRR 27.0not reported in cached trials
Alopecia (hair loss)6,0548.9
8.7–9.2ROR 9.6 · calibrated p 0.036 ✓
8.7 EB05 8.5 · IC025 +3.1
3/3 methods agree
Labeled adverse reaction
exact term
age-adj. PRR 6.8 · serious PRR 12.2not reported in cached trials

Unlabeled candidate signals

These flagged terms were not found in the FDA label text and do not match an artifact pattern. They are the pairs that would merit a structured assessment (temporality, dose-response, biological plausibility, consistency across databases, trial or cohort evidence). The screen has not done that; string-matching misses label wording, and a strong PRR can still be stimulated reporting, co-medication, or the disease itself.

✓ A hand-written Bradford Hill causality assessment exists for this drug: Hydroxychloroquine ↔ Retinopathy.

Want to assess one of these properly? The runbook describes the Bradford Hill / trial-evidence workflow used on the assessment page, and handoff_top1000_signals.csv lists the strongest unassessed pairs across all drugs.

Common questions

What are the most reported side effects of Hydroxychloroquine?

In FDA FAERS, the most frequently co-reported reaction terms for Hydroxychloroquine are rheumatoid arthritis, pain, arthralgia, fatigue, joint swelling, rash. These are report counts, not rates: FAERS has no denominator, reporting is voluntary and uneven, and a term can be reported because of the illness being treated rather than the drug.

Does Hydroxychloroquine have an FDA boxed warning?

No. The FDA label retrieved for Hydroxychloroquine has no boxed warning; see the label's Warnings and Precautions for the recognised risks.

Do FAERS signals prove that Hydroxychloroquine causes these side effects?

No. A disproportionality signal (PRR, ROR) means a reaction is reported more often with this drug than with others in the database. That can reflect a real effect, but also the disease being treated, stimulated reporting after news or litigation, co-medications, or how reports are coded. Causality needs temporality, dose-response, biological plausibility, consistency across data sources and, ideally, trial or cohort evidence. This page screens each term against the FDA label and ClinicalTrials.gov results; it does not establish causation.

Sources & methods

Page generated 2026-10-14. Label and PubChem text are retrieved automatically and may lag the current label; always check the current prescribing information. OpenPV is a beta research tool of the Open Source Medicine Foundation.