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HCQS 200 Tablet 15's
HCQS 200 Tablet 15's
HCQS 200 Tablet 15's

HCQS 200 Tablet contains hydroxychloroquine, which is used in the treatment of Type 2 diabetes mellitus, acute or chronic rheumatoid arthritis, dyslipidaemia, systemic and discoid lupus erythematosus, polymorphous light eruption, and malaria. It may cause common side effects like blurred vision, abdominal pain, nausea, vomiting, loss of appetite, diarrhoea, headache, mood changes, skin rashes, itching, and sensitivity to light.

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Written By Bayyarapu Mahesh Kumar , M Pharmacy
Reviewed By Santoshini Reddy G , M Pharmacy
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Health Queries

I am being treated for liver sarcoidosis. My ACE levels were initially very high, and I was on steroids (5 mg) for 2 years. For the past 3 years, I have been taking HCQS and my ACE levels were within normal limits. Now my ACE level has increased to 107. What is the long-term solution for managing my condition?

G.santoshini Reddy

G.santoshini Reddy

M Pharmacy (Pharmaceutics)

In liver sarcoidosis, a rising ACE level (like 107) may suggest increased disease activity, but ACE alone is not enough to decide treatment; it should be correlated with symptoms, liver function tests, and imaging. Long-term management usually involves regular monitoring and adjusting medicines under a specialist's care. If disease activity is confirmed, your doctor may consider modifying the HCQS dose, reintroducing or adjusting steroids, or adding other immunosuppressive medicines if needed. Please consult your hepatologist/rheumatologist for proper evaluation rather than changing treatment on your own.

Is it safe to take two pills of HCQS 200 daily for rheumatoid arthritis if all tests are normal?

G.santoshini Reddy

G.santoshini Reddy

M Pharmacy (Pharmaceutics)

Yes, HCQS 200 mg twice daily (total 400 mg/day) is commonly prescribed for rheumatoid arthritis and can be safe if advised by your doctor and your tests are normal. Do not increase the dose on your own; always follow your rheumatologist's guidance.

Suggest alternative treatment options for my rheumatoid arthritis with consistently high ESR levels.

G.santoshini Reddy

G.santoshini Reddy

M Pharmacy (Pharmaceutics)

If your ESR stays high in rheumatoid arthritis, it usually means the disease is still active and may need stronger or adjusted treatment. Along with medicines, regular exercise, physiotherapy, stress control, and a healthy anti-inflammatory diet are important. Always discuss changes with your rheumatologist rather than self-medicating.

I experience stiffness and pain in my fingers and toes in the morning and mild heart pain with rheumatoid arthritis.

G.santoshini Reddy

G.santoshini Reddy

M Pharmacy (Pharmaceutics)

Morning stiffness and pain in the fingers and toes are common in rheumatoid arthritis, especially when the disease is active. Mild chest or heart-area pain should not be ignored, as RA can sometimes affect the heart or it may be due to another cause like muscle strain or acidity. Continue your RA medicines as prescribed, do gentle morning exercises, and see your doctor soon for evaluation.

Is HCQS 200 safe and effective for vitiligo?

G.santoshini Reddy

G.santoshini Reddy

M Pharmacy (Pharmaceutics)

HCQS 200 Tablet may not be used to treat vitiligo. So, it should only be used under a doctor's guidance with regular follow-up.

