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Two medicines, side by side

Hydroxychloroquine vs remdesivir

Hydroxychloroquine is labeled for rheumatoid arthritis; remdesivir for covid-19. Their labels share no use, so they are not alternatives to each other. Drugs@FDA records approvals of hydroxychloroquine since 1955 and of remdesivir since 2020. In FDA's classes, hydroxychloroquine is an antirheumatic agent and remdesivir a sars-cov-2 nucleotide analog rna polymerase inhibitor.

Check it at the source: the hydroxychloroquine FDA label on DailyMed (effective October 8, 2024); the remdesivir FDA label on DailyMed (effective July 29, 2026).

Highlights of the hydroxychloroquine record

Hydroxychloroquine (Plaquenil) · label of October 8, 2024

Used for

From the label: indications

SOVUNA 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. (1.1) Treatment of rheumatoid arthritis in adults. […]

On the market

Earliest approval on file
April 18, 1955
Generic labelers
28 labelers
Pharmacy cost
$0.149 per tablet

Supply and safety

Shortage
A presentation being discontinued
Recalls
2

Highlights of the remdesivir record

Remdesivir (Veklury) · label of July 29, 2026

Used for

From the label: indications

VEKLURY is indicated for the treatment of coronavirus disease 2019 (COVID-19) in adults and pediatric patients (birth to less than 18 years of age weighing at least 1.5 kg) who are [see Clinical Studies (14) ]: Hospitalized, or Not hospitalized and have mild-to-moderate COVID-19, and are at high risk for progression to severe COVID-19, including hospitalization or death. […]

On the market

Earliest approval on file
October 22, 2020
Generic labelers
none listed
Pharmacy cost
Not in the survey

Supply and safety

Shortage
No current entry
Recalls
2

Source: FDA drug labels via openFDA (Hydroxychloroquine label of October 8, 2024, Remdesivir label of July 29, 2026); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do hydroxychloroquine and remdesivir differ on the record?

In FDA's classes, hydroxychloroquine is an antirheumatic agent and remdesivir a sars-cov-2 nucleotide analog rna polymerase inhibitor.

How each works, in its label's words: Hydroxychloroquine, “Malaria Hydroxychloroquine is a 4-aminoquinoline antimalarial [see Microbiology (12.4)] and antirheumatic agent.”; Remdesivir, “Remdesivir is an antiviral drug with activity against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) [see Microbiology (12.4) ].”

Generics: hydroxychloroquine since 1994; remdesivir none approved (Drugs@FDA).

HydroxychloroquineRemdesivir
Labeled forRheumatoid arthritisCOVID-19
Pharmacologic classAntimalarial, Antirheumatic AgentSARS-CoV-2 Nucleotide Analog RNA Polymerase Inhibitor
How it works (label)Malaria Hydroxychloroquine is a 4-aminoquinoline antimalarial [see Microbiology (12.4)] and antirheumatic agent.Remdesivir is an antiviral drug with activity against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) [see Microbiology (12.4) ].
Half-life (label)Results following a single oral dose of a 200 mg tablet demonstrated a half-life of hydroxychloroquine about 40 days in whole blood.n/a
Earliest approval on file (Drugs@FDA)April 18, 1955October 22, 2020
First generic approvedSeptember 30, 1994none
Generic labelers (NDC)28 labelersnone listed
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.149 per tablet (Hydroxychloroquine 200 mg tablet)n/a
12-month price change-8%n/a
Boxed warningNoNo
Shortage nowA presentation being discontinuedNo current entry
Recalls recorded22
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)151,39213,249
DEA schedulenonenone

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

Do their labels mention each other?

Remdesivir label, drug interactions

DRUG INTERACTIONS 7.1 Effects of Other Drugs on VEKLURY Due to potential antagonism based on data from cell culture experiments, concomitant use of VEKLURY with chloroquine phosphate or hydroxychloroquine sulfate is not recommended [see Warnings and Precautions (5.3) and Microbiology (12.4) ].

Remdesivir label, warnings and precautions

Discontinue VEKLURY if ALT elevation is accompanied by signs or symptoms of liver inflammation. ( 5.2 ) Risk of reduced antiviral activity when coadministered with chloroquine phosphate or hydroxychloroquine sulfate:

What both labels say about taking them together

Source: FDA drug labels via openFDA

What next?

Alternatives to hydroxychloroquine
every medicine labeled for the same conditions