Evidence map›Paper›PMID 35969110›Full record

ReviewInternal medicine journal2023

How toxic is an old friend? A review of the safety of hydroxychloroquine in clinical practice.

Jessica L Fairley, Mandana Nikpour, Heather G Mack, Maria Brosnan, Amanda M Saracino, Marc Pellegrini, Ian P Wicks

Open access · hybridAbstract readReview
In one paragraph

Review in Internal medicine journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.3field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Safety of Hydroxychloroquine: What a Dermatologist Should Know.American journal of clinical dermatology · 2025
    Review
  7. Late-onset Systemic Lupus Erythematosus.Rheumatology international · 2025
    Review
  8. Article
  9. Article
  10. Article
  11. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

Jessica L FairleyDepartment of Rheumatology, Royal Melbourne Hospital, Melbourne, Victoria, Australia.ORCID 0000-0003-4140-2711
Mandana NikpourDepartment of Medicine, The University of Melbourne at St Vincent's Hospital (Melbourne), Melbourne, Victoria, Australia.
Heather G MackCentre for Eye Research Australia, Royal Victorian Eye and Ear Hospital, Melbourne, Victoria, Australia.
Maria BrosnanDepartment of Cardiology, St. Vincent's Hospital Melbourne, Melbourne, Victoria, Australia.
Amanda M SaracinoDepartment of Medicine, Monash University, Melbourne, Victoria, Australia.
Marc PellegriniWalter and Eliza Hall Institute of Medical Research, Melbourne, Victoria, Australia.
Ian P WicksDepartment of Rheumatology, Royal Melbourne Hospital, Melbourne, Victoria, Australia.
The Royal Melbourne Hospital · AUThe University of Melbourne · AUCentre for Eye Research Australia · AUMonash University · AUSt Vincent's Hospital Melbourne · AU

Funding

Australian Government Research Training Program ScholarshipNHMRC 1113577NHMRC 1154325NHMRC Investigator Grant GNT1175011NHMRC Investigator Grant GNT1176538NHMRC Postgraduate Scholarship
6 · The paper itself

Abstract

Hydroxychloroquine (HCQ) and its close relative chloroquine (CQ) were initially used as antimalarial agents but are now widely prescribed in rheumatology, dermatology and immunology for the management of autoimmune diseases. HCQ is considered to have a better long-term safety profile than CQ and is therefore more commonly used. HCQ has a key role in the treatment of connective tissue diseases including systemic lupus erythematosus (SLE), where it provides beneficial immunomodulation without clinically significant immunosuppression. HCQ can also assist in managing inflammatory arthritis, including rheumatoid arthritis (RA). Debate around toxicity of HCQ in COVID-19 has challenged those who regularly prescribe HCQ to discuss its potential toxicities. Accordingly, we have reviewed the adverse effect profile of HCQ to provide guidance about this therapeutic agent in clinical practice.

Indexed as

Antirheumatic AgentsCOVID-19Lupus Erythematosus, SystemicChloroquineCOVID-19 Drug TreatmentFriendsHumansHydroxychloroquineAntirheumatic AgentsChloroquineHydroxychloroquineadverse effectscardiotoxicityhydroxychloroquineretinopathyrheumatoid arthritissafetysystemic lupus erythematosus

Identifiers

PMID35969110
PMCPMC10947006
OpenAlexW4291565004

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.