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Side effects of HCQS 200 Tablet
  • Drink water or other clear fluids.
  • To prevent worsening of pain, limit intake of tea, coffee, or alcohol.
  • Include bland foods like rice, toast, crackers, and rice in your diet.
  • Avoid lying down immediately after eating as it may cause indigestion or heartburn.
  • Avoid acidic and spicy food as it may cause indigestion.
Overcome Medication-Induced Nausea: A 9-Step Plan
  • Inform your doctor about the nausea and discuss possible alternatives to the medication or adjustments to the dosage.
  • Divide your daily food intake into smaller, more frequent meals to reduce nausea.
  • Opt for bland, easily digestible foods like crackers, toast, plain rice, bananas, and applesauce.
  • Avoid certain foods that can trigger nausea, such as fatty, greasy, spicy, and smelly foods.
  • Drink plenty of fluids, such as water, clear broth, or electrolyte-rich beverages like coconut water or sports drinks.
  • Use ginger (tea, ale, or candies) to help relieve nausea.
  • Get adequate rest and also avoid strenuous activities that can worsen nausea.
  • Talk to your doctor about taking anti-nausea medication if your nausea is severe.
  • Record when your nausea occurs, what triggers it, and what provides relief to help you identify patterns and manage your symptoms more effectively.
  • Skin rash caused by allergies is due to irritants or allergens. Therefore, avoid contact with such irritants.
  • Consult your doctor for proper medication and apply an anti-itch medication. Follow the schedule and use the medication whenever needed.
  • Protect your skin from extreme heat and try to apply wet compresses.
  • Soak in the cool bath, which gives a soothing impact to the affected area.
Here are the few steps for dealing with itching caused by drug use:
  • Report the itching to your doctor immediately; they may need to change your medication or dosage.
  • Use a cool, damp cloth on the itchy area to help soothe and calm the skin, reducing itching and inflammation.
  • Keep your skin hydrated and healthy with gentle, fragrance-free moisturizers.
  • Try not to scratch, as this can worsen the itching and irritate your skin.
  • If your doctor prescribes, you can take oral medications or apply topical creams or ointments to help relieve itching.
  • Track your itching symptoms and follow your doctor's guidance to adjust your treatment plan if needed. If the itching persists, consult your doctor for further advice.
Here are the precise steps to cope with diarrhoea caused by medication usage:
  • Inform Your Doctor: Notify your doctor immediately about your diarrhoea symptoms. This allows them to adjust your medication or provide guidance on managing side effects.
  • Stay Hydrated: Drink plenty of fluids to replace lost water and electrolytes. Choose water, clear broth, and electrolyte-rich drinks. Avoid carbonated or caffeinated beverages to effectively rehydrate your body.
  • Follow a Bland Diet: Eat easy-to-digest foods to help firm up your stool and settle your stomach. Try incorporating bananas, rice, applesauce, toast, plain crackers, and boiled vegetables into your diet.
  • Avoid Trigger Foods: Steer clear of foods that can worsen diarrhoea, such as spicy, fatty, or greasy foods, high-fibre foods, and dairy products (especially if you're lactose intolerant).
  • Practice Good Hygiene: Maintain good hygiene to prevent the spread of infection. To stay healthy, wash your hands frequently, clean and disinfect surfaces regularly, and avoid exchanging personal belongings with others.
  • Take Anti-Diarrheal Medications: If your doctor advises, anti-diarrheal medications such as loperamide might help manage diarrhoea symptoms. Always follow your doctor's directions.
  • Keep track of your diarrhoea symptoms. If they don't get better or worse or are accompanied by severe stomach pain, blood, or dehydration signs (like extreme thirst or dark urine), seek medical help.
To prevent, manage, and treat Constipation caused by medication usage, follow these steps:
  • Preventing Vomiting (Before it Happens)
  • Take medication exactly as prescribed by your doctor. This can help minimize side effects, including vomiting.
  • Having a small meal before taking your medication can help reduce nausea and vomiting.
  • Talk to your doctor about taking anti-nausea medication along with your prescribed medication.
  • Managing Vomiting (If it Happens)
  • Try taking ginger in the form of tea, ale, or candy to help alleviate nausea and vomiting.
  • What to Do if Vomiting Persists
  • Consult your doctor if vomiting continues or worsens, consult the doctor for guidance on adjusting your medication or additional treatment.

Drug-Drug Interactions

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HydroxychloroquineCisapride
Critical
HydroxychloroquineZiprasidone
Critical

Drug-Drug Interactions

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HydroxychloroquineCisapride
Critical
How does the drug interact with HCQS 200 Tablet:
Combining Cisapride and Haloperidol can increase the risk of an irregular heart rhythm.

How to manage the interaction:
Taking Cisapride and Haloperidol together is not recommended as it can lead to an interaction, it can be taken if advised by your doctor. However, if you experience any symptoms like sudden dizziness, lightheadedness, fainting, shortness of breath, heart palpitations, diarrhea, or vomiting, contact your doctor immediately. Do not discontinue any medications without first consulting your doctor.
HydroxychloroquineZiprasidone
Critical
How does the drug interact with HCQS 200 Tablet:
Taking Ziprasidone and Haloperidol can increase the risk of an irregular heart rhythm.

How to manage the interaction:
Taking Ziprasidone and Haloperidol together is not recommended as it can lead to an interaction, it can be taken if advised by your doctor. However, if you experience any symptoms like sudden dizziness, lightheadedness, fainting, shortness of breath, heart palpitations, diarrhea, or vomiting, contact your doctor immediately. Do not discontinue any medications without first consulting your doctor.
HydroxychloroquineAurothioglucose
Critical
How does the drug interact with HCQS 200 Tablet:
Using Aurothioglucose and HCQS 200 Tablet together can cause blood disorders and other severe side effects.

How to manage the interaction:
Taking HCQS 200 Tablet with Aurothioglucose is not recommended, please consult your doctor before taking it. If you experience any symptoms, contact your doctor immediately. Do not discontinue any medications without first consulting your doctor.
HydroxychloroquineSotalol
Severe
How does the drug interact with HCQS 200 Tablet:
The combined use of sotalol and HCQS 200 Tablet can increase the risk of an irregular heart rhythm. The risk increases in patients with a history of heart illness or electrolyte imbalance.

How to manage the interaction:
Co-administration of sotalol and HCQS 200 Tablet can lead to an interaction, it can be taken if advised by a doctor. However, if you experience any symptoms like dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations, consult the doctor immediately. Do not stop using any medications without a doctor's advice.
HydroxychloroquineQuinidine
Severe
How does the drug interact with HCQS 200 Tablet:
The combined use of quinidine and HCQS 200 Tablet can increase the risk of an irregular heart rhythm.

How to manage the interaction:
Co-administration of quinidine and HCQS 200 Tablet can lead to an interaction, it can be taken if advised by your doctor. However, if you experience any symptoms like dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations, consult the doctor immediately. Do not stop using any medications without a doctor's advice.
HydroxychloroquineCitalopram
Severe
How does the drug interact with HCQS 200 Tablet:
The combined use of citalopram and HCQS 200 Tablet can increase the risk of an irregular heart rhythm.

How to manage the interaction:
Co-administration of citalopram and HCQS 200 Tablet can lead to an interaction, it can be taken if advised by your doctor. However, if you experience any symptoms like dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations, consult the doctor immediately. Do not stop using any medications without a doctor's advice.
HydroxychloroquineFlecainide
Severe
How does the drug interact with HCQS 200 Tablet:
Co-administration of Flecainide and HCQS 200 Tablet can increase the risk of an irregular heart rhythm.

How to manage the interaction:
Co-administration of flecainide and HCQS 200 Tablet can lead to an interaction, it can be taken if advised by your doctor. However, if you experience any symptoms like dizziness, shortness of breath, or palpitations, consult the doctor immediately. Do not stop using any medications without a doctor's advice.
HydroxychloroquineBuprenorphine
Severe
How does the drug interact with HCQS 200 Tablet:
Taking buprenorphine with HCQS 200 Tablet increases the risk of an abnormal heart rhythm.

How to manage the interaction:
Concomitant administration of buprenorphine alongside HCQS 200 Tablet can result in an interaction, and it can be taken if a doctor has advised it. However, if you experience abrupt dizziness, lightheadedness, fainting, shortness of breath, or rapid heartbeat, get medical help immediately. Do not discontinue any medications without consulting a doctor.
HydroxychloroquineHydroxyzine
Severe
How does the drug interact with HCQS 200 Tablet:
The use of hydroxyzine and HCQS 200 Tablet can increase the risk of an irregular heart rhythm.

How to manage the interaction:
Co-administration of hydroxyzine and HCQS 200 Tablet can lead to an interaction, it can be taken if advised by a doctor. However, if you experience any symptoms like dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations, consult the doctor immediately. Do not stop using any medications without a doctor's advice.
HydroxychloroquineSolifenacin
Severe
How does the drug interact with HCQS 200 Tablet:
The combined use of solifenacin and HCQS 200 Tablet can increase the risk of an irregular heart rhythm.

How to manage the interaction:
Co-administration of solifenacin and HCQS 200 Tablet can lead to an interaction, it can be taken if advised by your doctor. However, if you experience any symptoms like dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations, consult a doctor immediately. Do not stop using any medications without a doctor's advice.

Drug-Food Interactions

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HYDROXYCHLOROQUINE-200MGGrapefruit and Grapefruit Juice
Moderate

Drug-Food Interactions

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HYDROXYCHLOROQUINE-200MGGrapefruit and Grapefruit Juice
Moderate
Common Foods to Avoid:
Grapefruit Juice, Grapefruit

How to manage the interaction:
Grapefruit juice can increase the blood levels and effects of HCQS 200 Tablet, which may result in an irregular heart rate or other conduction disturbances. consumption of grape juice or grapefruit can lead to an interaction. However, if you experience any symptoms like sudden dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations, consult doctor immediately. avoid grape fruit.

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Author Details

Bayyarapu Mahesh KumarDoctor badge

Written By

Bayyarapu Mahesh Kumar

M Pharmacy

Santoshini Reddy GDoctor badge

Reviewed By

Santoshini Reddy G

M Pharmacy

Last Updated

Oct 14, 2025 | 1:08 PM IST

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